Disability and Rehabilitation,
Год журнала:
2025,
Номер
unknown, С. 1 - 22
Опубликована: Фев. 7, 2025
To
investigate
how
different
sets
of
rehabilitation
programs
can
contribute
to
breaking
the
frailty
cycle.
Systematic
review
with
meta-analysis
randomized
controlled
trials
that
investigated
effects
for
adults
FS.
Search
references
on
Embase,
PEDro,
SciELO,
Web
Of
Science,
Pubmed,
EBSCO
and
Scopus,
published
until
September
2024.
Methodological
quality
was
assessed
PEDro
scale,
risk
bias
ROB
2.0,
certainty
evidence
GRADE
approach.
Thirty-four
studies
(34)
were
included,
high
methodological
a
low
bias.
There
is
significant
able
improve
performance
in
activities
daily
living
(SMD
=
0.83;
95%CI:
0.26,
1.40;
p
0.004;
certainty),
lower
extremity
function
mobility
0.63;
0.40,
0.86;
<
0.001;
moderate
certainty)
gait
speed
1.07;
0.17,
1.97;
0.002;
reducing
score
-1.57;
-2.97,
-0.17;
≤
very
prevalence
(RR
0.76;
0.65,
0.89;
0.006;
minimal
no
reports
adverse
effects.
Rehabilitation
consisting
multicomponent
moderate-intensity
physical
exercise
associated
nutritional
monitoring,
cognitive
training,
educational
strategies,
medical
social
support
are
effective
break
cycle.Implications
rehabilitationRehabilitation
older
people
prevent
reverse
pre-frailty.Performance,
mobility,
strength
programs.Rehabilitation
professionals
should
considerer
these
key
components
when
designing
frail
pre-frail
people:
exercises,
nutrition,
training.Rehabilitation
be
aware
adherence
main
barrier
peoples
programs.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(9), С. 7910 - 7910
Опубликована: Апрель 26, 2023
Recent
advances
have
greatly
improved
our
understanding
of
the
molecular
mechanisms
behind
atherosclerosis
pathogenesis.
However,
there
is
still
a
need
to
systematize
this
data
from
general
pathology
perspective,
particularly
with
regard
atherogenesis
patterns
in
context
both
canonical
and
non-classical
inflammation
types.
In
review,
we
analyze
various
typical
phenomena
outcomes
cellular
pro-inflammatory
stress
atherosclerosis,
as
well
role
endothelial
dysfunction
local
systemic
manifestations
low-grade
inflammation.
We
also
present
features
immune
development
productive
stable
unstable
plaques,
along
their
similarities
differences
compared
There
are
numerous
factors
that
act
inducers
inflammatory
process
including
vascular
endothelium
aging,
metabolic
dysfunctions,
autoimmune,
some
cases,
infectious
damage
factors.
Life-critical
complications
such
cardiogenic
shock
severe
strokes,
associated
acute
hyperinflammation.
Additionally,
critical
atherosclerotic
ischemia
lower
extremities
induces
paracoagulation
chronic
Conversely,
sepsis,
other
conditions,
diseases
contribute
atherogenesis.
summary,
can
be
characterized
an
independent
form
inflammation,
sharing
but
having
fundamental
variants
(classic
vasculitis).
Biomedicines,
Год журнала:
2023,
Номер
11(1), С. 136 - 136
Опубликована: Янв. 5, 2023
Sarcopenia
is
a
multifactorial
condition
related
to
the
loss
of
muscle
mass
and
strength
due
aging,
eating
habits,
physical
inactivity,
or
even
caused
by
another
disease.
Affected
individuals
have
higher
risk
falls
may
be
associated
with
heart
disease,
respiratory
diseases,
cognitive
impairment,
consequently
an
increased
hospitalization,
in
addition
causing
economic
impact
high
cost
care
during
stay
hospitals.
The
standardization
appropriate
treatment
for
patients
sarcopenia
that
could
help
reduce
pathology-related
morbidity
necessary.
For
these
reasons,
this
study
aimed
perform
systematic
review
role
nutrition
drugs
ameliorate
health
quality
life
sarcopenic
PRISMA
guidelines
were
followed.
Lifestyle
interventions
shown
profound
on
but
using
supplements
different
can
also
skeletal
maintenance.
Creatine,
leucine,
branched-chain
amino
acids,
omega
3,
vitamin
D
show
benefits.
Although
controversial
results,
medications
such
as
Metformin,
GLP-1,
losartan,
statin,
growth
hormone,
dipeptidyl
peptidase
4
inhibitors
been
considered
alter
sarcopenic's
metabolic
parameters,
protect
against
cardiovascular
diseases
outcomes,
while
protecting
muscles.
Nature,
Год журнала:
2024,
Номер
629(8010), С. 154 - 164
Опубликована: Апрель 22, 2024
Abstract
Muscle
atrophy
and
functional
decline
(sarcopenia)
are
common
manifestations
of
frailty
critical
contributors
to
morbidity
mortality
in
older
people
1
.
Deciphering
the
molecular
mechanisms
underlying
sarcopenia
has
major
implications
for
understanding
human
ageing
2
Yet,
progress
been
slow,
partly
due
difficulties
characterizing
skeletal
muscle
niche
heterogeneity
(whereby
myofibres
most
abundant)
obtaining
well-characterized
samples
3,4
Here
we
generate
a
single-cell/single-nucleus
transcriptomic
chromatin
accessibility
map
limb
muscles
encompassing
over
387,000
cells/nuclei
from
individuals
aged
15
99
years
with
distinct
fitness
levels.
We
describe
how
cell
populations
change
during
ageing,
including
emergence
new
people,
cell-specific
multicellular
network
features
(at
epigenetic
levels)
associated
these
changes.
On
basis
cross-comparison
genetic
data,
also
identify
key
elements
architecture
that
mark
susceptibility
sarcopenia.
Our
study
provides
identifying
targets
amenable
medical,
pharmacological
lifestyle
interventions
late
life.
Nutrients,
Год журнала:
2023,
Номер
15(24), С. 5127 - 5127
Опубликована: Дек. 16, 2023
Aging
is
characterized
by
significant
physiological
changes,
with
the
degree
of
decline
varying
significantly
among
individuals.
The
preservation
intrinsic
capacity
over
course
an
individual's
lifespan
fundamental
for
healthy
aging.
Locomotion,
which
entails
independent
movement,
intricately
connected
various
dimensions
human
life,
including
cognition,
vitality,
sensory
perception,
and
psychological
well-being.
Notably,
skeletal
muscle
functions
as
a
pivotal
nexus
within
this
intricate
framework.
Any
perturbation
in
its
functionality
can
manifest
compromised
physical
performance
elevated
susceptibility
to
frailty.
Magnesium
essential
mineral
that
plays
central
role
approximately
800
biochemical
reactions
body.
Its
distinctive
chemical
attributes
render
it
indispensable
stabilizing
factor
orchestration
diverse
cellular
organelle
functions,
thereby
rendering
irreplaceable
processes
directly
impacting
health.
This
narrative
review
offers
comprehensive
exploration
played
magnesium
maintaining
integrity,
emphasizing
critical
importance
optimal
levels
promoting
Nutrients,
Год журнала:
2023,
Номер
15(14), С. 3132 - 3132
Опубликована: Июль 13, 2023
Tryptophan
is
an
essential
nutrient
required
to
generate
vitamin
B3
(niacin),
which
mainly
involved
in
energy
metabolism
and
DNA
production.
Alterations
tryptophan
could
have
significant
effects
on
aging
musculoskeletal
health.
The
kynurenine
pathway,
catabolism,
modulated
by
inflammatory
factors
that
are
increased
older
persons,
a
process
known
as
inflammaging.
Osteoporosis,
sarcopenia,
osteosarcopenia,
frailty
also
been
linked
with
chronically
levels
of
factors.
Due
the
disruption
pathway
chronic
inflammation
and/or
changes
gut
microbiota,
serum
toxic
metabolites
associated
pathophysiology
those
conditions.
In
contrast,
anabolic
products
this
such
picolinic
acid,
demonstrated
positive
effect
skeletal
muscle
bone.
addition,
physical
activity
can
modulate
promoting
secretion
kynurenines.
According
evidence
collected,
kynurenines
promising
role
biomarkers
for
osteoporosis
persons.
some
these
become
important
targets
developing
new
pharmacological
treatments
Cytokine & Growth Factor Reviews,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 1, 2024
Population
ageing
is
increasing
in
prevalence
most
developed
countries.
Ageing
the
decline
of
functional
properties
at
cellular,
tissue,
and
organ
level.
Biochemical
changes
that
occur
all
organisms
experience
biological
are
referred
to
as
"Hallmarks
ageing".
Inflammation
a
common
denominator
hallmarks
ageing,
being
mechanistically
involved
age-related
health
consequences.
Inflamm-ageing
refers
inflammatory
immune
systems
which
somehow
drive
process
towards
healthy
or
unhealthy
ageing.
Current
evidences,
support
that,
reversing
pro-inflammatory
status
inflamm-ageing,
able
modulate
associated
with
increased
levels
molecules
(e.g.
cytokines,
chemokines),
ultimately
producing
chronic
low-grade
state
typically
observed
older
individuals.
It
commonly
accepted
balance
between
pro-
anti-inflammatory
cytokines/chemokines
one
factors
determining
whether
occurs.
Malnutrition
nutritional
imbalances,
highly
prevalent
elderly,
playing
role
driving
immunoactive
molecules.
In
particular,
malnutrition
major
risk
factor
for
sarcopenia,
phenomenon
characterized
by
loss
muscle
mass,
often
basis
frailty.
Given
close
relationship
there
also
evidence
link
Indeed,
cytokine/chemokine
elderly
patients
were
demonstrated.
The
demonstration
specific
cytokines
play
modulating
appetite
nutrient
sensing
taste
reception,
provided
further
existence
nutrition
shaping
trajectory
present
review
will
overview
current
supporting
circulating
chemokines
inflammation,
malnutrition.
Acta Physiologica,
Год журнала:
2024,
Номер
240(3)
Опубликована: Фев. 2, 2024
Abstract
Sarcopenia
lowers
the
quality‐of‐life
for
millions
of
people
across
world,
as
accelerated
loss
skeletal
muscle
mass
and
function
contributes
to
both
age‐
disease‐related
frailty.
Physical
activity
remains
only
proven
therapy
sarcopenia
date,
but
alternatives
are
much
sought
after
manage
this
progressive
disorder
in
individuals
who
unable
exercise.
Mitochondria
have
been
widely
implicated
etiology
increasingly
suggested
attractive
therapeutic
targets
help
restore
perturbed
balance
between
protein
synthesis
breakdown
that
underpins
atrophy.
Reviewing
current
literature,
we
note
mitochondrial
bioenergetic
changes
generally
interpreted
intrinsic
dysfunction
renders
cells
incapable
making
sufficient
ATP
fuel
synthesis.
Based
on
reported
effects
interventions,
however,
argue
observed
may
instead
reflect
an
adaptation
pathologically
decreased
energy
expenditure
sarcopenic
muscle.
Discrimination
these
mechanistic
possibilities
will
be
crucial
improving
management
sarcopenia.
The
triad
of
vascular
impairment,
muscle
atrophy,
and
cognitive
decline
represents
critical
age-related
conditions
that
significantly
impact
health.
Vascular
impairment
disrupts
blood
flow,
precipitating
mass
reduction
seen
in
sarcopenia
the
neuronal
functions
characteristic
neurodegeneration.
Our
limited
understanding
intricate
relationships
within
this
hinders
accurate
diagnosis
effective
treatment
strategies.
This
review
ana-lyzes
interrelated
mechanisms
contribute
to
these
conditions,
with
a
specific
focus
on
ox-idative
stress,
chronic
inflammation,
impaired
nutrient
delivery.
aim
is
understand
common
pathways
involved
suggest
comprehensive
therapeutic
approaches.
dysfunctions
hinder
circulation
transportation
nutrients,
resulting
sar-copenia
characterized
by
atrophy
weakness.
dysfunction
have
negative
physical
function
quality
life.
Neurodegenerative
diseases
exhibit
comparable
pathophysiological
affect
motor
functions.
Preventive
approaches
encompass
lifestyle
adjustments,
addressing
oxidative
in-flammation,
integrated
therapies
improving
muscular
well-being.
Better
links
can
refine
strategies
yield
better
patient
out-comes.
study
emphasizes
complex
interplay
between
dysfunction,
de-generation,
decline,
highlighting
necessity
for
multidisciplinary
ap-proaches.
Advances
domain
promise
improved
diagnostic
accuracy,
more
thera-peutic
options,
enhanced
preventive
measures,
all
contributing
higher
life
elderly
population.