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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see how we put all these methods into
practice!
@strengthforlifecampaign
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