Dietary strategies for mitigating osteosarcopenia in older adults: a narrative review

  • Marina De RuiEmail author
  • Emine Meral Inelmen
  • Sabrina Pigozzo
  • Caterina Trevisan
  • Enzo Manzato
  • Giuseppe Sergi


The synchronic loss of bone mineral density and decrease in muscle mass, strength, and function defines the scenario of osteosarcopenia, which is associated with an increased risk of falls and fractures in older adults. An important role in preventing muscle and bone loss is played by nutritional factors, in particular the intake of proteins, calcium, magnesium and vitamin D. This review summarizes the available literature concerning the influence of protein intake and supplementation (vitamin D, Ca, Mg, branched-chain amino acids) on the decline of musculoskeletal integrity in healthy older adults. Furthermore, in this paper, we attempted to give some suggestions to build up adequate nutritional and dietary strategies against the age-related loss of muscle and bone mass.


Sarcopenia Osteoporosis Osteosarcopenia Older people Protein intake Calcium 



This study did not receive any funding.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Not applicable.


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Geriatrics Division, Department of Medicine-DIMEDUniversity of PadovaPaduaItaly

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