Sarcopenia and planning to management: review article

Life expectancy has increased throughout the world and, as a result, the population of the elderly is also rising. From the age of 30 years old, the human body mass loses about 0.1 to 0.5% of its skeletal muscle mass annually, which is accelerated after the age of 65 years old. Aging is characterize...

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Main Authors: Hamed Behrad, Mahdi Zareei, Zeinab Borjian Boroujeni, Seyed Saeed Asadi, Zeinab Tabanejad, Mohammad Panji, Masoud Asgharpour-Arshad
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2020-12-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/article-1-10927-en.html
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author Hamed Behrad
Mahdi Zareei
Zeinab Borjian Boroujeni
Seyed Saeed Asadi
Zeinab Tabanejad
Mohammad Panji
Masoud Asgharpour-Arshad
author_facet Hamed Behrad
Mahdi Zareei
Zeinab Borjian Boroujeni
Seyed Saeed Asadi
Zeinab Tabanejad
Mohammad Panji
Masoud Asgharpour-Arshad
author_sort Hamed Behrad
collection DOAJ
description Life expectancy has increased throughout the world and, as a result, the population of the elderly is also rising. From the age of 30 years old, the human body mass loses about 0.1 to 0.5% of its skeletal muscle mass annually, which is accelerated after the age of 65 years old. Aging is characterized by a decrease in the progression of musculoskeletal and physical activity known as sarcopenia. Sarcopenia has a complex molecular pathogenesis that includes age-related changes in muscles’ neuromuscular activity, muscle protein replacement, the hormone levels and the related sensitivity of human body to these mentioned factors. The pathogenic conditions and other disorders in sarcopenia are the chronic inflammatory states that include oxidative stress and changes in behavioral factors, especially in nutritional status and physical activity. By definition of the European Working Group on Sarcopenia in Older People (EWGSOP), the diagnosis of sarcopenia is determined by the presence of two main factors which are low muscle mass and low muscle function. Besides, specific sarcopenia-related biomarkers have been identified for early diagnosis and accurate identification of the main pathophysiology mechanisms involved in the development of the disease. Since sarcopenia has adverse outcomes on public health in terms of behavioral factors, frailty, hospitalization and mortality of people, it is an important necessity for the social health system to plan some therapeutic approaches to prevention. The main and more important of these therapeutic approaches have known as exercises, nutritional supplements and hormonal therapies. Also, other new therapeutic strategies are under investigation to be introduced in the future. However, currently, it has been shown that only physical exercise has a positive effect on the controlling and prevention of sarcopenia and its adverse effects on human and public health. However, the role of appropriate nutrition is also effective. Therefore, carefully designed studies in terms of better utilization of physical activity are needed to achieve useful therapeutic results for sarcopenia management. Thus, this survey aims to review the other considerable studies on the pathogenesis, appropriate evaluation of the disease and treatment options for sarcopenia.
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spelling doaj.art-86e392ebca104041913041c137d0174f2022-12-21T19:01:01ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222020-12-017810632643Sarcopenia and planning to management: review articleHamed Behrad0Mahdi Zareei1Zeinab Borjian Boroujeni2Seyed Saeed Asadi3Zeinab Tabanejad4Mohammad Panji5Masoud Asgharpour-Arshad6 Department of Physical Education, Basic Sciences Education Center, Amin Police University, Tehran, Iran. Department of Medical Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Department of Medical Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Department of Medical Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran. Department of Cellular and Molecular Biology, Faculty of Biological Sciences, Kharazmi University, Tehran, Iran. Department of Physical Education, Basic Sciences Education Center, Amin Police University, Tehran, Iran. Life expectancy has increased throughout the world and, as a result, the population of the elderly is also rising. From the age of 30 years old, the human body mass loses about 0.1 to 0.5% of its skeletal muscle mass annually, which is accelerated after the age of 65 years old. Aging is characterized by a decrease in the progression of musculoskeletal and physical activity known as sarcopenia. Sarcopenia has a complex molecular pathogenesis that includes age-related changes in muscles’ neuromuscular activity, muscle protein replacement, the hormone levels and the related sensitivity of human body to these mentioned factors. The pathogenic conditions and other disorders in sarcopenia are the chronic inflammatory states that include oxidative stress and changes in behavioral factors, especially in nutritional status and physical activity. By definition of the European Working Group on Sarcopenia in Older People (EWGSOP), the diagnosis of sarcopenia is determined by the presence of two main factors which are low muscle mass and low muscle function. Besides, specific sarcopenia-related biomarkers have been identified for early diagnosis and accurate identification of the main pathophysiology mechanisms involved in the development of the disease. Since sarcopenia has adverse outcomes on public health in terms of behavioral factors, frailty, hospitalization and mortality of people, it is an important necessity for the social health system to plan some therapeutic approaches to prevention. The main and more important of these therapeutic approaches have known as exercises, nutritional supplements and hormonal therapies. Also, other new therapeutic strategies are under investigation to be introduced in the future. However, currently, it has been shown that only physical exercise has a positive effect on the controlling and prevention of sarcopenia and its adverse effects on human and public health. However, the role of appropriate nutrition is also effective. Therefore, carefully designed studies in terms of better utilization of physical activity are needed to achieve useful therapeutic results for sarcopenia management. Thus, this survey aims to review the other considerable studies on the pathogenesis, appropriate evaluation of the disease and treatment options for sarcopenia.http://tumj.tums.ac.ir/article-1-10927-en.htmlagingfrailtymusclessarcopenia
spellingShingle Hamed Behrad
Mahdi Zareei
Zeinab Borjian Boroujeni
Seyed Saeed Asadi
Zeinab Tabanejad
Mohammad Panji
Masoud Asgharpour-Arshad
Sarcopenia and planning to management: review article
Tehran University Medical Journal
aging
frailty
muscles
sarcopenia
title Sarcopenia and planning to management: review article
title_full Sarcopenia and planning to management: review article
title_fullStr Sarcopenia and planning to management: review article
title_full_unstemmed Sarcopenia and planning to management: review article
title_short Sarcopenia and planning to management: review article
title_sort sarcopenia and planning to management review article
topic aging
frailty
muscles
sarcopenia
url http://tumj.tums.ac.ir/article-1-10927-en.html
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AT zeinabborjianboroujeni sarcopeniaandplanningtomanagementreviewarticle
AT seyedsaeedasadi sarcopeniaandplanningtomanagementreviewarticle
AT zeinabtabanejad sarcopeniaandplanningtomanagementreviewarticle
AT mohammadpanji sarcopeniaandplanningtomanagementreviewarticle
AT masoudasgharpourarshad sarcopeniaandplanningtomanagementreviewarticle