Skip to main content

Advertisement

Log in

Osteoporosis and sarcopenia: the connections

  • Short Communication
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Osteoporosis and sarcopenia are the most frequent musculoskeletal disorders affecting older people. Osteoporosis is a widespread disorder affecting millions of individuals of all ethnic backgrounds worldwide, particularly among older women. It is characterized by reduced bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in the risk of fracture. Sarcopenia is considered to be one of the major factors responsible for functional limitations and motor dependency in elderly persons. In age-related muscle atrophy, a decrease in muscle fiber size and number, and a preferential loss of type II fibers have been reported. A decrease in the circulating levels of specific hormones (e.g., estrogen, testosterone, growth hormone, and insulin-like growth factor-1) has been shown to be associated with sarcopenia and this appears to play an important role in its pathogenesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Heuberger RA (2011) The frailty syndrome: a comprehensive review J Nutr Gerontol Geriatr 30(4):315–368

    Article  Google Scholar 

  2. Cooper C, Dere W, Evans W et al (2012) Frailty and sarcopenia: definitions and outcome parameters. Osteoporos Int 23(7):1839–1848

    Article  PubMed  CAS  Google Scholar 

  3. Clegg A, Young J, Iliffe S et al (2013) Frailty in elderly people Lancet 381(9868):752–762

    Article  Google Scholar 

  4. Fried LP, Tangen CM, Walston J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–M156

    Article  PubMed  CAS  Google Scholar 

  5. Rolland Y, Czerwinski S, Abellan Van Kan G et al (2008) Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 12(7):433–450

    Article  PubMed  CAS  Google Scholar 

  6. Sumnik Z, Land C, Coburger S et al (2006) The muscle-bone unit in adulthood: influence of sex, height, age and gynecological history on the bone mineral content and muscle cross-sectional area. J Musculoskelet Neuronal Interact 6(2):195–200

    PubMed  CAS  Google Scholar 

  7. Frontera WR, Zayas AR, Rodriguez N (2012) Aging of human muscle: understanding sarcopenia at the single muscle cell level. Phys Med Rehabil Clin N Am 23(1):201–207

    Article  PubMed  Google Scholar 

  8. Frost HM (1999) Why do bone strength and “mass” in aging adults become unresponsive to vigorous exercise? Insights of the Utah paradigm. J Bone Miner Metab 17(2):90–97

    Article  PubMed  CAS  Google Scholar 

  9. Fielding RA, Vellas B, Evans WJ, et al (2011) Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc 12(4):249–256

    Google Scholar 

  10. Messier V, Rabasa-Lhoret R, Barbat-Artigas S et al (2011) Menopause and sarcopenia: a potential role for sex hormones. Maturitas 68(4):331–336

    Article  PubMed  CAS  Google Scholar 

  11. Seeman E (2002) Pathogenesis of bone fragility in women and men. Lancet 359(9320):1841–1850

    Article  PubMed  Google Scholar 

  12. Lexell J, Henriksson-Larsén K, Winblad B et al (1983) Distribution of different fiber types in human skeletal muscles: effects of aging studied in whole muscle cross sections. Muscle Nerve 6(8):588–595

    Article  PubMed  CAS  Google Scholar 

  13. Faulkner JA, Larkin LM, Claflin DR, Brooks SV (2007) Age-related changes in the structure and function of skeletal muscles. Clin Exp Pharmacol Physiol 34(11):1091–1096

    Article  PubMed  CAS  Google Scholar 

  14. Izquierdo M, Ibáñez J, Häkkinen K et al (2004) Maximal strength and power, muscle mass, endurance and serum hormones in weightlifters and road cyclists. J Sports Sci 22(5):465–478

    Article  PubMed  Google Scholar 

  15. Deschenes MR (2004) Effects of aging on muscle fibre type and size. Sports Med 34(12):809–824

    Article  PubMed  Google Scholar 

  16. Bouxsein ML (2003) Bone quality: where do we go from here? Osteoporos Int 14(Suppl 5):S118–S127

    Article  PubMed  Google Scholar 

  17. Schakman O, Gilson H, Thissen JP (2008) Mechanisms of glucocorticoid-induced myopathy. Endocrinology 197:1–10

    Article  CAS  Google Scholar 

  18. Morley JE, Thomas DR, Wilson MM (2006) Cachexia: pathophysiology and clinical relevance. Am J Clin Nutr 83:735–743

    PubMed  CAS  Google Scholar 

  19. Sun Z, Liu L, Liu N, Liu Y (2008) Muscular response and adaptation to diabetes mellitus. Front Biosci 13:4765–4794

    Article  PubMed  CAS  Google Scholar 

  20. Perrini S, Laviola L, Carreira MC et al (2010) The GH/IGF1 axis and signaling pathways in the muscle and bone: mechanisms underlying age-related skeletal muscle wasting and osteoporosis. J Endocrinol 205:201–210

    Article  PubMed  CAS  Google Scholar 

  21. Glass DJ (2010) Signaling pathways perturbing muscle mass. Curr Opin Clin Nutr Metab Care 13:225–229

    Article  PubMed  CAS  Google Scholar 

  22. Terracciano C, Celi M, Lecce D et al (2013) Differential features of muscle fiber atrophy in osteoporosis and osteoarthritis. Osteoporos Int 24(3):1095–1100

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Umberto Tarantino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tarantino, U., Baldi, J., Celi, M. et al. Osteoporosis and sarcopenia: the connections. Aging Clin Exp Res 25 (Suppl 1), 93–95 (2013). https://doi.org/10.1007/s40520-013-0097-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-013-0097-7

Keywords

Navigation