Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review

Sarcopenia is a multifactorial condition related to the loss of muscle mass and strength due to aging, eating habits, physical inactivity, or even caused by another disease. Affected individuals have a higher risk of falls and may be associated with heart disease, respiratory diseases, cognitive imp...

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Main Authors: Rodrigo Haber Mellen, Otávio Simões Girotto, Eduarda Boni Marques, Lucas Fornari Laurindo, Paulo Cesar Grippa, Claudemir Gregório Mendes, Lorena Natalino Haber Garcia, Marcelo Dib Bechara, Sandra Maria Barbalho, Renata Vargas Sinatora, Jesselina Francisco dos Santos Haber, Uri Adrian P. Flato, Patricia Cincotto dos Santos Bueno, Claudia Rucco Penteado Detregiachi, Karina Quesada
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/1/136
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author Rodrigo Haber Mellen
Otávio Simões Girotto
Eduarda Boni Marques
Lucas Fornari Laurindo
Paulo Cesar Grippa
Claudemir Gregório Mendes
Lorena Natalino Haber Garcia
Marcelo Dib Bechara
Sandra Maria Barbalho
Renata Vargas Sinatora
Jesselina Francisco dos Santos Haber
Uri Adrian P. Flato
Patricia Cincotto dos Santos Bueno
Claudia Rucco Penteado Detregiachi
Karina Quesada
author_facet Rodrigo Haber Mellen
Otávio Simões Girotto
Eduarda Boni Marques
Lucas Fornari Laurindo
Paulo Cesar Grippa
Claudemir Gregório Mendes
Lorena Natalino Haber Garcia
Marcelo Dib Bechara
Sandra Maria Barbalho
Renata Vargas Sinatora
Jesselina Francisco dos Santos Haber
Uri Adrian P. Flato
Patricia Cincotto dos Santos Bueno
Claudia Rucco Penteado Detregiachi
Karina Quesada
author_sort Rodrigo Haber Mellen
collection DOAJ
description Sarcopenia is a multifactorial condition related to the loss of muscle mass and strength due to aging, eating habits, physical inactivity, or even caused by another disease. Affected individuals have a higher risk of falls and may be associated with heart disease, respiratory diseases, cognitive impairment, and consequently an increased risk of hospitalization, in addition to causing an economic impact due to the high cost of care during the stay in hospitals. The standardization of appropriate treatment for patients with sarcopenia that could help reduce pathology-related morbidity is necessary. For these reasons, this study aimed to perform a systematic review of the role of nutrition and drugs that could ameliorate the health and quality of life of sarcopenic patients and PRISMA guidelines were followed. Lifestyle interventions have shown a profound impact on sarcopenia treatment but using supplements and different drugs can also impact skeletal muscle maintenance. Creatine, leucine, branched-chain amino acids, omega 3, and vitamin D can show benefits. Although with controversial results, medications such as Metformin, GLP-1, losartan, statin, growth hormone, and dipeptidyl peptidase 4 inhibitors have also been considered and can alter the sarcopenic’s metabolic parameters, protect against cardiovascular diseases and outcomes, while protecting muscles.
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spelling doaj.art-fa902ba71506432e9a93bcaa10f8e9b22023-11-30T21:19:56ZengMDPI AGBiomedicines2227-90592023-01-0111113610.3390/biomedicines11010136Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic ReviewRodrigo Haber Mellen0Otávio Simões Girotto1Eduarda Boni Marques2Lucas Fornari Laurindo3Paulo Cesar Grippa4Claudemir Gregório Mendes5Lorena Natalino Haber Garcia6Marcelo Dib Bechara7Sandra Maria Barbalho8Renata Vargas Sinatora9Jesselina Francisco dos Santos Haber10Uri Adrian P. Flato11Patricia Cincotto dos Santos Bueno12Claudia Rucco Penteado Detregiachi13Karina Quesada14Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilPostgraduate Program in Structural and Functional Interactions in Rehabilitation—University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilPostgraduate Program in Structural and Functional Interactions in Rehabilitation—University of Marília (UNIMAR), São Paulo 17525-902, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), São Paulo 17525-902, BrazilSarcopenia is a multifactorial condition related to the loss of muscle mass and strength due to aging, eating habits, physical inactivity, or even caused by another disease. Affected individuals have a higher risk of falls and may be associated with heart disease, respiratory diseases, cognitive impairment, and consequently an increased risk of hospitalization, in addition to causing an economic impact due to the high cost of care during the stay in hospitals. The standardization of appropriate treatment for patients with sarcopenia that could help reduce pathology-related morbidity is necessary. For these reasons, this study aimed to perform a systematic review of the role of nutrition and drugs that could ameliorate the health and quality of life of sarcopenic patients and PRISMA guidelines were followed. Lifestyle interventions have shown a profound impact on sarcopenia treatment but using supplements and different drugs can also impact skeletal muscle maintenance. Creatine, leucine, branched-chain amino acids, omega 3, and vitamin D can show benefits. Although with controversial results, medications such as Metformin, GLP-1, losartan, statin, growth hormone, and dipeptidyl peptidase 4 inhibitors have also been considered and can alter the sarcopenic’s metabolic parameters, protect against cardiovascular diseases and outcomes, while protecting muscles.https://www.mdpi.com/2227-9059/11/1/136sarcopeniainflammationamino acidsdrugs
spellingShingle Rodrigo Haber Mellen
Otávio Simões Girotto
Eduarda Boni Marques
Lucas Fornari Laurindo
Paulo Cesar Grippa
Claudemir Gregório Mendes
Lorena Natalino Haber Garcia
Marcelo Dib Bechara
Sandra Maria Barbalho
Renata Vargas Sinatora
Jesselina Francisco dos Santos Haber
Uri Adrian P. Flato
Patricia Cincotto dos Santos Bueno
Claudia Rucco Penteado Detregiachi
Karina Quesada
Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
Biomedicines
sarcopenia
inflammation
amino acids
drugs
title Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
title_full Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
title_fullStr Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
title_full_unstemmed Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
title_short Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review
title_sort insights into pathogenesis nutritional and drug approach in sarcopenia a systematic review
topic sarcopenia
inflammation
amino acids
drugs
url https://www.mdpi.com/2227-9059/11/1/136
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