Effects of Multidomain Interventions on Sarcopenia.

JAR life Pub Date : 2024-05-22 eCollection Date: 2024-01-01 DOI:10.14283/jarlife.2024.9
M Nunes-Pinto, R G Bandeira de Mello
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Abstract

Sarcopenia, a complex muscular condition driven by multi-systemic dysregulation and its interactions with lifestyle, physical attributes, and mental health, lacks effective drug treatments, relying primarily on non-pharmacological interventions. Fragmented approaches may prove suboptimal due to its complexity, underscoring the potential for multidomain interventions-a combination of two or more strategies to improve individual health-as a promising treatment option. This review examines the possible roles of multidomain interventions in sarcopenia, specifically addressing their effects on muscle mass and quality, muscle strength, and physical performance in older adults. While the updated literature highlights the beneficial consequences of multidomain interventions in enhancing physical performance outcomes, gaps persist in understanding their influence on the biological aspects of sarcopenia. Promising initial findings suggest changes in plasma inflammatory markers or muscle turnover networks, but further research is necessary to clarify the disease-modifying effects of multidomain intervention in sarcopenic patients.

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多领域干预对 "肌肉疏松症 "的影响
肌肉疏松症是一种复杂的肌肉疾病,由多系统失调及其与生活方式、身体素质和心理健康的相互作用所导致,目前缺乏有效的药物治疗方法,主要依靠非药物干预。由于其复杂性,零散的方法可能无法达到最佳效果,这就凸显了多领域干预的潜力,即结合两种或两种以上的策略来改善个体健康,这是一种很有前景的治疗方案。本综述探讨了多领域干预措施在肌肉疏松症中可能发挥的作用,特别是它们对老年人肌肉质量和质量、肌肉力量和体能表现的影响。虽然最新的文献强调了多领域干预措施在提高身体表现方面的有益效果,但在了解其对肌肉疏松症生物学方面的影响方面仍存在差距。令人鼓舞的初步研究结果表明,血浆炎症标志物或肌肉周转网络发生了变化,但仍需进一步研究,以明确多领域干预对肌肉疏松症患者的疾病调节作用。
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