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Tuesday, 25 December 2018

Sarcopenia (Muscle Loss Due to Aging)... How to Fight it ?



Sarcopenia,  literally meaning "lack of flesh" is a common condition that affects adults who are over 50 years old. While it can decrease life expectancy and quality of life, there are actions you can take to prevent and even reverse the condition.
After middle age, adults lose 3% of their muscle strength every year, on average. This limits their ability to perform many routine activities.

Sarcopenia is caused by an imbalance between signals for muscle cell growth and signals for teardown. Cell growth processes are called "anabolism," and cell teardown processes are called "catabolism".
However, during aging, the body becomes resistant to the normal growth signals, tipping the balance toward catabolism and muscle loss .

Four Factors That Accelerate Muscle Loss:

Although aging is the most common cause of sarcopenia, other factors can also trigger an imbalance between muscle anabolism and catabolism......

1. Immobility, Including a Sedentary Lifestyle ..leading to faster muscle loss and increasing weakness.

Bed rest or immobilization after an injury or illness leads to rapid loss of muscle.

Although less dramatic, two to three weeks of decreased walking and other regular activity is also enough to decrease muscle mass and strength.

In fact, periods of decreased activity can become a vicious cycle. Muscle strength decreases, resulting in greater fatigue and making it more difficult to return to normal activity.

2. Unbalanced Diet

A diet providing insufficient calories and protein results in weight loss and diminished muscle mass.

Unfortunately, low-calorie and low-protein diets become more common with aging, due to changes in sense of taste, problems with the teeth, gums and swallowing, or increased difficulty shopping and cooking.

To help prevent sarcopenia, it is recommended to consum e 25–30 grams of protein at each meal .

3. Inflammation:

After injury or illness, inflammation sends signals to the body to tear down and then rebuild the damaged groups of cells.

Chronic or long-term diseases  can also result in inflammation that disrupts the normal balance of teardown and healing, resulting in muscle loss.

Examples include COPD, Rheumatoid Arthritis, Inflammatory Bowel diseases like Crohn's disease or Ulcerative Colitis, Lupus, Vasculitis, severe Burns and Chronic infections like tuberculosis etc.

4. Severe Stress:

Sarcopenia is also more common in a number of other health conditions that increase stress on the body, eg people with Chronic liver disease, and  Chronic heart failure,  Chronic kidney disease, Cancer and cancer treatments .

The signs of sarcopenia: 

Early signs of sarcopenia include feeling physically weaker over time, and having more difficulty than usual lifting familiar objects .

"A hand-grip-strength test has been used to help diagnose sarcopenia".

Decreased strength might show itself in other ways too, including walking more slowly, becoming exhausted more easily and having less interest in being active.

Losing weight without trying can also be a sign of sarcopenia .

Important :
Noticeable loss of strength or stamina and unintentional weight loss are signs of multiple diseases, including sarcopenia. If you are experiencing any of these without a good reason, talk to your doctor.

Management of Sarcopenia :

Although some of the causes of sarcopenia are a natural consequence of aging, others are preventable.The strongest way to fight sarcopenia is to keep your muscles active . In fact, a healthy diet and regular exercise can reverse sarcopenia, increasing lifespan and quality of life.

Combinations of aerobic exercise, resistance training and balance training can prevent and even reverse muscle loss. At least two to four exercise sessions weekly may be required to achieve these benefits.

All types of exercise are beneficial, but some more than others.

1. Resistance Training:

Resistance training includes weightlifting, pulling against resistance bands or moving part of the body against gravity.

When you perform resistance exercise, the tension on your muscle fibers results in growth signals that lead to increased strength. Resistance exercise also increases the actions of growth-promoting hormones . These signals combine to cause muscle cells to grow and repair themselves, both by making new proteins and by turning on special muscle stem cells called "satellite cells," which reinforce existing muscle.

2. Fitness Training.

Sustained exercise that raises your heart rate, including aerobic exercise and endurance training, can also control sarcopenia.

The study found that five days per week of cycling, jogging or hiking increased muscle mass. 

3. Walking:

Walking can also prevent and even reverse sarcopenia, and it's an activity most people can do for free, anywhere they live.

Four Nutrients That Fight Sarcopenia:

If you're deficient in calories, protein or certain vitamins and minerals, you may be at higher risk of muscle loss.

However, even if you aren't deficient, getting higher doses of some key nutrients can promote muscle growth or enhance the benefits of exercise.

1. Protein:
Getting protein in your diet directly signals your muscle tissue to build and strengthen.

As people age, their muscles become more resistant to this signal, so they need to consume more protein to increase muscle growth .

The amino acid leucine is particularly important for regulating muscle growth. Rich sources of leucine include whey protein, meat, fish and eggs, as well as soy protein isolate.

2. Vitamin D:

Vitamin D deficiency is related to sarcopenia, although the reasons why are not entirely understood .

Taking vitamin D supplements can increase muscle strength and reduce the risk of falling. 

3. Omega-3 Fatty Acids:

No matter how old you are, consuming omega-3 fatty acids via seafood or 2gm of fish oil supplements will increase your muscle growth.

4. Creatine:

Creatine is a small protein normally made in the liver. Although your body makes enough to prevent you from becoming deficient, creatine in the diet from meat or as a supplement may benefit your muscle growth.

When participants took the creatine, they got more benefits from resistance training compared to when they performed resistance training with no creatine .

Please note......Creatine is probably not beneficial for sarcopenia if used alone, without exercise.

The Impression:

Sarcopenia, the loss of muscle mass and strength, becomes more common with age and can decrease lifespan and quality of life.

Eating enough calories and high-quality protein can slow down the rate of muscle loss. Omega-3 and creatine supplements may also help fight sarcopenia.

Nevertheless, exercising is the most effective way to prevent and reverse sarcopenia.

Resistance exercises appear to be particularly effective, including using resistance bands, lifting weights or doing calisthenics like squats, push-ups and sit-ups.

However, even simple exercises like walking can slow your rate of muscle loss. At the end of the day, the most important thing is to get active.

Stay Moving Stay Active Stay Fit


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