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Sarcopenia.

Avan A Sayer1,2, Rachel Cooper3,4, Hidenori Arai5

  • 1AGE Research Group, Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. avan.sayer@newcastle.ac.uk.

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Sarcopenia, the age-related loss of muscle mass and function, affects 5-10% of the population. New diagnostic approaches emphasize muscle strength, with resistance exercise as a primary treatment.

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Area of Science:

  • Gerontology
  • Muscle Physiology
  • Aging Research

Background:

  • Sarcopenia is the accelerated loss of skeletal muscle mass and function, primarily associated with aging.
  • It impacts physical function, mobility, and increases risks of falls, fractures, and mortality.
  • Prevalence ranges from 5-10% in the general population, with varying definitions.

Purpose of the Study:

  • To explore a life course framework for understanding sarcopenia development and prevention.
  • To review sarcopenia pathophysiology in light of aging hallmarks.
  • To discuss the evolving diagnostic approaches and treatment strategies for sarcopenia.

Main Methods:

  • Literature review on sarcopenia definition, diagnosis, and treatment.
  • Analysis of the role of aging hallmarks in sarcopenia.
  • Discussion of a life course perspective on sarcopenia.

Main Results:

  • Growing consensus on diagnosing sarcopenia, with increased focus on muscle strength.
  • Resistance exercise is the primary treatment, but not universally suitable.
  • A life course framework offers insights into prevention.

Conclusions:

  • An internationally agreed definition and diagnostic approach for sarcopenia is anticipated.
  • Adjunctive and alternative treatments are needed to improve quality of life.
  • Understanding sarcopenia across the life course is crucial for effective prevention and management.