Sarcopenia and Age-Related Endocrine Function

Sarcopenia, the age-related loss of skeletal muscle, is characterized by a deterioration of muscle quantity and quality leading to a gradual slowing of movement, a decline in strength and power, and an increased risk of fall-related injuries. Since sarcopenia is largely attributed to various molecul...

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Main Authors: Kunihiro Sakuma, Akihiko Yamaguchi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/127362
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author Kunihiro Sakuma
Akihiko Yamaguchi
author_facet Kunihiro Sakuma
Akihiko Yamaguchi
author_sort Kunihiro Sakuma
collection DOAJ
description Sarcopenia, the age-related loss of skeletal muscle, is characterized by a deterioration of muscle quantity and quality leading to a gradual slowing of movement, a decline in strength and power, and an increased risk of fall-related injuries. Since sarcopenia is largely attributed to various molecular mediators affecting fiber size, mitochondrial homeostasis, and apoptosis, numerous targets exist for drug discovery. In this paper, we summarize the current understanding of the endocrine contribution to sarcopenia and provide an update on hormonal intervention to try to improve endocrine defects. Myostatin inhibition seems to be the most interesting strategy for attenuating sarcopenia other than resistance training with amino acid supplementation. Testosterone supplementation in large amounts and at low frequency improves muscle defects with aging but has several side effects. Although IGF-I is a potent regulator of muscle mass, its therapeutic use has not had a positive effect probably due to local IGF-I resistance. Treatment with ghrelin may ameliorate the muscle atrophy elicited by age-dependent decreases in growth hormone. Ghrelin is an interesting candidate because it is orally active, avoiding the need for injections. A more comprehensive knowledge of vitamin-D-related mechanisms is needed to utilize this nutrient to prevent sarcopenia.
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spelling doaj-art-87e5e5171b344147acc90d8a0ae7db242025-02-03T01:21:41ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/127362127362Sarcopenia and Age-Related Endocrine FunctionKunihiro Sakuma0Akihiko Yamaguchi1Research Center for Physical Fitness, Sports and Health, Toyohashi University of Technology, 1-1 Hibarigaoka, Tenpaku-cho, Toyohashi 441-8580, JapanSchool of Dentistry, Health Sciences University of Hokkaido, Kanazawa, Ishikari-Tobetsu, Hokkaido 061-0293, JapanSarcopenia, the age-related loss of skeletal muscle, is characterized by a deterioration of muscle quantity and quality leading to a gradual slowing of movement, a decline in strength and power, and an increased risk of fall-related injuries. Since sarcopenia is largely attributed to various molecular mediators affecting fiber size, mitochondrial homeostasis, and apoptosis, numerous targets exist for drug discovery. In this paper, we summarize the current understanding of the endocrine contribution to sarcopenia and provide an update on hormonal intervention to try to improve endocrine defects. Myostatin inhibition seems to be the most interesting strategy for attenuating sarcopenia other than resistance training with amino acid supplementation. Testosterone supplementation in large amounts and at low frequency improves muscle defects with aging but has several side effects. Although IGF-I is a potent regulator of muscle mass, its therapeutic use has not had a positive effect probably due to local IGF-I resistance. Treatment with ghrelin may ameliorate the muscle atrophy elicited by age-dependent decreases in growth hormone. Ghrelin is an interesting candidate because it is orally active, avoiding the need for injections. A more comprehensive knowledge of vitamin-D-related mechanisms is needed to utilize this nutrient to prevent sarcopenia.http://dx.doi.org/10.1155/2012/127362
spellingShingle Kunihiro Sakuma
Akihiko Yamaguchi
Sarcopenia and Age-Related Endocrine Function
International Journal of Endocrinology
title Sarcopenia and Age-Related Endocrine Function
title_full Sarcopenia and Age-Related Endocrine Function
title_fullStr Sarcopenia and Age-Related Endocrine Function
title_full_unstemmed Sarcopenia and Age-Related Endocrine Function
title_short Sarcopenia and Age-Related Endocrine Function
title_sort sarcopenia and age related endocrine function
url http://dx.doi.org/10.1155/2012/127362
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