Sunday, February 25, 2024

How to Prevent Age-Related Muscle Loss / Sarcopenia

If you ride your bike a few days a week, congrats! You’re already ahead of the curve for healthy aging.

“There are a lot of people who aren’t strong enough to pedal fast enough to not tip over,” says Sharon Kimble, P.T., D.P.T., a board-certified geriatric physical therapist and director of geriatric residency for the Division of Physical Therapy at the University of Minnesota Medical School.

That said, cycling alone won’t protect you from one common side effect of aging: sarcopenia a.k.a. the loss of muscle mass and strength.

Here, experts explain what sarcopenia is, the health risks, and how to prevent it.

What is sarcopenia?

Sarcopenia is defined as age-related loss of muscle mass, but it’s more complex than that—it’s a progressive muscle disease that causes reductions in muscle strength, quantity, and quality, says Lauren Simon, M.D., a sports medicine physician and associate professor at Loma Linda University in California. Research shows that people with sarcopenia are more likely to lose mobility, fall, and even die earlier than people without sarcopenia.

Around the age of 30, people naturally start losing 3 to 5 percent of muscle mass per decade, per the Office on Women’s Health. “Part of the reason is that we all have normal changes in hormones like estrogen, testosterone, and growth hormone,” Kimble says. These hormones play critical roles in the muscle-building process, so when their levels decline with age, it can be tougher to maintain and create new muscle tissue.

Regular exercise can help you hold onto muscle as you age. But research shows many people decrease their physical activity by 40 to 80 percent as they get older. And if you don’t stimulate your muscles to rebuild through exercise, you’ll inevitably lose muscle strength and mass, eventually becoming sarcopenic.

How is sarcopenia diagnosed?

Your healthcare provider may use several tests to diagnose sarcopenia. First, you may complete a questionnaire about self-reported symptoms, like difficulty rising from a chair or climbing stairs, and if you’ve had any falls. If you score high enough on the questionnaire, your provider may recommend more testing, notes the Cleveland Clinic.

Physical tests assess your handgrip and leg strength, walking speed, standing balance, and how long it takes you to rise from a chair, walk about 10 feet, walk back to the chair, and sit down (known as the timed-up and go test), according to Cleveland Clinic.

In addition, imaging tests measure your muscle mass, fat mass, and bone density. Your provider will consider the results from all of these tests when determining if you have sarcopenia.

What should cyclists know about sarcopenia?

Cycling carries plenty of physical and mental benefits—but unfortunately, preventing sarcopenia isn’t one of them. So, even if you stay active by cycling a few times per week (or more), cycling alone won’t be enough to stave off age-related muscle loss.

“While cycling helps improve cardiovascular health and can aid in maintaining a healthy weight, it doesn’t provide the resistance training needed to directly counteract muscle loss,” says Sabrena Jo, Ph.D., senior director of science and research at the American Council on Exercise (ACE). “Resistance training is crucial as it stimulates muscle growth and increases strength, directly combating the effects of sarcopenia.”

How can you prevent and reverse age-related muscle loss and sarcopenia?

“One of the key prevention and treatment strategies for sarcopenia is resistance training,”. Simon says.

A systematic review and meta-analysis of 14 randomized controlled trials found that resistance training significantly improved handgrip and leg strength, walking speed, and timed-up-and-go tests in older adults with sarcopenia compared with those who didn’t participate in resistance training.

Bodyweight, free weights, resistance bands, and exercise machines are all effective strength-training modalities for preventing sarcopenia. The key is progressive overload, or gradually increasing weight or intensity over time so your muscles continue being challenged—and consistency.

Aim for at least two strength sessions per week that recruit all major muscle groups. Think squats and lunges to work the legs and glutes; bench presses or push-ups for the chest, shoulders, and triceps; rows or pull-ups for the back and biceps; and planks and abdominal exercises for the core. “These exercises are ideal because they mimic everyday movements, helping maintain functional strength. They also involve multiple joints and muscle groups, maximizing muscle engagement and growth, which is key in combating sarcopenia,” Jo says.

 

Plyometrics, also known as jump training, is a form of resistance exercise that may be especially helpful for preventing sarcopenia, per research.

Plyometric exercises like box jumps and squat jumps build muscular power, which NASM defines as the ability to produce large amounts of force quickly, and plays an important role in maintaining mobility and performing daily tasks. Muscular power also declines faster than muscular strength, Kimble notes, which is why it’s helpful for older adults (or any athlete) to focus on maintaining it.

Cyclists of all ages can use plyometrics to maintain muscular power and ward off sarcopenia. However, plyometrics can be stressful for joints, so building a solid foundation with traditional strength exercises is essential before adding jump training. From there, start with lower-intensity plyometric options, such as those targeted at the upper-body exercises, like medicine ball chest passes and plyo push-ups, or limit how high you jump with lower-body exercises, suggests ACE.

Solid nutrition is the other piece of the equation in preventing sarcopenia—protein in particular. One meta-analysis found that older adults with sarcopenia consumed significantly less protein than their non-sarcopenic peers. As protein is the primary macronutrient in maintaining and building muscle, it’s vital to include adequate protein in your diet.

In general, active adults require higher amounts of protein to keep up with the constant breakdown of muscle tissue. Aim for about 0.7 to 1.1 grams of protein per pound of bodyweight per day to help maintain your muscle mass.

 

 
This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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Monday, July 11, 2022

This isometric exercise can help lower your blood pressure

How to lower blood pressure

High blood pressure or hypertension refers to elevated pressure on and reduced blood flow in the arteries. The excessive pressure can harden arteries and decrease the blood flow and oxygen to the heart, which is why increased blood pressure is a common risk factor for cardiovascular diseases including heart attack.

According to the World Health Organization (WHO), an estimated 1.28 billion adults aged 30-79 years worldwide have hypertension, of which an estimated 46% of adults are unaware that they have the condition.

However, there are several ways you get your blood pressure under control. Matter of fact, approximately 1 in 5 adults (21%) with hypertension have it under control, as per the global health body.

With healthy lifestyle habits, which includes eating a healthy diet and regular physical activity, blood pressure can be managed.

Can exercise lower high blood pressure?

According to the Mayo Clinic, your risk of high blood pressure (hypertension) increases with age, but getting some exercise can make a big difference.

"Regular physical activity makes your heart stronger. A stronger heart can pump more blood with less effort. As a result, the force on your arteries decreases, lowering your blood pressure," the health body explains.

Furthermore, it adds saying, "You should try to get at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity a week, or a combination of the two. Aim for at least 30 minutes of aerobic activity most days of the week. If you're not used to exercising, work slowly toward this goal."

What does research say?

Besides effective cardio workout, a recent study published in the National Library of Medicine recommends exercise that resembles a handshake to lower blood pressure.

Researchers believe isometric handgrip home training is very effective when it comes to lowering blood pressure levels.

Hand grip exercises are exercises that build a strong grip and involve your wrist, palm, and finger muscles. These are also categorized under isometric training which include exercises that tighten or contract specific muscle or group of muscles.

The study included participants, who engaged in 10 handgrip exercises three times a week for eight weeks.“The results of this study indicate that isometric handgrip exercises improve resting systolic blood pressure," the researchers said.

It was also found that the body’s main arteries became more flexible as a result of the exercise.

As per standard protocol, a resistance bar or band or hand gripper must be squeezed with one hand for two minutes. Each session consists of two hand contractions of 2 min at 30% of maximal power. 1 min of rest between contractions with an overall session duration of 12 min.

Other ways to lower blood pressure

The best way to lower blood pressure levels is through lifestyle changes. Here are some habits you must adopt and some that you must give up:

- Eat healthy, unprocessed and less oily foods

- Cut down on your salt-intake

- Exercise regularly

- Lose weight

- Limit alcohol consumption and smoking

- Avoid caffeinated and sugary drinks


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