Wakabayashi Hidetaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Review article
Language English
Peer review Peer reviewed
Presence of invitation Invited paper
Title Definition, diagnosis, and treatment of respiratory sarcopenia.
Journal Formal name:Current opinion in clinical nutrition and metabolic care
Abbreviation:Curr Opin Clin Nutr Metab Care
ISSN code:14736519/13631950
Domestic / ForeginForegin
Volume, Issue, Page pp.1
Author and coauthor Miyazaki Shinjiro, Tamaki Akira, Wakabayashi Hidetaka, Arai Hidenori
Authorship Corresponding author
Publication date 2023/11
Summary PURPOSE OF REVIEW:Skeletal muscle weakness and wasting also occurs in the respiratory muscles, called respiratory sarcopenia. Respiratory sarcopenia may lead to worse clinical indicators and outcomes. We present a novel definition and diagnostic criteria for respiratory sarcopenia, summarize recent reports on the association between respiratory sarcopenia, physical and nutritional status, and clinical outcomes, and provide suggestions for the prevention and treatment of respiratory sarcopenia.RECENT FINDINGS:Recently, a novel definition and diagnostic criteria for respiratory sarcopenia have been prepared. Respiratory sarcopenia is defined as a condition in which there is both low respiratory muscle strength and low respiratory muscle mass. Respiratory muscle strength, respiratory muscle mass, and appendicular skeletal muscle mass are used to diagnose respiratory sarcopenia. Currently, it is challenging to definitively diagnose respiratory sarcopenia due to the difficulty in accurately determining low respiratory muscle mass. Decreased respiratory muscle strength and respiratory muscle mass are associated with lower physical and nutritional status and poorer clinical outcomes. Exercise interventions, especially respiratory muscle training, nutritional interventions, and their combinations may effectively treat respiratory sarcopenia. Preventive interventions for respiratory sarcopenia are unclear.SUMMARY:The novel definition and diagnostic criteria will contribute to promoting the assessment and intervention of respiratory sarcopenia.
DOI 10.1097/MCO.0000000000001003
PMID 38126204