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Uremic Sarcopenia and Its Possible Nutritional Approach.
Annalisa Noce1, Giulia Marrone1,2, Eleonora Ottaviani1
1UOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, Italy.
Uremic sarcopenia, common in chronic kidney disease (CKD), involves muscle loss and weakness. Nutritional therapy and exercise show promise in managing this condition and improving patient outcomes.
Area of Science:
- Nephrology
- Geriatrics
- Nutritional Science
Background:
- Uremic sarcopenia is prevalent in chronic kidney disease (CKD) patients, characterized by decreased muscle mass, strength, and physical function.
- It significantly increases hospitalization risk and mortality in CKD patients.
- Contributing factors include aging, metabolic acidosis, hemodialysis, inflammation, and poor protein-energy intake.
Purpose of the Study:
- To review the benefits of nutritional therapy, alone or combined with physical activity, for uremic sarcopenia.
- To analyze the impact of these interventions on the onset and progression of uremic sarcopenia.
Main Methods:
- Literature review of studies on nutritional interventions for uremic sarcopenia.
- Analysis of physical activity programs in conjunction with nutritional support.
- Synthesis of evidence regarding the efficacy of combined therapeutic approaches.
Main Results:
- Nutritional therapies, including supplements and specialized diets, can mitigate muscle loss.
- Personalized physical activity programs enhance muscle strength and function.
- Combined nutritional and physical activity interventions demonstrate synergistic effects in managing uremic sarcopenia.
Conclusions:
- Nutritional therapy is a cornerstone in managing uremic sarcopenia.
- Integrating physical activity with nutritional support offers a comprehensive strategy.
- Further research is warranted to optimize combined interventions for CKD patients.
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