Deconditioning

12,867 views 41 slides Nov 16, 2019
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About This Presentation

A collection of the most recent evidence based figures / models regarding deconditioning, sarcopenia and frailty.


Slide Content

@strengthforlifecampaign
@strength4_life #StrengthSavesLives
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Deconditioning

KeyDeconditioningResearch

Categorising Deconditioning
➢Primary sarcopenia-Age related loss of muscle mass, strength and physical
function, preventable and is not normal ageing.
➢Secondary sarcopenia –sarcopenia following an event that alters pre-existing
levels of mobility such as hip fracture
➢Medication induced sarcopenia –drugs such as corticosteroids and statins can
accelerate reductions in muscle mass and strength
➢Sarcopenic obesity –low muscle mass and strength in addition to high body fat
levels
➢Cachexia -muscle wasting condition with inflammatory component accompanying
diseases such as cancer, COPD, renal disease
➢Frailty -a syndrome resulting from age-related cumulative declines of multiple
physical & psychosocial factors that results in reduced resilience to stressors

Sarcopenia vs Cachexia

Low levels of strength is a red Flag!
Patients under these thresholds
should be seen as a serious cause for
concern;
Increased risk of multi-
morbidity & mortality.
Limited physical performance,
reduced independence & reduced
quality of life.
Increased need of healthcare
support for ADL’s & increased
healthcare costs.
Strength
Assessment
Grip Strength 5 Sit to Stands
M < 27kg
F < 16kg
> 15 seconds
Increased risk of falls and
fractures.

Complications of Low Muscle Mass

Muscle Mass is a Vital Sign

Muscle Mass is a Physiological Reserve

Skeletal Muscle Performance & Ageing

LoseStrength,LoseMovement

Step Reduction & Muscle Mass

Bed Rest is Toxic

Vicious Cycle of Deconditioning

Functional Declines

Muscular Strength & Mass Declines

AgeRelated Loss ofMuscle Mass

Muscle Mass & Life Course Events

Sarcopenia –Punctuated Decline

Sarcopenia

Sarcopenia Aetiology

Factors Associated with Sarcopenia

Sarcopenia & Clinical Outcomes in
Older Adults

SarcopeniaAssessment

Regulation of Muscle Mass

FactorsthatworsenSarcopenia

ChronicConditionsAccelerate Ageing

Muscle Mass & Chronic Conditions

Osteosarcopenia

COPD & Muscle Mass

Sarcopenia Rates in Cancer

RheumatoidCachexia

Frailty & Chronic Conditions

Sarcopenia & Frailty Overlap

Sarcopenia –Frailty -Malnutrition

Frailty Across the Life Course

Cycle of Frailty

Frailty –Progressive Decline

Effectiveness of Strength Training for
Treating Frailty

Exercise Prevents Functional Decline in
Hospital

Strength Training is a Countermeasure for
Deconditioning & Chronic Disease!

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