Nasso Rosarita, D'Errico Antonio, Motti Maria Letizia, Masullo Mariorosario, Arcone Rosaria
Department of Medical, Movement and Well-Being Sciences (DiSMMeB), University of Naples "Parthenope", Via Medina 40, 80133 Napoli, Italy.
Clin Pract. 2024 Jul 25;14(4):1451-1467. doi: 10.3390/clinpract14040117.
Sarcopenia is a multifactorial age-related disorder that causes a decrease in muscle mass, strength, and function, leading to alteration of movement, risk of falls, and hospitalization. This article aims to review recent findings on the factors underlying sarcopenia and the strategies required to delay and counteract its symptoms. We focus on molecular factors linked to ageing, on the role of low-grade chronic and acute inflammatory conditions such as cancer, which contributes to the onset of sarcopenia, and on the clinical criteria for its diagnosis. The use of drugs against sarcopenia is still subject to debate, and the suggested approaches to restore muscle health are based on adequate dietary protein intake and physical exercise. We also highlight the difference in the amount and quality of amino acids within animal- and plant-based diets, as studies have often shown varying results regarding their effect on sarcopenia in elderly people. In addition, many studies have reported that non-pharmacological approaches, such as an optimization of dietary protein intake and training programs based on resistance exercise, can be effective in preventing and delaying sarcopenia. These approaches not only improve the maintenance of skeletal muscle function, but also reduce health care costs and improve life expectancy and quality in elderly people.
肌肉减少症是一种与年龄相关的多因素疾病,会导致肌肉质量、力量和功能下降,进而引起运动改变、跌倒风险和住院风险。本文旨在综述肌肉减少症潜在因素的最新研究结果以及延缓和对抗其症状所需的策略。我们关注与衰老相关的分子因素、低度慢性和急性炎症状态(如癌症)在肌肉减少症发病中的作用,以及其诊断的临床标准。针对肌肉减少症使用药物仍存在争议,目前建议的恢复肌肉健康的方法基于充足的膳食蛋白质摄入和体育锻炼。我们还强调了动物性饮食和植物性饮食中氨基酸数量和质量的差异,因为研究常常显示它们对老年人肌肉减少症的影响结果各异。此外,许多研究报告称,非药物方法,如优化膳食蛋白质摄入和基于抗阻运动的训练计划,可有效预防和延缓肌肉减少症。这些方法不仅有助于维持骨骼肌功能,还能降低医疗成本,提高老年人的预期寿命和生活质量。