Sarcopenia Clinical Trial
Official title:
Associated Risk Factors and Effect of Nutritional Intervention for Sarcopenia and Constipation in Middle-Aged and Old People
Sarcopenia is an age-related poor healthy outcome. nutrition intervention is one , progressive, generalized loss of muscle mass and the decrement in physical activity. Sarcopenia is associated with subsequent health hazards such as disability, falls, functional degeneration, hospitalization and death. There are similar causes between sarcopenia and constipation such as aging, reduced mobility, changes in diet and co-morbidities. Nutrition plays an important role for muscle maintenance. The trial tries to figure out the effect of enriched branched-chain amino acid (BCAA) nutrient on muscle mass, strength and physical performance of sarcopenia in the middle-aged and old people.
Sarcopenia is the progressive loss of skeletal muscle that comes with aging. The population
in the World Health Organization (WHO) is ageing rapidly and the proportion of people aged 65
and older will get forecast to increase 25% in 2050. In aging society, sarcopenia has been
valued in countries all over the world. The appearance of sarcopenia is associated with
decreased physical function, falls, fractures, disability, hospitalization, and poor quality
of life. Constipation is a common healthy problem. Similar mechanism and risk factors between
sarcopenia and constipation are observed with the association of nutrition, but the
interrelationships between them is rarely studied.
Prevention and treatment of sarcopenia is more and more important in the health care.
Exercise has positive effects in muscle mass and strength but frail elder can't perform
exactly. In addition, dietary intervention is one of the major key to reduce the rate of
muscle mass loss and maintain physical performance and function.
Recent studies have found that daily and/or supplemental protein is effective prevention of
sarcopenia. Protein is composed of amino acids that can induce a muscle protein anabolic
response conditioned by the availability of branched-chain amino acids (such as leucine,
isoleucine, valine). Delayed amino acid absorption and anabolic resistance are frequently
noted among elderly. Branched chain amino acid (BCAA) or leucine supplementation stimulates
muscle protein synthesis.
The recommendation about nutrition for preventing sarcopenia was still inconsistent. The time
of study for muscle parameter improvement varies from three days to seven days. At present,
there is no consensus about the optimal type of nutritional supplements and hint of how long
does nutrition take.
The aim of the present study is to evaluate the influence of enriched BCAA on those people
with pre-sarcopenia or sarcopenia. The hypothesis is that subjects after enriched-BCAA
supplement improves their physical function, muscle strength, and muscle mass. Subsequently,
when dis-continued enriched-BCAA muscle-related outcomes would decline.
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