What Is Sarcopenia?
Abstract
Advancing adult age is associated with profound changes in body composition, the principal component of which is a decrease in skeletal muscle mass. This age-related loss in skeletal muscle has been referred to as sarcopenia. Age-related reduction in muscle is a direct cause of the age-related decrease in muscle strength. Muscle mass (not function) appears to be the major determinant of the age- and sex-related differences in strength. This relationship is independent of muscle location (upper vs lower extremities) and function (extension vs flexion). Reduced muscle strength in the elderly is a major cause for their increased prevalence of disability. With advancing age and extremely low activity levels seen in the very old, muscle strength is a critical component of walking ability. The high prevalence of falls among the institutionalized elderly may be a consequence of their lower muscle strength. Daily energy expenditure declines progressively throughout adult life. In sedentary individuals, the main determinant of energy expenditure is fat-free mass, which declines by about 15% between the third and eighth decade of life, contributing to a lower basal metabolic rate in the elderly. Data indicate that preservation of muscle mass and prevention of sarcopenia can help prevent the decrease in metabolic rate. In addition to its role in energy metabolism, skeletal muscle and its age-related decline may contribute to such age-associated changes as reduction in bone density, insulin sensitivity, and aerobic capacity.(ABSTRACT TRUNCATED AT 250 WORDS)
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Adults 65 years and older are at increased risk of sarcopenia, characterized by an age-related decrease in skeletal muscle mass with accompanying losses of strength and physical function.
“Adults 65 years and older are at increased risk of sarcopenia, characterized by an age-related decrease in skeletal muscle mass, with accompanying losses of strength and physical function [74, 75].”
From The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities (2023) · cites this paper as [74]
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- Authors
- Evans, W. J.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Evans, W. J.
- ORCID
- Evans, W. J.
- Venue
- The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-11-01
- Volume
- 50A
- Issue
- Special
- Pages
- 5-8
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- OpenAlex
- W2080921526
- Cited by
- 606
- References
- 0
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 20 · 2023: 12 · 2022: 19 · 2021: 27 · 2020: 23 · 2019: 19 · 2018: 25 · 2017: 15 · 2016: 21 · 2015: 31 · 2014: 26 · 2013: 31 · 2012: 30
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journals of Gerontology Series A (publishedVersion)
- 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
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- sarcopenia, age-related muscle loss, skeletal muscle mass, muscle strength, body composition, frailty, falls in older adults, energy expenditure, basal metabolic rate, fat-free mass, bone mineral density, insulin sensitivity, cardiorespiratory fitness, sedentary aging
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Body Composition, Energy Metabolism, Humans, Insulin Resistance, Middle Aged, Muscle Contraction, Muscular Diseases, Oxygen Consumption, Bone Density, Walking, Muscle, Skeletal
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