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Hypokinesia & Sarcopenia. What The Heck Are They And What Can You Do To Head Off #2?
First off, sarcopenia just means the degenerative loss of muscle mass which is in turn mainly caused by hypokinesia, otherwise known as sedentary living or the couch potato lifestyle. Years of hypokinesia leads to sarcopenia progressing rapidly the older you get.
So, all those fancy words to say that; as you get older, muscle mass decreases from a combination of
Aging
Inactivity, the main contributor
What can you do about it?
For one thing, you can get off your ass and start moving more!
By age 30 your muscle mass starts decreasing by as much as 1% per year if you don’t do anything about it. By the time you reach 80, you can have lost up to half the muscle mass.
UCLA researchers have confirmed that the more muscle mass you have as you age, the longer you’re likely to live. They also deduced that it’s not just BMI (body fat) you need to be looking at. Body composition (ie. muscle mass) was the determining factor in how long the senior subjects lived. They suggest that there’s been too much focus on body fat.
This means you need to work on getting fit, not skinny. If you’re just getting started, do simple exercises to get familiar with how your body moves. Learn how to breathe and pay attention to every movement you make.
Read about the UCLA research findings here:
New UCLA research suggests that the more muscle mass older Americans have, the less likely they are to die prematurely. The findings add to the growing evidence that overall body composition — and not the widely used body mass index, or BMI — is a better predictor of all-cause mortality.
The study, published in the American Journal of Medicine, is the culmination of previous UCLA research led by Dr. Preethi Srikanthan, an assistant clinical professor in the endocrinology division at the David Geffen School of Medicine at UCLA, that found that building muscle mass is important in decreasing metabolic risk.
“As there is no gold-standard measure of body composition, several studies have addressed this question using different measurement techniques and have obtained different results,” Srikanthan said. “So many studies on the mortality impact of obesity focus on BMI. Our study indicates that clinicians need to be focusing on ways to improve body composition, rather than on BMI alone, when counseling older adults on preventative health behaviors.”
The researchers analyzed data collected by the National Health and Nutrition Examination Survey (NHANES) III, conducted between 1988 and 1994. They focused on a group of 3,659 individuals that included men who were 55 or older and women who were 65 or older at the time of the survey. The authors then determined how many of those individuals had died from natural causes based on a follow-up survey done in 2004.
The body composition of the study subjects was measured using bioelectrical impedance, which involves running an electrical current through the body. Muscle allows the current to pass more easily than fat does, due to muscle’s water content. In this way, the researchers could determine a muscle mass index — the amount of muscle relative to height — similar to a body mass index. They looked at how this muscle mass index was related to the risk of death.
They found that all-cause mortality was significantly lower in the fourth quartile of muscle mass index compared with the first quartile.
“In other words, the greater your muscle mass, the lower your risk of death,” said Dr. Arun Karlamangla, a professor in the geriatrics division at the Geffen School and the study’s co-author. “Thus, rather than worrying about weight or body mass index, we should be trying to maximize and maintain muscle mass.”
This study does have some limitations. For instance, one cannot definitively establish a cause-and-effect relationship between muscle mass and survival using a cohort study such as NHANES III. “But we can say that muscle mass seems to be an important predictor of risk of death,” Srikanthan said. In addition, bioelectrical impedance is not the most advanced measurement technique, though the NHANES III measurements were conducted in a very rigorous fashion “and practically, this is the best situation possible in a study of this size,” she noted.
“Despite these limitations, this study establishes the independent survival prediction ability of muscle mass as measured by bioelectrical impedance in older adults, using data from a large, nationally representative cohort,” Srikanthan and Karlamangla write, adding that BMI’s association with mortality in older adults has proven inconsistent. “We conclude that measurement of muscle mass relative to body height should be added to the toolbox of clinicians caring for older adults. Future research should determine the type and duration of exercise interventions that improve muscle mass and potentially increase survival in (healthy), older adults.”
SOURCE: Enrique Rivero at the UCLA Newsroom
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