Towards Personalized Management of Sarcopenia in COPD

S.I.J. van Bakel, H.R. Gosker, R.C. Langen, A.M.W.J. Schols*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

5 Citations (Web of Science)

Abstract

The awareness of the presence and consequences of sarcopenia has significantly increased over the past decade. Sarcopenia is defined as gradual loss of muscle mass and strength and ultimately loss of physical performance associated with aging and chronic disease. The prevalence of sarcopenia is higher in chronic obstructive pulmonary disease (COPD) compared to age-matched controls. Current literature suggests that next to physical inactivity, COPD-specific alterations in physiological processes contribute to accelerated development of sarcopenia. Sarcopenia in COPD can be assessed according to current guidelines, but during physical performance testing, ventilatory limitation should be considered. Treatment of muscle impairment can halt or even reverse sarcopenia, despite respiratory impairment. Exercise training and protein supplementation are currently at the basis of sarcopenia treatment. Furthermore, effective current and new interventions targeting the pulmonary system (eg, smoking cessation, bronchodilators and lung volume reduction surgery) may also facilitate muscle maintenance. Better understanding of disease-specific pathophysiological mechanisms involved in the accelerated development of sarcopenia in COPD will provide new leads to refine nutritional, exercise and physical activity interventions and develop pharmacological co-interventions.
Original languageEnglish
Pages (from-to)25-40
Number of pages16
JournalInternational journal of chronic obstructive pulmonary disease
Volume16
DOIs
Publication statusPublished - 1 Jan 2021

Keywords

  • anabolics
  • body-composition
  • chronic obstructive pulmonary disease
  • dietary-protein intake
  • exercise
  • exercise performance
  • nutrition
  • nutritional assessment
  • obstructive pulmonary-disease
  • polyunsaturated fatty-acids
  • quadriceps strength
  • quality-of-life
  • quantitative assessment
  • skeletal muscle
  • skeletal-muscle
  • to-stand test
  • TO-STAND TEST
  • BODY-COMPOSITION
  • QUANTITATIVE ASSESSMENT
  • QUALITY-OF-LIFE
  • DIETARY-PROTEIN INTAKE
  • EXERCISE PERFORMANCE
  • SKELETAL-MUSCLE
  • OBSTRUCTIVE PULMONARY-DISEASE
  • QUADRICEPS STRENGTH
  • POLYUNSATURATED FATTY-ACIDS

Cite this