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Treating sarcopenia in clinical practice: where are we now?

Acta clinica Belgica
August 1, 2016
Anton De Spiegeleer et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to summarize current therapeutic interventions for sarcopenia, including their mechanisms and clinical value, but did not specifically focus on antioxidants.

Results Summary

The abstract highlights the importance of exercise, nutrition, and other supplements (e.g., vitamin D, testosterone, creatine) for sarcopenia but does not mention antioxidants.

Population

Aged individuals with or at risk of sarcopenia.

Effective Dosage

Not mentioned for antioxidants.

Duration

Not mentioned for antioxidants.

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
exercise (50% resistance training, 50% endurance training)
decrease
sarcopenia
patients with (pre-)sarcopenia
-
highlight the importance of
#1
nutrition (25-30 g proteins with essential amino acids every meal and long-chain ω-3 fatty acids)
decrease
sarcopenia
patients with (pre-)sarcopenia
-
highlight the importance of
#2
limitation of alcohol and smoking
decrease
sarcopenia
patients with (pre-)sarcopenia
-
highlight the importance of
#3
vitamin D
decrease
sarcopenia
patients with (pre-)sarcopenia
aim serum levels >30 ng/L
suggest a place for
#4
testosterone
decrease
sarcopenia
patients with (pre-)sarcopenia
aim serum levels >300 ng/dL
suggest a place for
#5
creatine
decrease
sarcopenia
patients with (pre-)sarcopenia
15-20 g/d for five days, thereafter 3-5 g/d
suggest a place for
#6
Abstract

Sarcopenia - or the loss of muscle mass, strength and function with ageing - represents an important health issue of the twenty-first century because of its devastating effects in addition to an increased prevalence of aged people. The devastating health effects of sarcopenia are multiple: an increased falls risk, a decreased physical ability and quality of life and an independent increase of all-cause mortality. Although the ultimate remedy for sarcopenia yet has to be found, some interventions have proven their merit and might be of practical use in clinical practice, especially for geriatricians, who deal most with sarcopenia. This review intends to summarize the current therapeutic interventions, their proposed mechanism of action as well as their clinical value. The results of our review highlight the importance of exercise (50% resistance training, 50% endurance training), nutrition (25-30 g proteins with essential amino acids every meal and long-chain ω-3 fatty acids) and limitation of alcohol and smoking. In addition, studies also suggest a place for vitamin D (aim serum levels >30 ng/L), testosterone (aim serum levels >300 ng/dL) and creatine (15-20 g/d for five days, thereafter 3-5 g/d). In conclusion, although more studies are needed to elucidate the exact effectiveness and safety of many sarcopenia interventions, the current evidence already provides clinically useful information, which might benefit the patient with (pre-)sarcopenia.

Medical Subject Headings (MeSH)
AgingDietary ProteinsExerciseGeriatricsHumansNutritional StatusPractice Guidelines as TopicSarcopeniaTestosteroneVitamin D
Study Links
Quality Scores
SafetyNot Assessed
Quality75/10
Citation Metrics
Total Citations17
Citations/Year1.9
Relative Citation Ratio0.85
NIH Percentile44.3%
Research Impact Scores
APT Score0.75
Weight Score1.77
Normalized Score0.55
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