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Skeletal Muscle-Cardiac Muscle Aging: Shared Mechanisms and Multimodal Interventions
Kriti Kalra1, Patrick Berchie2, Sahib Singh3
1Department of Cardiology, MedStar Washington Hospital Center, Washington, District of Columbia, USA.
Abstract:
The progressive age-related deterioration of skeletal and cardiac muscle represents a critical determinant of morbidity and mortality in older adults. This state-of-the-art review examines the interconnected molecular mechanisms underlying muscle aging, including mitochondrial dysfunction, immunosenescence, oxidative stress, hormonal dysregulation, and anabolic resistance. These shared pathways manifest as sarcopenia in skeletal muscle and remodeling in cardiac tissue, creating a complex relationship that accelerates functional decline. Chronic diseases, including heart failure, diabetes, and hypertension, amplify these degenerative processes through metabolic dysregulation and systemic inflammation. Evidence-based interventions combining multicomponent exercise programs (resistance, aerobic, and balance training), optimized protein intake (1.0-1.5 g/kg/day), and emerging pharmacological agents have demonstrated efficacy in preserving muscle mass and function. Digital health technologies offer novel monitoring and intervention delivery platforms. Future directions include expounding on muscle-heart crosstalk mechanisms, developing predictive biomarkers, and implementing integrated care models to address the growing burden of age-related physical decline.
Insights
Muscle aging affects both skeletal and cardiac tissues, leading to functional decline in older adults. Interventions like exercise, protein intake, and new drugs can help preserve muscle health.
Area of Science:
- Gerontology and Muscle Physiology
- Investigates the molecular basis of age-related muscle decline and its impact on overall health.
Background:
- Age-related muscle deterioration is a key factor in morbidity and mortality among older adults.
- Shared molecular pathways like mitochondrial dysfunction, immunosenescence, oxidative stress, hormonal changes, and anabolic resistance contribute to sarcopenia and cardiac remodeling.
Purpose of the Study:
- To review the interconnected molecular mechanisms of muscle aging.
- To explore the relationship between skeletal and cardiac muscle aging.
- To discuss interventions and future directions for preserving muscle mass and function.
Main Methods:
- State-of-the-art literature review.
- Analysis of molecular mechanisms of muscle aging.
- Examination of the impact of chronic diseases on muscle degeneration.
- Evaluation of evidence-based interventions.
Main Results:
- Muscle aging involves interconnected pathways affecting both skeletal (sarcopenia) and cardiac muscle.
- Chronic diseases exacerbate muscle aging through inflammation and metabolic dysregulation.
- Multicomponent exercise, adequate protein intake, and pharmacological agents show efficacy in preserving muscle.
Conclusions:
- Understanding muscle-heart crosstalk is crucial for addressing age-related physical decline.
- Integrated care models and predictive biomarkers are needed.
- Digital health technologies can support monitoring and intervention delivery.
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