A lecture on Sarcopenia - disorder of muscles in elderly.

1. Sarcopenia and it’s
consequences!
Shrikant S. Sant.
1st M.P.Th.
(Community Physiotherapy)

2. How it occurs?
⋆Reduction in Type II Muscle fibres
⋆Actual loss in no., and conversion of
Type II in Type I.
⋆Mitochondrial activity reduction
⋆Reduction in Sarcomere stretch
capability.

3. ECOSWGOP
⋆ European Working Group on
Sarcopenia in Older People.
⋆ Progressive and generalized loss of
skeletal muscle mass and strength
with a risk of adverse outcomes such
as physical disability, poor quality of
life and death

4. Mechanism of Sarcopenia

5. Categories and Stages of
Sarcopenia
⋆ Primary and Secondary
⋆ Pre-Sarcopenia, Sarcopenia and
Severe Sarcopenia.
⋆ The aetiology of sarcopenia is multi-
factorial so that it may not be possible
to characterize each individual as
having a primary or secondary
condition.

6. Assessment
⋆ Muscle mass -> Anthropometry (CCM),
BIA, DEXA, Volumetry (Hydrometry).
⋆ Muscle strength -> Handgrip strength,
Dynamometry.
⋆ Muscle performance (function) ->
TGUG, 10MWT, Physical Performance
Batteries.
⋆ Skeletal Muscle Index=(Skeletal
Muscle Mass/Body mass)*100.

7. Differential Diagnosis
⋆ Cachexia
⋆ Frailty
⋆ Sarcopenic Obesity

8. Screening Algorithm for Sarcopenia

9. Treatment of Sarcopenia
⋆ Resistance Exercises
⋆ Lifestyle Modifications
⋆ Nutritional Modifications under advice
⋆ Regular Exercises from early life
⋆ Stress-free environment
⋆ Functional and Active daily schedule.

10. Always do
something
for others…
It will come
back to you
when you
are in
need!!!