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Sarcopenia

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Geriatric Medicine

Abstract

During the last decade, sarcopenia has become one of the hottest topics in geriatrics. Sarcopenia is a major challenge in geriatrics due to its association with numerous negative health-related outcomes, such as falls, fractures, disability, loss of independence, need for long-term care placement, reduced quality of life, and death. The theoretical construct of sarcopenia as a generalized disorder of skeletal muscle tissue, which involves a reduction in muscle mass and muscle function, is widely accepted. Yet, its practical implementation is hampered by the existence of multiple and only partly overlapping operational definitions. As a result, sarcopenia remains very often underdiagnosed and, consequently, undertreated in daily practice. No drugs are currently recommended for the prevention or treatment of sarcopenia. On the other hand, evidence has accumulated on the efficacy of non-pharmacological treatments for the management of sarcopenia, above all physical exercise and nutritional interventions.

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References

  1. Grimby G, Saltin B. The ageing muscle. Clin Physiol [Internet]. 1983 [cited 2020 Nov 29];3(3):209–18. Available from: https://pubmed.ncbi.nlm.nih.gov/6347501/

  2. Flakoll P, Sharp R, Baier S, Levenhagen D, Carr C, Nissen S. Effect of β-hydroxy-β-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women. Nutrition [Internet]. 2004 May [cited 2020 Nov 29];20(5):445–51. Available from: https://pubmed.ncbi.nlm.nih.gov/15105032/

  3. Baier S, Johannsen D, Abumrad N, Rathmacher JA, Nissen S, Flakoll P. Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of β-hydroxy-β-methylbutyrate (HMB), L-arginine, and L-lysine. J Parenter Enter Nutr [Internet]. 2009 Jan [cited 2020 Nov 29];33(1):71–82. Available from: https://pubmed.ncbi.nlm.nih.gov/19164608/

  4. Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18–88 yr. J Appl Phys [Internet]. 2000 [cited 2020 Nov 29];89(1):81–8. Available from: https://pubmed.ncbi.nlm.nih.gov/10904038/

  5. Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle [Internet]. 2016 [cited 2020 Nov 29];7:512–4. Wiley Blackwell. Available from: https://pubmed.ncbi.nlm.nih.gov/27891296/

  6. Cao L, Morley JE. Sarcopenia is recognized as an independent condition by an international classification of disease, tenth revision, clinical modification (ICD-10-CM) code. J Am Med Dir Assoc [Internet]. 2016 [cited 2020 Nov 29];17:675–7. Elsevier Inc. Available from: https://pubmed.ncbi.nlm.nih.gov/27470918/

  7. Rosenberg Irwin. Epidemiologic and methodologic problems in determining nutritional status of older persons. Proceedings of a conference. Albuquerque, New Mexico, October 19–21, 1988. Am J Clin Nutr [Internet]. 1989 Nov [cited 2020 Nov 29];50(5 Suppl):1121–235. Available from: https://pubmed.ncbi.nlm.nih.gov/2816807/

  8. Evans WJ. What is sarcopenia? J Gerontol A Biol Sci Med Sci [Internet]. 1995 [cited 2020 Nov 28];5–8. Oxford University Press. Available from: https://pubmed.ncbi.nlm.nih.gov/7493218/

  9. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing [Internet]. 2010 Apr 13 [cited 2020 Nov 29];39(4):412–23. Available from: https://pubmed.ncbi.nlm.nih.gov/20392703/

  10. Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, et al. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci [Internet]. 2014 [cited 2020 Nov 29];69 A(5):547–58. Available from: https://pubmed.ncbi.nlm.nih.gov/24737557/

  11. Cawthon PM, Peters KW, Shardell MD, McLean RR, Dam TTL, Kenny AM, et al. Cutpoints for low appendicular lean mass that identify older adults with clinically significant weakness. J Gerontol A Biol Sci Med Sci [Internet]. 2014 [cited 2020 Nov 29];69 A(5):567–75. Available from: https://pubmed.ncbi.nlm.nih.gov/24737559/

  12. Alley DE, Shardell MD, Peters KW, McLean RR, Dam TTL, Kenny AM, et al. Grip strength cutpoints for the identification of clinically relevant weakness. J Gerontol A Biol Sci Med Sci [Internet]. 2014 [cited 2020 Nov 29];69 A(5):559–66. Available from: https://pubmed.ncbi.nlm.nih.gov/24737558/

  13. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing [Internet]. 2019 [cited 2020 Nov 29];48:16–31. Available from: https://pubmed.ncbi.nlm.nih.gov/30312372/

  14. Malmstrom TK, Morley JE. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc [Internet]. 2013 [cited 2020 Nov 29];14:531–2. Elsevier Inc. Available from: https://pubmed.ncbi.nlm.nih.gov/23810110/

  15. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol [Internet]. 1994 [cited 2020 Nov 29];49(2). Available from: https://pubmed.ncbi.nlm.nih.gov/8126356/

  16. Bernabei R, Mariotti L, Bordes P, Roubenoff R. The “Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies” (SPRINTT) project: advancing the care of physically frail and sarcopenic older people. Aging Clin Exp Res [Internet]. 2017;29. Springer International Publishing.

    Google Scholar 

  17. Cesari M, Landi F, Vellas B, Bernabei R, Marzetti E. Sarcopenia and physical frailty: two sides of the same coin. Front Aging Neurosci [Internet]. 2014 [cited 2020 Nov 29];6(JUL). Available from: https://pubmed.ncbi.nlm.nih.gov/25120482/

  18. Marzetti E, Calvani R, Cesari M, Tosato M, Cherubini A, di Bari M, et al. Operationalization of the physical frailty & sarcopenia syndrome: rationale and clinical implementation – PubMed. Transl Med UniSa [Internet]. 2015 [cited 2020 Nov 29]. Available from: https://pubmed.ncbi.nlm.nih.gov/27042430/

  19. Bandinelli S, Lauretani F, Boscherini V, Gandi F, Pozzi M, Corsi AM, et al. A randomized, controlled trial of disability prevention in frail older patients screened in primary care: the FRASI study. Design and baseline evaluation. Aging Clin Exp Res [Internet]. 2006 [cited 2020 Nov 29];18(5):359–66. Available from: https://pubmed.ncbi.nlm.nih.gov/17167299/

  20. Vasunilashorn S, Coppin AK, Patel KV, Lauretani F, Ferrucci L, Bandinelli S, et al. Use of the short physical performance battery score to predict loss of ability to walk 400 meters: analysis from the InCHIANTI study. J Gerontol A Biol Sci Med Sci [Internet]. 2009 Feb [cited 2020 Nov 29];64(2):223–9. Available from: https://pubmed.ncbi.nlm.nih.gov/19182232/

  21. Rolland Y, van Kan GA, Gillette-Guyonnet S, Vellas B. Cachexia versus sarcopenia. Curr Opin Clin Nutr Metab Care [Internet]. 2011 Jan [cited 2020 Nov 29];14(1):15–21. Available from: https://pubmed.ncbi.nlm.nih.gov/21076295/

  22. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci [Internet]. 2004 [cited 2020 Nov 29];59:255–63. Gerontological Society of America. Available from: https://pubmed.ncbi.nlm.nih.gov/15031310/

  23. Landi F, Calvani R, Cesari M, Tosato M, Martone AM, Bernabei R, et al. Sarcopenia as the biological substrate of physical frailty. Clin Geriatr Med [Internet]. 2015 [cited 2020 Nov 29];31:367–74. W.B. Saunders. Available from: https://pubmed.ncbi.nlm.nih.gov/26195096/

  24. Correa-de-Araujo R, Harris-Love MO, Miljkovic I, Fragala MS, Anthony BW, Manini TM. The need for standardized assessment of muscle quality in skeletal muscle function deficit and other aging-related muscle dysfunctions: a symposium report. Front Physiol [Internet]. 2017 [cited 2020 Nov 29];8. Frontiers Research Foundation. Available from: https://pubmed.ncbi.nlm.nih.gov/28261109/

  25. Verdijk LB, Snijders T, Drost M, Delhaas T, Kadi F, van Loon LJC. Satellite cells in human skeletal muscle; from birth to old age. Age [Internet]. 2014 [cited 2020 Nov 29];36(2):545–57. Available from: https://pubmed.ncbi.nlm.nih.gov/24122288/

  26. Frontera WR, Rodriguez Zayas A, Rodriguez N. Aging of human muscle: understanding sarcopenia at the single muscle cell level. Phys Med Rehabil Clin N Am [Internet]. 2012 [cited 2020 Nov 29];23:201–7. Available from: https://pubmed.ncbi.nlm.nih.gov/22239884/

  27. Picca A, Fanelli F, Calvani R, Mulè G, Pesce V, Sisto A, et al. Gut dysbiosis and muscle aging: searching for novel targets against sarcopenia. Mediators Inflamm [Internet]. 2018 [cited 2020 Nov 29];2018. Hindawi Limited. Available from: https://pubmed.ncbi.nlm.nih.gov/29686533/

  28. Wiedmer P, Jung T, Castro JP, Pomatto LCD, Sun PY, Davies KJA, et al. Sarcopenia – molecular mechanisms and open questions. Ageing Res Rev [Internet]. 2020 Oct [cited 2020 Nov 29];65:101200. Available from: https://pubmed.ncbi.nlm.nih.gov/33130247/

  29. Marzetti E, Lees HA, Wohlgemuth SE, Leeuwenburgh C. Sarcopenia of aging: underlying cellular mechanisms and protection by calorie restriction. BioFactors [Internet]. 2009 [cited 2020 Nov 29];35:28–35. Available from: https://pubmed.ncbi.nlm.nih.gov/19319843/

  30. Landi F, Calvani R, Tosato M, Martone AM, Ortolani E, Savera G, et al. Protein intake and muscle health in old age: from biological plausibility to clinical evidence. Nutrients [Internet]. 2016 [cited 2020 Nov 29];8. MDPI AG. Available from: https://pubmed.ncbi.nlm.nih.gov/27187465/

  31. Cruz-Jentoft AJ, Landi F, Topinková E, Michel JP. Understanding sarcopenia as a geriatric syndrome. Curr Opin Clin Nutr Metab Care [Internet]. 2010 [cited 2020 Nov 29];13:1–7. Available from: https://pubmed.ncbi.nlm.nih.gov/19915458/

  32. Calvani Riccardo, Micchelli Alfredo, Landi Francesco, Bossola Maurizio, Cesari Matteo, Leeuwenburgh Christiaan, et al. Current nutritional recommendations and novel dietary strategies to manage sarcopenia – PubMed. J Frailty Aging [Internet]. 2013 [cited 2020 Nov 29]. Available from: https://pubmed.ncbi.nlm.nih.gov/26082911/

  33. Landi F, Marzetti E, Martone AM, Bernabei R, Onder G. Exercise as a remedy for sarcopenia. Curr Opin Clin Nutr Metab Care [Internet]. 2014 [cited 2020 Nov 29];17:25–31. Available from: https://pubmed.ncbi.nlm.nih.gov/24310054/

  34. Martone A, Lattanzio F, Abbatecola A, Carpia D, Tosato M, Marzetti E, et al. Treating sarcopenia in older and oldest old. Curr Pharm Des [Internet]. 2015 Mar 18 [cited 2020 Nov 29];21(13):1715–22. Available from: https://pubmed.ncbi.nlm.nih.gov/25633117/

  35. Calvani R, Marini F, Cesari M, Tosato M, Anker SD, von Haehling S, et al. Biomarkers for physical frailty and sarcopenia: state of the science and future developments. J Cachexia Sarcopenia Muscle [Internet]. 2015 [cited 2020 Nov 29];6:278–86. Wiley Blackwell. Available from: https://pubmed.ncbi.nlm.nih.gov/26675566/

  36. Landi F, Marzetti E, Liperoti R, Pahor M, Russo A, Martone AM, et al. Nonsteroidal anti-inflammatory drug (NSAID) use and sarcopenia in older people: results from the ilsirente study. J Am Med Dir Assoc [Internet]. 2013 [cited 2020 Nov 29];14(8):626.e9–626.e13. Available from: https://pubmed.ncbi.nlm.nih.gov/23747142/

  37. Marzetti E, Calvani R, Cesari M, Buford TW, Lorenzi M, Behnke BJ, et al. Mitochondrial dysfunction and sarcopenia of aging: from signaling pathways to clinical trials. Int J Biochem Cell Biol [Internet]. 2013 [cited 2020 Nov 29];45:2288–301. Elsevier Ltd. Available from: https://pubmed.ncbi.nlm.nih.gov/23845738/

  38. Janssen I, Shepard DS, Katzmarzyk PT, Roubenoff R. The Healthcare Costs of Sarcopenia in the United States. J Am Geriatr Soc [Internet]. 2004 [cited 2020 Nov 29];52:80–5. Available from: https://pubmed.ncbi.nlm.nih.gov/14687319/

  39. Cruz-Jentoft AJ, Landi F, Schneider SM, Zúñiga C, Arai H, Boirie Y, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing [Internet]. 2014 Nov 1 [cited 2020 Nov 29];43(6):48–759. Available from: https://pubmed.ncbi.nlm.nih.gov/25241753/

  40. Bischoff-Ferrari HA, Orav JE, Kanis JA, Rizzoli R, Schlögl M, Staehelin HB, et al. Comparative performance of current definitions of sarcopenia against the prospective incidence of falls among community-dwelling seniors age 65 and older. Osteoporos Int [Internet]. 2015 Dec 1 [cited 2020 Nov 29];26(12):2793–802. Available from: https://pubmed.ncbi.nlm.nih.gov/26068298/

  41. Schaap LA, van Schoor NM, Lips P, Visser M. Associations of sarcopenia definitions, and their components, with the incidence of recurrent falling and fractures: the longitudinal aging study Amsterdam. J Gerontol A Biol Sci Med Sci [Internet]. 2018 [cited 2020 Nov 29];73(9):1199–204. Available from: https://pubmed.ncbi.nlm.nih.gov/29300839/

  42. Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle [Internet]. 2016 Mar 1 [cited 2020 Nov 29];7(1):28–36. Available from: https://pubmed.ncbi.nlm.nih.gov/27066316/

    Google Scholar 

  43. Bahat G, İlhan B. Sarcopenia and the cardiometabolic syndrome: a narrative review. Eur Geriatr Med. 2016;7(3):220–3.

    Article  Google Scholar 

  44. Bone AE, Hepgul N, Kon S, Maddocks M. Sarcopenia and frailty in chronic respiratory disease: lessons from gerontology. Chronic Respir Dis [Internet]. 2017 [cited 2020 Nov 29];14:85–99. SAGE Publications Ltd. Available from: https://pubmed.ncbi.nlm.nih.gov/27923981/

  45. Chang KV, Hsu TH, Wu WT, Huang KC, Han DS. Association between sarcopenia and cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc [Internet]. 2016 Dec 1 [cited 2020 Nov 29];17(12):1164.e7–1164.e15. Available from: https://pubmed.ncbi.nlm.nih.gov/27816484/

  46. Morley JE, Abbatecola AM, Argiles JM, Baracos V, Bauer J, Bhasin S, et al. Sarcopenia with limited mobility: an international consensus. J Am Med Dir Assoc [Internet]. 2011 [cited 2020 Nov 29];12(6):403–9. Available from: https://pubmed.ncbi.nlm.nih.gov/21640657/

  47. Beaudart C, Biver E, Reginster JY, Rizzoli R, Rolland Y, Bautmans I, et al. Validation of the SarQoL®, a specific health-related quality of life questionnaire for Sarcopenia. J Am Med Dir Assoc [Internet]. 2017 Apr 1 [cited 2020 Nov 29];8(2):238–44. Available from: https://pubmed.ncbi.nlm.nih.gov/27897430/

  48. dos Santos L, Cyrino ES, Antunes M, Santos DA, Sardinha LB. Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle function. J Am Med Dir Assoc [Internet]. 2017 Apr 1 [cited 2020 Nov 29];8(2):245–50. Available from: https://pubmed.ncbi.nlm.nih.gov/27897417/

  49. Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. Relationship between sarcopenia and physical activity in older people: a systematic review and meta-analysis. Clin Interv Aging [Internet]. 2017 [cited 2020 Nov 29];12:835–45. Dove Medical Press Ltd. Available from: https://pubmed.ncbi.nlm.nih.gov/28553092/

  50. Akune T, Muraki S, Oka H, Tanaka S, Kawaguchi H, Tokimura F, et al. Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: the ROAD study. Geriatr Gerontol Int [Internet]. 2014 [cited 2020 Nov 29];14(3):695–701. Available from: https://pubmed.ncbi.nlm.nih.gov/24020635/

  51. de Buyser SL, Petrovic M, Taes YE, Toye KRC, Kaufman JM, Lapauw B, et al. Validation of the FNIH sarcopenia criteria and SOF frailty index as predictors of long-term mortality in ambulatory older men. Age Ageing [Internet]. 2016 Sep 1 [cited 2020 Nov 29];45(5):603–9. Available from: https://pubmed.ncbi.nlm.nih.gov/27126327/

  52. Cawthon PM, Lui LY, Taylor BC, McCulloch CE, Cauley JA, Lapidus J, et al. Clinical definitions of sarcopenia and risk of hospitalization in community-dwelling older men: the osteoporotic fractures in men study. J Gerontol A Biol Sci Med Sci [Internet]. 2017 Oct 1 [cited 2020 Nov 29];72(10):1383–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28329087/

  53. Antunes AC, Araújo DA, Veríssimo MT, Amaral TF. Sarcopenia and hospitalisation costs in older adults: a cross-sectional study. Nutr Diet [Internet]. 2017 Feb 1 [cited 2020 Nov 29];74(1):46–50. Available from: https://pubmed.ncbi.nlm.nih.gov/28731551/

  54. Steffl M, Sima J, Shiells K, Holmerova I. The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the survey of health, ageing and retirement in Europe (SHARE). Clin Interv Aging [Internet]. 2017 Nov 27 [cited 2020 Nov 29];12:2003–7. Available from: https://pubmed.ncbi.nlm.nih.gov/29225462/

  55. Marzetti E. Editorial: imaging, functional and biological markers for sarcopenia: the pursuit of the golden ratio. J Frailty Aging [Internet]. 2012 [cited 2020 Nov 29];1(3):97–978. Available from: https://pubmed.ncbi.nlm.nih.gov/27093196/

  56. Cruz-Jentoft AJ, Landi F. Sarcopenia. Clin Med J R Coll Physicians Lond [Internet]. 2014 [cited 2020 Nov 29];14:183–6. Royal College of Physicians. Available from: https://pubmed.ncbi.nlm.nih.gov/24715131/

  57. Tosato M, Marzetti E, Cesari M, Savera G, Miller RR, Bernabei R, et al. Measurement of muscle mass in sarcopenia: from imaging to biochemical markers. Aging Clin Exp Res [Internet]. 2017 Feb 1 [cited 2020 Nov 29];29(1):19–27. Available from: https://pubmed.ncbi.nlm.nih.gov/28176249/

  58. Cesari M, Fielding RA, Pahor M, Goodpaster B, Hellerstein M, van Kan GA, et al. Biomarkers of sarcopenia in clinical trials-recommendations from the International Working Group on Sarcopenia. J Am Med Dir Assoc [Internet]. 2012 Sep 1 [cited 2020 Nov 29];3(3):181–90. Available from: https://pubmed.ncbi.nlm.nih.gov/22865205/

  59. White LJ, Ferguson MA, McCoy SC, Kim H. Intramyocellular lipid changes in men and women during aerobic exercise: a 1H-magnetic resonance spectroscopy study. J Clin Endocrinol Metab [Internet]. 2003 Dec [cited 2020 Nov 29];88(12):5638–43. Available from: https://pubmed.ncbi.nlm.nih.gov/14671146/

  60. Marzetti E, Lees HA, Manini TM, Buford TW, Aranda JM, Calvani R, et al. Skeletal muscle apoptotic signaling predicts thigh muscle volume and gait speed in community-dwelling older persons: an exploratory study. PLoS One [Internet]. 2012 Feb 28 [cited 2020 Nov 29];7(2). Available from: https://pubmed.ncbi.nlm.nih.gov/22389725/

  61. Kuno SYA, Katsuta S, Akisada M, Anno I, Matsumoto K. Effect of strength training on the relationship between magnetic resonance relaxation time and muscle fibre composition. Eur J Appl Physiol Occup Physiol [Internet]. 1990 Sep [cited 2020 Nov 29];61(1–2):33–6. Available from: https://pubmed.ncbi.nlm.nih.gov/2289496/

  62. Ferland M, DesprÉS J, Tremblay A, Pinault S, Nadeau A, Moorjani S, et al. Assessment of adipose tissue distribution by computed axial tomography in obese women: association with body density and anthropometric measurements. Br J Nutr [Internet]. 1989 Mar [cited 2020 Nov 29];61(2):139–48. Available from: https://pubmed.ncbi.nlm.nih.gov/2706220/

  63. Damilakis J, Adams JE, Guglielmi G, Link TM. Radiation exposure in X-ray-based imaging techniques used in osteoporosis. Eur Radiol [Internet]. 2010 [cited 2020 Nov 29];20:2707–14. Available from: https://pubmed.ncbi.nlm.nih.gov/20559834/

  64. Prado CMM, Heymsfield SB. Lean tissue imaging: a new era for nutritional assessment and intervention. J Parenter Enter Nutr [Internet]. 2014 Nov 11 [cited 2020 Nov 29];38(8):940–53. Available from: https://pubmed.ncbi.nlm.nih.gov/25239112/

  65. Proctor DN, O’Brien PC, Atkinson EJ, Nair KS. Comparison of techniques to estimate total body skeletal muscle mass in people of different age groups. Am J Physiol Endocrinol Metab [Internet]. 1999 [cited 2020 Nov 29];277(3):40–3. Available from: https://pubmed.ncbi.nlm.nih.gov/10484361/

  66. Lukaski HC, Johnson PE, Bolonchuk WW, Lykken GI. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr [Internet]. 1985 [cited 2020 Nov 29];41(4):810–7. Available from: https://pubmed.ncbi.nlm.nih.gov/3984933/

  67. Janssen I, Heymsfield SB, Baumgartner RN, Ross R. Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol [Internet]. 2000 [cited 2020 Nov 29];89(2):465–71. Available from: https://pubmed.ncbi.nlm.nih.gov/10926627/

  68. Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol [Internet]. 2004 [cited 2020 Nov 29];159:413–21. Available from: https://pubmed.ncbi.nlm.nih.gov/14769646/

  69. Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference statement. Am J Clin Nutr [Internet]. 1996 [cited 2020 Nov 29]. Available from: https://pubmed.ncbi.nlm.nih.gov/8780375/

  70. Landi F, Martone AM, Calvani R, Marzetti E. Sarcopenia risk screening tool: a new strategy for clinical practice. Vol. 15, J Am Med Dir Assoc [Internet]. 2014 [cited 2020 Nov 29];613–4. Elsevier Inc. Available from: https://pubmed.ncbi.nlm.nih.gov/25023830/

  71. Landi F, Russo A, Liperoti R, Pahor M, Tosato M, Capoluongo E, et al. Midarm muscle circumference, physical performance and mortality: results from the aging and longevity study in the Sirente geographic area (ilSIRENTE study). Clin Nutr [Internet]. 2010 Aug [cited 2020 Nov 29];29(4):441–7. Available from: https://pubmed.ncbi.nlm.nih.gov/20116909/

  72. Landi F, Onder G, Russo A, Liperoti R, Tosato M, Martone AM, et al. Calf circumference, frailty and physical performance among older adults living in the community. Clin Nutr [Internet]. 2014 [cited 2020 Nov 29];33(3):539–44. Available from: https://pubmed.ncbi.nlm.nih.gov/23948128/

  73. Rolland Y, Lauwers-Cances V, Cournot M, Nourhashémi F, Reynish W, Rivière D, et al. Sarcopenia, calf circumference, and physical function of elderly women: a cross-sectional study. J Am Geriatr Soc [Internet]. 2003 Aug 1 [cited 2020 Nov 29];51(8):1120–4. Available from: https://pubmed.ncbi.nlm.nih.gov/12890076/

  74. de Onis M, Habicht JP. Anthropometric reference data for international use: recommendations from a World Health Organization Expert Committee. Am J Clin Nutr [Internet]. 1996 [cited 2020 Nov 29];64(4):650–8. Available from: https://pubmed.ncbi.nlm.nih.gov/8839517/

  75. Incalzi RA, Landi F, Cipriani L, Bruno E, Pagano F, Gemma A, et al. Nutritional assessment: a primary component of multidimensional geriatric assessment in the acute care setting. J Am Geriatr Soc [Internet]. 1996 [cited 2020 Nov 29];44(2):166–74. Available from: https://pubmed.ncbi.nlm.nih.gov/8576507/

  76. Wijnhoven HAH, van Bokhorst-De Van Der Schueren MAE, Heymans MW, de Vet HCW, Kruizenga HM, Twisk JW, et al. Low mid-upper arm circumference, calf circumference, and body mass index and mortality in older persons. J Gerontol A Biol Sci Med Sci [Internet]. 2010 Oct [cited 2020 Nov 29];65 A(10):1107–14. Available from: https://pubmed.ncbi.nlm.nih.gov/20547497/

  77. Heymsfield SB, Gallagher D, Visser M, Nunez C, Wang ZM. Measurement of skeletal muscle: laboratory and epidemiological methods. J Gerontol A Biol Sci Med Sci [Internet]. 1995 [cited 2020 Nov 29];23–9. Oxford University Press. Available from: https://pubmed.ncbi.nlm.nih.gov/7493213/

  78. Kehayias JJ, Fiatarone MA, Zhuang H, Roubenoff R. Total body potassium and body fat: relevance to aging. Am J Clin Nutr [Internet]. 1997 [cited 2020 Nov 29];66(4):904–10. Available from: https://pubmed.ncbi.nlm.nih.gov/9322566/

  79. Wielopolski L, Ramirez LM, Gallagher D, Heymsfield SB, Wang ZM. Measuring partial body potassium in the arm versus total body potassium. J Appl Physiol [Internet]. 2006 [cited 2020 Nov 29];101(3):945–9. Available from: https://pubmed.ncbi.nlm.nih.gov/16741259/

  80. Wielopolski L, Ramirez LM, Spungen AM, Swaby S, Asselin P, Bauman WA. Measuring partial body potassium in the legs of patients with spinal cord injury: a new approach. J Appl Physiol [Internet]. 2009 Jan [cited 2020 Nov 29];106(1):268–73. Available from: https://pubmed.ncbi.nlm.nih.gov/19023024/

  81. Heymsfield SB, Arteaga C, McManus CM, Smith J, Moffitt S. Measurement of muscle mass in humans: validity of the 24-hour urinary creatinine method. Am J Clin Nutr [Internet]. 1983 [cited 2020 Nov 29];37(3):478–94. Available from: https://pubmed.ncbi.nlm.nih.gov/6829490/

  82. Clark RV., Walker AC, O’Connor-Semmes RL, Leonard MS, Miller RR, Stimpson SA, et al. Total body skeletal muscle mass: estimation by creatine (methyl-d3) dilution in humans. J Appl Physiol [Internet]. 2014 Jun 15 [cited 2020 Nov 29];116(12):1605–13. Available from: https://pubmed.ncbi.nlm.nih.gov/24764133/

  83. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, di Iorio A, et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol [Internet]. 2003 [cited 2020 Nov 29];95(5):1851–60. Available from: https://pubmed.ncbi.nlm.nih.gov/14555665/

  84. al Snih S, Markides KS, Ottenbacher KJ, Raji MA. Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clin Exp Res [Internet]. 2004 [cited 2020 Nov 29];16(6):481–6. Available from: https://pubmed.ncbi.nlm.nih.gov/15739601/

  85. Beaudart C, McCloskey E, Bruyère O, Cesari M, Rolland Y, Rizzoli R, et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr [Internet]. 2016 [cited 2020 Nov 29];16(1):1–10. Available from: https://pubmed.ncbi.nlm.nih.gov/27716195/

  86. Brown M, Sinacore DR, Binder EF, Kohrt WM. Physical and performance measures for the identification of mild to moderate frailty. J Gerontol A Biol Sci Med Sci [Internet]. 2000 [cited 2020 Nov 29];55(6). Available from: https://pubmed.ncbi.nlm.nih.gov/10843356/

  87. Beaudart C, Rolland Y, Cruz-Jentoft AJ, Bauer JM, Sieber C, Cooper C, et al. Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcified Tissue Int [Internet]. 2019 [cited 2020 Nov 29];105. Springer New York LLC. Available from: https://pubmed.ncbi.nlm.nih.gov/30972475/

  88. Richardson S. The timed “Up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc [Internet]. 1991 [cited 2020 Nov 29];39(2):142–8. Available from: https://pubmed.ncbi.nlm.nih.gov/1991946/

  89. Buchner DM. One lap around the track: the standard for mobility disability? J Gerontol A Biol Sci Med Sci [Internet]. 2008 [cited 2020 Nov 29];63:586–7. Gerontological Society of America. Available from: https://pubmed.ncbi.nlm.nih.gov/18559632/

  90. Newman AB, Simonsick EM, Naydeck BL, Boudreau RM, Kritchevsky SB, Nevitt MC, et al. Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. J Am Med Assoc [Internet]. 2006 May [cited 2020 Nov 29];295(17):2018–26. Available from: https://pubmed.ncbi.nlm.nih.gov/16670410/

  91. Weinfurt KP, Hall MA, Chantelle Hardy N, Friedman JY, Schulman KA, Sugarman J. Oversight of financial conflicts of interest in commercially sponsored research in academic and nonacademic settings. J Gen Intern Med [Internet]. 2010 May [cited 2020 Nov 29];25(5):460–4. Available from: https://pubmed.ncbi.nlm.nih.gov/20186498/

  92. Clark DJ, Fielding RA. Neuromuscular contributions to age-related weakness. J Gerontol A Biol Sci Med Sci [Internet]. 2012 [cited 2020 Nov 29];67 A:41–7. Available from: https://pubmed.ncbi.nlm.nih.gov/21415261/

  93. Dent E, Morley JE, Cruz-Jentoft AJ, Arai H, Kritchevsky SB, Guralnik J, et al. International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and management. J Nutr Health Aging [Internet]. 2018 Dec 1 [cited 2020 Nov 29];22(10):1148–61. Available from: https://pubmed.ncbi.nlm.nih.gov/30498820/

  94. Yoshimura Y, Wakabayashi H, Yamada M, Kim H, Harada A, Arai H. Interventions for treating sarcopenia: a systematic review and meta-analysis of randomized controlled studies. J Am Med Dir Assoc [Internet]. 2017 Jun 1 [cited 2020 Nov 29];18(6):553.e1–16. Available from: https://pubmed.ncbi.nlm.nih.gov/28549707/

  95. Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc [Internet]. 2011 [cited 2020 Nov 29];12(4):249–56. Available from: https://pubmed.ncbi.nlm.nih.gov/21527165/

  96. Peterson MD, Rhea MR, Sen A, Gordon PM. Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev [Internet]. 2010 [cited 2020 Nov 29];9:226–37. Available from: https://pubmed.ncbi.nlm.nih.gov/20385254/

  97. Peterson MD, Sen A, Gordon PM. Influence of resistance exercise on lean body mass in aging adults: a meta-analysis. Med Sci Sports Exerc [Internet]. 2011 Feb [cited 2020 Nov 29];43(2):249–58. Available from: https://pubmed.ncbi.nlm.nih.gov/20543750/

  98. Viviani P, Stucchi N. The effect of movement velocity on form perception: geometric illusions in dynamic displays. Percept Psychophys [Internet]. 1989 May [cited 2020 Nov 29];46(3):266–74. Available from: https://pubmed.ncbi.nlm.nih.gov/2771619/

  99. Pritchard JM, Kennedy CC, Karampatos S, Ioannidis G, Misiaszek B, Marr S, et al. Measuring frailty in clinical practice: a comparison of physical frailty assessment methods in a geriatric out-patient clinic. BMC Geriatr [Internet]. 2017 Nov 13 [cited 2020 Nov 29];17(1). Available from: https://pubmed.ncbi.nlm.nih.gov/29132301/

  100. Binder EF, Yarasheski KE, Steger-May K, Sinacore DR, Brown M, Schechtman KB, et al. Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A Biol Sci Med Sci [Internet]. 2005 [cited 2020 Nov 29];60(11):1425–31. Available from: https://pubmed.ncbi.nlm.nih.gov/16339329/

  101. Law TD, Clark LA, Clark BC. Resistance exercise to prevent and manage sarcopenia and dynapenia. Annu Rev Gerontol Geriatr [Internet]. 2016 [cited 2020 Nov 29];205–28. Springer Publishing Company. Available from: https://pubmed.ncbi.nlm.nih.gov/27134329/

  102. Picorelli AMA, Pereira LSM, Pereira DS, Felício D, Sherrington C. Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. J Physiother [Internet]. 2014 [cited 2020 Nov 29];60(3):151–6. Available from: https://pubmed.ncbi.nlm.nih.gov/25092418/

  103. Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the prot-age study group. J Am Med Dir Assoc [Internet]. 2013 [cited 2020 Nov 29];14(8):542–59. Available from: https://pubmed.ncbi.nlm.nih.gov/23867520/

  104. Deutz NEP, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Bosy-Westphal A, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr [Internet]. 2014 Dec 1 [cited 2020 Nov 29];33(6):929–36. Available from: https://pubmed.ncbi.nlm.nih.gov/24814383/

  105. Marzetti E, Calvani R, Tosato M, Cesari M, di Bari M, Cherubini A, et al. Sarcopenia: an overview. Aging Clin Exp Res [Internet]. 2017 Feb 1 [cited 2020 Nov 29];29(1):11–7. Available from: https://pubmed.ncbi.nlm.nih.gov/28155183/

  106. Landi F, Cesari M, Calvani R, Cherubini A, di Bari M, Bejuit R, et al. The “Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies” (SPRINTT) randomized controlled trial: design and methods. Aging Clin Exp Res [Internet]. 2017 Feb 1 [cited 2020 Nov 29];29(1):89–100. Available from: https://pubmed.ncbi.nlm.nih.gov/28144914/

  107. de Spiegeleer A, Beckwée D, Bautmans I, Petrovic M, Beaudart C, Beyer I, et al. Pharmacological interventions to improve muscle mass, muscle strength and physical performance in older people: an umbrella review of systematic reviews and meta-analyses. Drugs Aging [Internet]. 2018 [cited 2020 Nov 29];35:719–34. Springer International Publishing. Available from: https://pubmed.ncbi.nlm.nih.gov/30047068/

  108. Bauer JM, Verlaan S, Bautmans I, Brandt K, Donini LM, Maggio M, et al. Effects of a Vitamin D and leucine-enriched whey protein nutritional supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double-blind, placebo-controlled trial. J Am Med Dir Assoc [Internet]. 2015 Sep 1 [cited 2020 Nov 29];16(9):740–7. Available from: https://pubmed.ncbi.nlm.nih.gov/26170041/

  109. Snyder PJ, Bhasin S, Cunningham GR, Matsumoto AM, Stephens-Shields AJ, Cauley JA, et al. Lessons from the testosterone trials. Endocrine Rev [Internet]. 2018 [cited 2020 Nov 29];39:369–86. Oxford University Press. Available from: https://pubmed.ncbi.nlm.nih.gov/29522088/

  110. Kim MJ, Morley JE. The hormonal fountains of youth: myth or reality? – PubMed. J Endocrinol Invest [Internet]. 2005 [cited 2020 Nov 29];28:5–14. Available from: https://pubmed.ncbi.nlm.nih.gov/16760618/

  111. Blackman MR, Sorkin JD, Münzer T, Bellantoni MF, Busby-Whitehead J, Stevens TE, et al. Growth hormone and sex steroid administration in healthy aged women and men: a randomized controlled trial. J Am Med Assoc [Internet]. 2002 Nov 13 [cited 2020 Nov 29];288(18):2282–92. Available from: https://pubmed.ncbi.nlm.nih.gov/12425705/

  112. Garcia JM, Boccia RV, Graham CD, Yan Y, Duus EM, Allen S, et al. Anamorelin for patients with cancer cachexia: an integrated analysis of two phase 2, randomised, placebo-controlled, double-blind trials. Lancet Oncol [Internet]. 2015 [cited 2020 Nov 29];16(1):108–16. Available from: https://pubmed.ncbi.nlm.nih.gov/25524795/

  113. Wagner KR, Fleckenstein JL, Amato AA, Barohn RJ, Bushby K, Escolar DM, et al. A phase I/II trial of MYO-029 in adult subjects with muscular dystrophy. Ann Neurol [Internet]. 2008 May [cited 2020 Nov 29];63(5):561–71. Available from: https://pubmed.ncbi.nlm.nih.gov/18335515/

  114. Padhi D, Higano CS, Shore ND, Sieber P, Rasmussen E, Smith MR. Pharmacological inhibition of myostatin and changes in lean body mass and lower extremity muscle size in patients receiving androgen deprivation therapy for prostate cancer. J Clin Endocrinol Metab [Internet]. 2014 Oct 1 [cited 2020 Nov 29];99(10):E1967–75. Available from: https://pubmed.ncbi.nlm.nih.gov/24971661/

  115. Bernabei R, Landi F, Calvani R, Cesari M, Del Signore S, Anker SD, Bejuit R, Bordes P, Cherubini A, Cruz-Jentoft AJ, Di Bari M, Friede T, Gorostiaga Ayestarán C, Goyeau H, Jónsson PV, Kashiwa M, Lattanzio F, Maggio M, Mariotti L, Miller RR, Rodriguez-Mañas L, Roller-Wirnsberger R, Rýznarová I, Scholpp J, Schols AMWJ, Sieber CC, Sinclair AJ, Skalska A, Strandberg T, Tchalla A, Topinková E, Tosato M, Vellas B, von Haehling S, Pahor M, Roubenoff R, Marzetti E. SPRINTT consortium. Multicomponent intervention to prevent mobility disability in frail older adults: randomised controlled trial (SPRINTT project). BMJ 2022 11;377:e068788.

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Tosato, M., Marzetti, E., Picca, A., Calvani, R. (2024). Sarcopenia. In: Wasserman, M.R., Bakerjian, D., Linnebur, S., Brangman, S., Cesari, M., Rosen, S. (eds) Geriatric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-74720-6_116

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