Protecting muscle mass and function in older adults during bed rest

KL English, D Paddon-Jones - Current Opinion in Clinical …, 2010 - journals.lww.com
Current Opinion in Clinical Nutrition & Metabolic Care, 2010journals.lww.com
In accordance with recent mechanistic advances, we recommend an applied, broad-based
two-phase approach to limit inactivity-mediated losses of muscle mass and function in older
adults:(i) Lifestyle: consume a moderate amount (25–30 g) of high-quality protein with each
meal and incorporate habitual exercise in close temporal proximity to protein-containing
meals;(ii) Crises: react aggressively to combat the accelerated loss of muscle mass and
function during acute catabolic crises and periods of reduced physical activity. As a base …
Summary
In accordance with recent mechanistic advances, we recommend an applied, broad-based two-phase approach to limit inactivity-mediated losses of muscle mass and function in older adults:(i) Lifestyle: consume a moderate amount (25–30 g) of high-quality protein with each meal and incorporate habitual exercise in close temporal proximity to protein-containing meals;(ii) Crises: react aggressively to combat the accelerated loss of muscle mass and function during acute catabolic crises and periods of reduced physical activity. As a base strategy, this should include nutritional support such as targeted protein or amino acid supplementation and integrated physical therapy.
Lippincott Williams & Wilkins