Pharmacological Treatment of Obesity in Older Adults DOI Creative Commons

Ondřej Žižka,

Martin Haluzı́k, Edward B. Jude

et al.

Drugs & Aging, Journal Year: 2024, Volume and Issue: 41(11), P. 881 - 896

Published: Nov. 1, 2024

Obesity is a complex health issue with growing prevalence worldwide. It also becoming more prevalent in the population of older adults (i.e., 65 years age and older), affecting frequency severity as well other comorbidities, quality life consequently, expectancy. In this article we review currently available data on pharmacotherapy obesity its role management. Even though there evidence, particular general population, favourable efficacy safety profiles glucagon-like peptide-1 (GLP-1) receptor agonists liraglutide semaglutide, recently dual GLP-1 glucose-dependent insulinotropic polypeptide (GIP) agonist tirzepatide, concise guidelines for are not to day. We further discuss specific approaches frequently represented phenotype adults, sarcopenic rationale when treat how. need drug trials focusing only weight loss, but geriatric endpoints including muscle mass preservation, bone fat distribution changes get enough evidence-based recommendation treatment sub-population.

Language: Английский

Emerging Therapeutic Strategies in Sarcopenia: An Updated Review on Pathogenesis and Treatment Advances DOI Open Access
Alfred Najm, Adelina-Gabriela Niculescu, Alexandru Mihai Grumezescu

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(8), P. 4300 - 4300

Published: April 12, 2024

Sarcopenia is a prevalent degenerative skeletal muscle condition in the elderly population, posing tremendous burden on diseased individuals and healthcare systems worldwide. Conventionally, sarcopenia currently managed through nutritional interventions, physical therapy, lifestyle modification, with no pharmaceutical agents being approved for specific use this disease. As pathogenesis of still poorly understood there treatment recognized as universally effective, recent research efforts have been directed at better comprehending illness diversifying strategies. In respect, paper overviews new advances correlation its underlying mechanisms. Specifically, review creates an updated framework sarcopenia, describing etiology, pathogenesis, risk factors, conventional treatments, further discussing emerging therapeutic approaches like drug formulations, delivery systems, stem cell therapies, tissue-engineered scaffolds more detail.

Language: Английский

Citations

14

Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions DOI Creative Commons
Tiantian Wang, Dong Zhou, Zhen Hong

et al.

MedComm, Journal Year: 2025, Volume and Issue: 6(1)

Published: Jan. 1, 2025

Abstract Sarcopenia is defined as a muscle‐wasting syndrome that occurs with accelerated aging, while cachexia severe wasting associated conditions such cancer and immunodeficiency disorders, which cannot be fully addressed through conventional nutritional supplementation. can considered component of cachexia, the bidirectional interplay between adipose tissue skeletal muscle potentially serving molecular mechanism for both conditions. However, underlying mechanisms differ. Recognizing distinctions these disorders essential advancing basic translational research in this area, enhancing diagnostic accuracy ultimately achieving effective therapeutic solutions affected patients. This review discusses microenvironment's changes contributing to conditions, recent approaches like lifestyle modifications, small molecules, interventions, emerging strategies gene editing, stem cell therapy, gut microbiome modulation. We also address challenges opportunities multimodal aiming provide insights into pathogenesis sarcopenia aiding innovative strategy development improved treatments.

Language: Английский

Citations

1

Prevalence and incidence of sarcopenia in Swiss postmenopausal women: findings from the OsteoLaus Cohort DOI Creative Commons
Colin Vendrami, Elena González Rodríguez, Guillaume Gatineau

et al.

Schweizerische medizinische Wochenschrift, Journal Year: 2025, Volume and Issue: 155(1), P. 4034 - 4034

Published: Jan. 17, 2025

Sarcopenia is a progressive, age-related loss of muscle mass, strength and function. Given the ageing population adverse outcomes associated with sarcopenia, monitoring its epidemiology particularly important. This study aimed to describe sarcopenia prevalence, 5-year incidence agreement between definitions using latest operational criteria in Swiss postmenopausal women. Postmenopausal women from last 5 years CoLaus/OsteoLaus prospective population-based cohort were included based on complete case analysis (April 2015 October 2022; Lausanne, Switzerland). We assessed appendicular lean mass via Dual X-ray Absorptiometry (GE Lunar iDXA), handgrip Jamar Dynamometer 6-metre gait speed at multiple visits. was defined and/or 11 definitions, including that European Working Group Older People (EWGSOPII, 2019). Prevalence measured as number rate sarcopenic cases visit, while new over 2.5 or years. A total 930 included, mean (standard deviation) age 72.9 (6.9) years, BMI 25.7 (4.8) kg/m2, 16.8 (2.5) kg, 21.2 (5.5) 1.1 (0.2) m/s. prevalence EWGSOPII ranged 2.2% 5.7%, other varied 0.5% 13.4%. The rates 1.9% 4.7%. increased significantly lowest highest tertiles (Fisher's exact test, p <0.05) for most definitions. Agreement predominantly "none" "minimal" according Cohen Kappa score. highlights an increase beginning seventh decade life, underscoring accelerated decline health age. minimal need consensus, which would improve future research clinical implementations.

Language: Английский

Citations

0

Continue to treat sarcopenia with exercise and diet while potential pharmacotherapies are under investigation DOI

Aisling McGuigan

Drugs & Therapy Perspectives, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 28, 2025

Language: Английский

Citations

0

Latest developments of microphysiological systems (MPS) in aging-related and geriatric diseases research: a review DOI
Chao Song, Jiachen Yang,

Zhongze Gu

et al.

Ageing Research Reviews, Journal Year: 2025, Volume and Issue: unknown, P. 102728 - 102728

Published: March 1, 2025

Language: Английский

Citations

0

Inhibiting Myostatin Expression by the Antisense Oligonucleotides Improves Muscle Wasting in a Chronic Kidney Disease Mouse Model DOI Open Access

Afsana Akhter,

Abdullah Md. Sheikh, Jun Yoshino

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(7), P. 3098 - 3098

Published: March 27, 2025

Sarcopenia, a serious consequence of chronic kidney disease (CKD), is driven by elevated myostatin (MSTN), key inhibitor muscle growth. This study explored the potential an MSTN-specific antisense oligonucleotide (ASO) in reversing CKD-induced wasting mouse model. Thirty-two male C57BL/6J mice were randomly assigned to non-CKD group (n = 8, regular diet) and CKD 24, adenine diet). was induced using 0.2% adenine-supplemented diet for 4 weeks. Following this, sub-grouped into (saline, n 8), + Low-Dose ASO (25 mg/kg ASO, High-Dose (50 8). administered via subcutaneous injections 8 Muscle mass, treadmill performance, grip strength, fiber morphology assessed alongside qPCR Western blot analysis MSTN, atrogin-1, MuRF-1 expression. therapy significantly enhanced mass function enlarged fibers while effectively downregulating degradation markers. These improvements occurred without compromising renal function, as confirmed BUN, creatinine, weight, histological analysis. first demonstrate efficacy mitigating sarcopenia, offering promising targeted gene with significant clinical implications improving nutritional status physical performance CKD.

Language: Английский

Citations

0

Dietary Protein and Physical Exercise for the Treatment of Sarcopenia DOI Creative Commons
Rosarita Nasso, Antônio Alberto D'Errico, Maria Letizia Motti

et al.

Clinics and Practice, Journal Year: 2024, Volume and Issue: 14(4), P. 1451 - 1467

Published: July 25, 2024

Sarcopenia is a multifactorial age-related disorder that causes decrease in muscle mass, strength, and function, leading to alteration of movement, risk falls, hospitalization. This article aims review recent findings on the factors underlying sarcopenia strategies required delay counteract its symptoms. We focus molecular linked ageing, role low-grade chronic acute inflammatory conditions such as cancer, which contributes onset sarcopenia, clinical criteria for diagnosis. The use drugs against still subject debate, suggested approaches restore health are based adequate dietary protein intake physical exercise. also highlight difference amount quality amino acids within animal- plant-based diets, studies have often shown varying results regarding their effect elderly people. In addition, many reported non-pharmacological approaches, an optimization training programs resistance exercise, can be effective preventing delaying sarcopenia. These not only improve maintenance skeletal but reduce care costs life expectancy

Language: Английский

Citations

3

Experimental models as a tool for research on sarcopenia: a narrative review DOI Creative Commons
Janire Alonso-Puyo, Oihane Izagirre-Fernandez,

Olatz Crende

et al.

Ageing Research Reviews, Journal Year: 2024, Volume and Issue: unknown, P. 102534 - 102534

Published: Oct. 1, 2024

Language: Английский

Citations

1

Advancements in Drug Delivery Systems for the Treatment of Sarcopenia: An Updated Overview DOI Open Access
Alfred Najm,

Elena-Theodora Moldoveanu,

Adelina-Gabriela Niculescu

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(19), P. 10766 - 10766

Published: Oct. 7, 2024

Since sarcopenia is a progressive condition that leads to decreased muscle mass and function, especially in elderly people, it public health problem requires attention from researchers. This review aims highlight drug delivery systems have high efficient therapeutic potential for sarcopenia. Current as well future research needs consider the barriers encountered realization of systems, such route administration, interaction with aggressive environment human body, loading agents, targeted agents into tissue without creating undesirable adverse effects. Thus, this paper sets framework existing possibilities treatment sarcopenia, serving an inception point interdisciplinary studies.

Language: Английский

Citations

1

Cut-off points for knee extension strength: identifying muscle weakness in older adults DOI

Huifen Zheng,

Wei Sun, Zifei Zhou

et al.

European Geriatric Medicine, Journal Year: 2024, Volume and Issue: 15(4), P. 913 - 925

Published: June 26, 2024

Language: Английский

Citations

0