Anorexia of ageing: a key component in the pathogenesis of both sarcopenia and cachexia
Open accessAbstract
The anorexia of aging was first recognized as a physiological syndrome 30 years ago. Its major causes are an alteration in fundal compliance with an increase in antral stretch and enhanced cholecystokinin activity leading to increased satiation.This anorexia leads to weight loss in aging persons and is one of the component causes of the aging related sarcopenia. This physiological anorexia also increases the risk of more severe anorexia when an older person has an increase in inflammatory cytokines such as occurs when they have an illness. This results in an increase in the anorexia due to cachexia in older persons.
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In advanced age and in acute and chronic illness, nutritional problems are widespread, and reduced dietary intake combined with catabolic disease rapidly leads to malnutrition.
“Particularly in advanced age and in the case of acute and chronic illness, nutritional problems are widespread, and a reduced dietary intake in combination with the effects of catabolic disease rapidly leads to malnutrition (1,2).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [1]
The paper’s Abstract (page unavailable) says that food intake decreases with ageing and that illness-associated inflammation can worsen anorexia and weight loss in older people. It does not establish that nutritional problems are widespread across acute and chronic illness, or that reduced intake combined with catabolic disease rapidly causes malnutrition. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMalnutrition is regarded as one important contributing factor in the complex etiology of sarcopenia and frailty.
“and is regarded as one important contributing factor in the complex etiology of sarcopenia and frailty (1,3,4).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [1]
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Bauer, J., Biolo, G., Cederholm, T., Cesari, M., Cruz-Jentoft, A. J., Morley, J. E., Phillips, S., Sieber, C., Stehle, P., Teta, D., et al. (2013) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2013.05.021 · Cited by 2,553 · cited 1× · see citing works
“supplement is a leucine-enriched essential amino acid mixture.(59,60) Drugs such as dronabinol and megestrol acetate have a small effect in increasing food intake.”
BackgroundSelf-citationSARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes
Malmstrom, T. K., Miller, D. K., Simonsick, E. M., Ferrucci, L., & Morley, J. E. (2016) · Journal of Cachexia, Sarcopenia and Muscle · doi:10.1002/jcsm.12048 · Cited by 1,155 · cited 1× · see citing works
“Sarcopenia is defined as the decline in function due to the loss of muscle mass.(44,45) There are multiple causes of sarcopenia.”
BackgroundSelf-citationBauer, J. M., Verlaan, S., Bautmans, I., Brandt, K., Donini, L. M., Maggio, M., McMurdo, M. E. T., Mets, T., Seal, C., Wijers, S. L., et al. (2015) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2015.05.021 · Cited by 670 · cited 1× · see citing works
“supplement is a leucine-enriched essential amino acid mixture.(59,60) Drugs such as dronabinol and megestrol acetate have a small effect in increasing food intake.”
BackgroundNutritional recommendations for the management of sarcopenia
Morley, J. E., Argiles, J. M., Evans, W. J., Bhasin, S., Cella, D., Deutz, N. E. P., Doehner, W., Fearon, K. C. H., Ferrucci, L., Hellerstein, M. K., et al. (2010) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2010.04.014 · Cited by 664 · see citing works
Self-citationPharmacologic Options for the Treatment of Sarcopenia
Morley, J. E. (2016) · Calcified Tissue International · doi:10.1007/s00223-015-0022-5 · Cited by 225 · see citing works
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- Authors
- Morley, J. E.
- Affiliations
- Saint Louis University (US)
- Corresponding author
- Morley, John E.
- ORCID
- Morley, John E.
- Venue
- Journal of Cachexia, Sarcopenia and Muscle
- Publisher
- Wiley
- Published
- 2017-04-27
- Volume
- 8
- Issue
- 4
- Pages
- 523-526
- ISSN
- 2190-5991 (ISSN-L)
- 2190-6009
- PMC
- PMC5566640
- OpenAlex
- W2612156186
- Cited by
- 149
- References
- 5
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 19 · 2023: 19 · 2022: 17 · 2021: 12 · 2020: 14 · 2019: 25 · 2018: 13 · 2017: 7
- FWCI
- 11.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Cachexia Sarcopenia and Muscle (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- anorexia of aging, sarcopenia, cachexia, cholecystokinin, satiation, inflammatory cytokines, pathogenesis
- MeSH terms
- Aged, Aging, Anorexia, Cachexia, Humans, Satiation, Weight Loss, Sarcopenia
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