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Rehabilitation: Sarcopenia Exercise Therapy

Resistance training, protein intake, EWGSOP2 criteria, frailty prevention

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Rehabilitation: Sarcopenia Exercise Therapy?

Sarcopenia involves quantitative loss of muscle mass plus reduced muscle strength or physical performance. EWGSOP2 algorithm uses SARC-F questionnaire screening, grip strength measurement (under 27 kilograms in men, 16 in women), confirmed by appendicular skeletal muscle index from DXA or BIA below sex-specific cutoffs, and severity classified by gait speed under 0.8 meter per second.

Pathogenesis involves anabolic resistance with aging, chronic low-grade inflammation, mitochondrial dysfunction, neuromuscular junction degradation, and reduced satellite cell function. Disuse, malnutrition with insufficient protein, vitamin D deficiency, and chronic disease accelerate loss. Falls, disability, hospitalization, and mortality all increase.

Progressive resistance training is the cornerstone: 2 to 3 sessions weekly with 8 to 10 exercises targeting major muscle groups at 60 to 80 percent of one-repetition maximum, 8 to 12 repetitions, 2 to 3 sets, with 48 to 72 hours rest between sessions. Combined with whey protein 25 to 40 grams within 30 minutes post-exercise, leucine-enriched supplements, vitamin D 800 to 2000 IU daily, and treatment of underlying chronic disease.

Symptoms

Slow walking speed
Difficulty rising from chair
Weak grip strength
Unintentional weight and muscle loss
Increased fall risk and frailty

Risk Factors

Age over 65
Chronic disease (cancer, COPD, heart failure)
Sedentary lifestyle and bed rest
Insufficient protein intake
Vitamin D deficiency and hospitalization

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For unintentional muscle loss
  • For frequent falls or weakness
  • For positive SARC-F screening
  • For frailty assessment in elderly
  • Pre-surgical prehabilitation

Treatment Methods

01
Progressive resistance training 2-3 sessions weekly
02
Protein intake 1.2-1.5 g/kg daily
03
Whey protein 25-40 g post-exercise
04
Vitamin D 800-2000 IU daily if deficient
05
Address underlying chronic disease
06
Multimodal approach with aerobic and balance training

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.