Narayana Superspeciality Hospital, Guwahati, Assam
2025
The Impact Of Sarcopenia And Osteosarcopenic Obesity On Aging And Mortality
Overview Although it is a normal process, ageing poses several health risks. Two primary conditions that have a considerable influence on older persons are osteosarcopenic obesity (OSO) and sarcopenia. These disorders raise the chance of death and affect independence and mobility. Being aware of the consequences of ageing and how to avoid them may help one live a healthy life as one age. Sarcopenia: Sarcopenia is the progressive loss of muscular mass, function, and strength of ageing. Although its symptoms become more apparent beyond the age of 60, it usually begins after the age of 30. Sarcopenia causes include: Ageing: The gradual, natural loss of muscle. Physical Inactivity: Not exercising hastens the loss of muscle. Inadequate Nutrition: Consuming too little protein inhibits muscular growth. Decreases in growth hormones, estrogen, and testosterone are examples of hormonal changes. Chronic Diseases: Severalf illnesses, including diabetes, heart disease, and arthritis, can cause muscular atrophy. Resulting from Sarcopenia: An increased risk of fractures and falls Loss of independence and mobility An increased likelihood of hospitalization Loss of metabolism resulting in weight gain A higher chance of death What is OSO, or osteosarcopenic obesity? Osteoporosis, sarcopenia, and obesity are all combined in a more serious disease called osteosarcopenic obesity (OSO). The combination weakens bones, decreases muscle mass, and increases body fat, making it a deadly triad. Older persons, especially women after menopause, are more likely to have this illness. Read Also:How Occupational Therapy Improves Recovery After Surgery Reasons for OSO, Hormonal disturbances together with aging Bad eating habits (low calcium, low protein, heavy fat) Not getting enough exercise Inflammation associated with obesity Long-term conditions including diabetes and arthritis The consequences of OSO Osteoporosis is caused by weaker bones. Increased mobility challenge Increased risk of fractures and falls Increased organ fat accumulation Increased susceptibility to heart conditions Reduced lifespan as a result of many health hazards Effect on Mortality and Aging OSO and sarcopenia both have detrimental effects on ageing and can raise the chance of premature death. Here's how: 1. A decline in self-reliance and strength Walking, climbing stairs, and even carrying groceries are all made more difficult by sarcopenia. By adding weight, OSO exacerbates this and makes mobility even more difficult. Many elderly people with these illnesses become reliant on wheelchairs or caretakers. 2. An increased chance of fractures and falls The likelihood of falls is increased by weak muscles and fragile bones. One in four adults over 65 have a fall each year, according to studies, and fractures from falls can cause permanent disability or even death. 3. Mortality from Chronic Diseases Due to inflammation and increased body fat, people with OSO are more likely to develop diabetes, heart disease, and stroke. In addition to impairing immunity, sarcopenia increases an older person's susceptibility to infections and diseases. 4. Rising Medical Expenses and Hospital Stays These disorders generally necessitate frequent medical treatment for older persons. Research shows that compared to those with normal muscle mass, those with sarcopenia are twice as likely to be admitted to the hospital. 5. Decreased Life Quality These problems restrict activities, social relationships, and mental health, which should be the goal of ageing. The inability to move freely causes despair and loneliness in many elderly persons. Strategies for Preventing and Treating OSO and Sarcopenia You can prevent or slow down OSO and sarcopenia, but ageing is unavoidable. 1. Engage in regular exercise Muscle mass may be developed and maintained using strength training (weightlifting, resistance bands). Fall risk is decreased by balance training like yoga and tai chi. Walking, cycling, swimming, and other aerobic exercises increase general fitness. 2. Adopt a Diet High in Protein Your diet should contain lean meats, fish, eggs, beans, and dairy products. A daily protein intake of 1.2–1.5 grams per kilogram of body weight is best. Incorporate meals high in calcium and vitamin D to help build stronger bones. 3. Sustain a Healthy Weight Limit your weight gain since obesity exacerbates OSO. Eat a well-balanced diet in sensible portions. 4. Get Enough calcium and vitamin D. To aid in the creation of vitamin D, spend time in the sun. Consume dairy products, almonds, leafy greens, and calcium-fortified meals. 5. Remain Active and Steer Clear of a Sedentary Lifestyle If you spend a lot of time sitting down, get up and exercise every 30 to 60 minutes. Take part in domestic tasks such as cleaning or gardening. 6. Supplements and Health Examinations To keep an eye on osteoporosis, have bone density testing. If a doctor recommends it, take supplements (protein powders, vitamin D, and calcium). To stop bone and muscle loss, keep an eye on chronic conditions like diabetes and arthritis. Lastly, Serious illnesses that can have a major influence on longevity ageing are sarcopenia and osteosarcopenic obesity. But they are not unavoidable. Exercise, a good diet, and weight control are all important lifestyle choices that can help you avoid or delay these problems and have an active, healthy life as you age. You can guarantee more mobility, a stronger physique, and a higher standard of living in your later years by acting now.
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