Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia

Sarcopenia is characterized by a gradual slowing of movement due to loss of muscle mass and quality, decreased power and strength, increased risk of injury from falls, and often weakness. This review will focus on recent research trends in nutritional and pharmacological approaches to controlling sa...

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Main Authors: Kunihiro Sakuma, Kento Hamada, Akihiko Yamaguchi, Wataru Aoi
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/19/2422
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author Kunihiro Sakuma
Kento Hamada
Akihiko Yamaguchi
Wataru Aoi
author_facet Kunihiro Sakuma
Kento Hamada
Akihiko Yamaguchi
Wataru Aoi
author_sort Kunihiro Sakuma
collection DOAJ
description Sarcopenia is characterized by a gradual slowing of movement due to loss of muscle mass and quality, decreased power and strength, increased risk of injury from falls, and often weakness. This review will focus on recent research trends in nutritional and pharmacological approaches to controlling sarcopenia. Because nutritional studies in humans are fairly limited, this paper includes many results from nutritional studies in mammals. The combination of resistance training with supplements containing amino acids is the gold standard for preventing sarcopenia. Amino acid (HMB) supplementation alone has no significant effect on muscle strength or muscle mass in sarcopenia, but the combination of HMB and exercise (whole body vibration stimulation) is likely to be effective. Tea catechins, soy isoflavones, and ursolic acid are interesting candidates for reducing sarcopenia, but both more detailed basic research on this treatment and clinical studies in humans are needed. Vitamin D supplementation has been shown not to improve sarcopenia in elderly individuals who are not vitamin D-deficient. Myostatin inhibitory drugs have been tried in many neuromuscular diseases, but increases in muscle mass and strength are less likely to be expected. Validation of myostatin inhibitory antibodies in patients with sarcopenia has been positive, but excessive expectations are not warranted.
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spelling doaj.art-f962e733e0544663b6d399e6af9c8b2b2023-11-19T14:13:37ZengMDPI AGCells2073-44092023-10-011219242210.3390/cells12192422Current Nutritional and Pharmacological Approaches for Attenuating SarcopeniaKunihiro Sakuma0Kento Hamada1Akihiko Yamaguchi2Wataru Aoi3Institute for Liberal Arts, Environment and Society, Tokyo Institute of Technology, Meguro-ku, Tokyo 152-8550, JapanInstitute for Liberal Arts, Environment and Society, Tokyo Institute of Technology, Meguro-ku, Tokyo 152-8550, JapanDepartment of Physical Therapy, Health Sciences University of Hokkaido, Kanazawa, Ishikari-Tobetsu, Hokkaido 061-0293, JapanLaboratory of Nutrition Science, Graduate School of Life and Environmental Sciences, Kyoto Prefectural University, Kyoto 606-8522, JapanSarcopenia is characterized by a gradual slowing of movement due to loss of muscle mass and quality, decreased power and strength, increased risk of injury from falls, and often weakness. This review will focus on recent research trends in nutritional and pharmacological approaches to controlling sarcopenia. Because nutritional studies in humans are fairly limited, this paper includes many results from nutritional studies in mammals. The combination of resistance training with supplements containing amino acids is the gold standard for preventing sarcopenia. Amino acid (HMB) supplementation alone has no significant effect on muscle strength or muscle mass in sarcopenia, but the combination of HMB and exercise (whole body vibration stimulation) is likely to be effective. Tea catechins, soy isoflavones, and ursolic acid are interesting candidates for reducing sarcopenia, but both more detailed basic research on this treatment and clinical studies in humans are needed. Vitamin D supplementation has been shown not to improve sarcopenia in elderly individuals who are not vitamin D-deficient. Myostatin inhibitory drugs have been tried in many neuromuscular diseases, but increases in muscle mass and strength are less likely to be expected. Validation of myostatin inhibitory antibodies in patients with sarcopenia has been positive, but excessive expectations are not warranted.https://www.mdpi.com/2073-4409/12/19/2422sarcopeniaHMBcatechinursolic acidvitamin Dmyostatin
spellingShingle Kunihiro Sakuma
Kento Hamada
Akihiko Yamaguchi
Wataru Aoi
Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
Cells
sarcopenia
HMB
catechin
ursolic acid
vitamin D
myostatin
title Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
title_full Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
title_fullStr Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
title_full_unstemmed Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
title_short Current Nutritional and Pharmacological Approaches for Attenuating Sarcopenia
title_sort current nutritional and pharmacological approaches for attenuating sarcopenia
topic sarcopenia
HMB
catechin
ursolic acid
vitamin D
myostatin
url https://www.mdpi.com/2073-4409/12/19/2422
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