MANAGING SARCOPENIA: INTEGRATING EXERCISE AND NUTRITION TO PROMOTE MUSCLE HEALTH IN THE ELDERLY
PDF (Português (Brasil))

Keywords

Sarcopenia
Exercise
Healthy Aging

How to Cite

Novais da Conceição, H., Pezzetti Sanchez Diogo, M., Victor Gomes Mendes, J., de Oliveira Silva, L., Augusto Batista Borges, J., Maquiné Hermont, L., Victor de Assis Crispim, J., Gonzaga Feitoza, B., Morgana Neves Silva, B., Cataneo Cardoso Borin, C., Mesquita Rodriguez, P., Henriques da Fonseca Araújo, N., Maciel Dias, L., & Santos, R. de O. (2024). MANAGING SARCOPENIA: INTEGRATING EXERCISE AND NUTRITION TO PROMOTE MUSCLE HEALTH IN THE ELDERLY . Brazilian Journal of Implantology and Health Sciences, 6(3), 966–977. https://doi.org/10.36557/2674-8169.2024v6n3p966-977

Abstract

Introduction: Sarcopenia is characterized by the progressive loss of muscle mass and strength in the elderly, resulting in physical frailty and an increased risk of falls and mortality. Physical exercise is fundamental in the prevention and treatment of sarcopenia, but its prescription for the elderly requires careful consideration of several factors, including the severity of sarcopenia and comorbidities. Methodology: A systematic review was carried out using the PubMed, Scielo and LILACS databases, and the descriptors ((Sarcopenia" AND (Exercise)) AND (Health of the Elderly), resulting in 25 articles selected for analysis. In addition, guidelines from the Brazilian Society of Geriatrics and Gerontology were consulted for additional information. Results: Sarcopenia involves the gradual loss of muscle mass and is associated with multiple pathophysiological mechanisms, including satellite cell senescence and chronic inflammation. Diagnosis is based on clinical criteria and imaging tests, particularly dual-energy X-ray absorptiometry. Physical exercise, especially resistance training, is fundamental in the treatment of sarcopenia, but the prescription must be adapted to the individual needs of the elderly, taking into account their frailty and comorbidities. Conclusion: Sarcopenia represents a significant health challenge for the elderly, requiring a multidisciplinary approach that includes adapted physical exercise, nutritional interventions and, when necessary, specific supplementation. Although evidence for drug interventions is limited, evidence-based individualization of treatment is crucial to promote healthy and functional aging.

https://doi.org/10.36557/2674-8169.2024v6n3p966-977
PDF (Português (Brasil))

References

BARBOSA-SILVA, T. G. et al. Enhancing SARC-F: Improving Sarcopenia Screening in the Clinical Practice. Journal of the American Medical Directors Association, v. 17, n. 12, p. 1136–1141, dez. 2016.

BEAVERS, K. M. et al. Associations between body composition and gait-speed decline: results from the Health, Aging, and Body Composition study. The American Journal of Clinical Nutrition, v. 97, n. 3, p. 552–560, mar. 2013.

BILSKI, J. et al. Multifactorial Mechanism of Sarcopenia and Sarcopenic Obesity. Role of Physical Exercise, Microbiota and Myokines. Cells, v. 11, n. 1, p. 160, 4 jan. 2022.

BRAY, N. W. et al. Exercise prescription to reverse frailty. Applied Physiology, Nutrition, and Metabolism, v. 41, n. 10, p. 1112–1116, out. 2016.

CHODZKO-ZAJKO, W. J. et al. Exercise and Physical Activity for Older Adults. Medicine & Science in Sports & Exercise, v. 41, n. 7, p. 1510–1530, jul. 2009.

COELHO-JÚNIOR, H. J. et al. Prescription of resistance training for sarcopenic older adults: Does it require specific attention? Ageing Research Reviews, v. 81, p. 101720, nov. 2022.

COLLELUORI, G.; VILLAREAL, D. T. Aging, obesity, sarcopenia and the effect of diet and exercise intervention. Experimental gerontology, v. 155, p. 111561, nov. 2021.

CRUZ-JENTOFT, A. J. et al. Sarcopenia: European consensus on definition and diagnosis. Age and Ageing, v. 39, n. 4, p. 412–423, 1 jul. 2010.

DELMONICO, M. J.; BECK, D. T. The Current Understanding of Sarcopenia. American Journal of Lifestyle Medicine, v. 11, n. 2, p. 167–181, 7 mar. 2017.

DENT, E. et al. International Clinical Practice Guidelines for Sarcopenia (ICFSR): Screening, Diagnosis and Management. The Journal of nutrition, health and aging, v. 22, n. 10, p. 1148–1161, dez. 2018.

DEUTZ, N. E. P. et al. Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group. Clinical Nutrition, v. 33, n. 6, p. 929–936, dez. 2014.

KHADANGA, S.; SAVAGE, P. D.; ADES, P. A. Resistance Training for Older Adults in Cardiac Rehabilitation. Clinics in Geriatric Medicine, v. 35, n. 4, p. 459–468, nov. 2019.

LAVIN, K. M. et al. The Importance of Resistance Exercise Training to Combat Neuromuscular Aging. Physiology, v. 34, n. 2, p. 112–122, 1 mar. 2019.

LEE, P. G.; JACKSON, E. A.; RICHARDSON, C. R. Exercise Prescriptions in Older Adults. American family physician, v. 95, n. 7, p. 425–432, 1 abr. 2017.

LU, L. et al. Effects of different exercise training modes on muscle strength and physical performance in older people with sarcopenia: a systematic review and meta-analysis. BMC Geriatrics, v. 21, n. 1, p. 708, 15 dez. 2021.

PAPADOPOULOU, S. Sarcopenia: A Contemporary Health Problem among Older Adult Populations. Nutrients, v. 12, n. 5, p. 1293, 1 maio 2020.

PAPADOPOULOU, S. K. et al. Exercise and Nutrition Impact on Osteoporosis and Sarcopenia—The Incidence of Osteosarcopenia: A Narrative Review. Nutrients, v. 13, n. 12, p. 4499, 16 dez. 2021.

PETERMANN‐ROCHA, F. et al. Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta‐analysis. Journal of Cachexia, Sarcopenia and Muscle, v. 13, n. 1, p. 86–99, 23 fev. 2022.

PETERSON, M. D. et al. Resistance exercise for muscular strength in older adults: A meta-analysis. Ageing Research Reviews, v. 9, n. 3, p. 226–237, jul. 2010.

ROGERI, P. S. et al. Strategies to Prevent Sarcopenia in the Aging Process: Role of Protein Intake and Exercise. Nutrients, v. 14, n. 1, p. 52, 23 dez. 2021.

SBGG - Sociedade Brasileira de Geriatria e Gerontologia. Diagnóstico e tratamento da Sarcopenia, 2022. Disponível em: <https://sbgg.org.br/diagnostico-e-tratamento-da-sarcopenia/>. Acesso em 11 fev. 2024.

TEN BROEK, R. W.; GREFTE, S.; VON DEN HOFF, J. W. Regulatory factors and cell populations involved in skeletal muscle regeneration. Journal of Cellular Physiology, v. 224, n. 1, p. 7–16, 23 jul. 2010.

WILKINSON, D. J.; PIASECKI, M.; ATHERTON, P. J. The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans. Ageing Research Reviews, v. 47, p. 123–132, nov. 2018.

YIN, H.; PRICE, F.; RUDNICKI, M. A. Satellite Cells and the Muscle Stem Cell Niche. Physiological Reviews, v. 93, n. 1, p. 23–67, jan. 2013.

ZALESKI, A. L. et al. Coming of Age: Considerations in the Prescription of Exercise for Older Adults. Methodist DeBakey Cardiovascular Journal, v. 12, n. 2, p. 98, 1 abr. 2016.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Humberto Novais da Conceição, Marina Pezzetti Sanchez Diogo, José Victor Gomes Mendes, Leandro de Oliveira Silva, Jorge Augusto Batista Borges, Leonardo Maquiné Hermont, João Victor de Assis Crispim, Bruno Gonzaga Feitoza, Bruna Morgana Neves Silva, Camila Cataneo Cardoso Borin, Paloma Mesquita Rodriguez, Natália Henriques da Fonseca Araújo, Luiza Maciel Dias