Breaking the frailty cycle with rehabilitation programs. A systematic review and meta-analysis of randomized controlled trials DOI
Bruna da Silveira, Ana Gabriela Ponte Farias,

Victória Brum

и другие.

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.

Язык: Английский

Atherosclerosis and Inflammation: Insights from the Theory of General Pathological Processes DOI Open Access
Evgeni Gusev, Alexey Sarapultsev

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).

Язык: Английский

Процитировано

101

Insights into Pathogenesis, Nutritional and Drug Approach in Sarcopenia: A Systematic Review DOI Creative Commons

Rodrigo Haber Mellen,

Otávio Simões Girotto,

Eduarda Boni Marques

и другие.

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.

Язык: Английский

Процитировано

45

Multimodal cell atlas of the ageing human skeletal muscle DOI Creative Commons
Yiwei Lai, Ignacio Ramírez‐Pardo, Joan Isern

и другие.

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.

Язык: Английский

Процитировано

32

SIRT1 activation attenuates palmitate induced apoptosis in C2C12 muscle cells DOI
Gholamreza Taheripak,

Niusha Sabeti,

Naba Najar

и другие.

Molecular Biology Reports, Год журнала: 2024, Номер 51(1)

Опубликована: Фев. 24, 2024

Язык: Английский

Процитировано

19

The Integral Role of Magnesium in Muscle Integrity and Aging: A Comprehensive Review DOI Open Access
Ana Patrícia da Silva Souza, Andrea Vasconcelos,

Denise Dias

и другие.

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

Язык: Английский

Процитировано

26

The Role of the Kynurenine Pathway in the Pathophysiology of Frailty, Sarcopenia, and Osteoporosis DOI Open Access
Juan R Ballesteros, Daniel Rivas, Gustavo Duque

и другие.

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

Язык: Английский

Процитировано

22

Restoration of epigenetic impairment in the skeletal muscle and chronic inflammation resolution as a therapeutic approach in sarcopenia DOI
Gregory Livshits, Alexander Kalinkovich

Ageing Research Reviews, Год журнала: 2024, Номер 96, С. 102267 - 102267

Опубликована: Март 9, 2024

Язык: Английский

Процитировано

12

Inflamm-ageing: how cytokines and nutrition shape the trajectory of ageing DOI Creative Commons
Francesca Coperchini,

Alessia Greco,

Marsida Teliti

и другие.

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.

Язык: Английский

Процитировано

11

Mitochondrial involvement in sarcopenia DOI Creative Commons
Charles Affourtit, Jane E. Carré

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.

Язык: Английский

Процитировано

10

The Indissociable Triad: Vascular Impairment, Muscle Atrophy, and Cognitive Decline DOI Open Access

Enzo Pereira de Lima,

Masaru Tanaka,

Caroline Barbalho Lamas

и другие.

Опубликована: Авг. 12, 2024

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.

Язык: Английский

Процитировано

10