Cited by 359Nutrition and Health in AgingMuscle Physiology and DisordersFrailty in Older Adults

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Functional consequences of sarcopenia and dynapenia in the elderly

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Clark, Brian C, Manini, Todd M·2010·Current Opinion in Clinical Nutrition and Metabolic Care

DOI 10.1097/mco.0b013e328337819ePMC PMC2895460

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Abstract

PURPOSE OF REVIEW: The economic burden due to the sequela of sarcopenia (muscle wasting in the elderly) are staggering and rank similarly to the costs associated with osteoporotic fractures. In this article, we discuss the societal burden and determinants of the loss of physical function with advancing age, the physiologic mechanisms underlying dynapenia (muscle weakness in the elderly), and provide perspectives on related critical issues to be addressed. RECENT FINDINGS: Recent epidemiological findings from longitudinal aging studies suggest that dynapenia is highly associated with both mortality and physical disability even when adjusting for sarcopenia indicating that sarcopenia may be secondary to the effects of dynapenia. These findings are consistent with the physiologic underpinnings of muscle strength, as recent evidence demonstrates that alterations in muscle quantity, contractile quality and neural activation all collectively contribute to dynapenia. SUMMARY: Although muscle mass is essential for regulation of whole body metabolic balance, overall neuromuscular function seems to be a critical factor for maintaining muscle strength and physical independence in the elderly. The relative contribution of physiologic factors contributing to muscle weakness are not fully understood and further research is needed to better elucidate these mechanisms between muscle groups and across populations.

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Self-citation
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Authors: Clark, B. C., & Manini, T. M.
Affiliations: Ohio University (US)
University of Florida (US)
Corresponding author: Manini, Todd M
ORCID: Clark, Brian C
Manini, Todd M
Venue: Current Opinion in Clinical Nutrition and Metabolic Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-05
Volume: 13
Issue: 3
Pages: 271-276
ISSN: 1363-1950 (ISSN-L)
DOI: 10.1097/mco.0b013e328337819e
PMC: PMC2895460
OpenAlex: W2064516207
Cited by: 359
References: 53
Citations by year: 2026: 8 · 2025: 11 · 2024: 23 · 2023: 21 · 2022: 24 · 2021: 37 · 2020: 30 · 2019: 15 · 2018: 24 · 2017: 29 · 2016: 25 · 2015: 34 · 2014: 22 · 2013: 21 · 2012: 19
FWCI: 1.70
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Current Opinion in Clinical Nutrition & Metabolic Care (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (R21AG031974, P30AG028740)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R15HD065552)
Topics: Health Sciences › Medicine › Physiology (medical) › 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, dynapenia, muscle weakness, muscle atrophy, aging, physical function, physical disability, mortality, economic burden, muscle strength, neuromuscular function, neuronal activation, muscle mass, older adults
MeSH terms: Activities of Daily Living, Aged, Persons with Disabilities, Humans, Muscle, Skeletal, Muscle Weakness, Sarcopenia

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