Impact of sarcopenia in trauma and surgical patient population: A literature review.

Abstract:

:Sarcopenia refers to the progressive and generalised loss of skeletal muscle mass and strength with a risk of adverse outcomes such as physical disability, poor quality of life and mortality. The present review explored the impact, diagnosis, prevention and management of sarcopenia in surgical and trauma patients. Recent evidence suggests that there are many factors contributing to its development other than age. Pathophysiology of sarcopenia is complex which makes its diagnosis difficult and there is no universal approach. It is a predictor of poor outcomes including post-operative complications, length of hospital stay and mortality in trauma and surgery patients. Sedentary lifestyle, age-dependent hormone and cytokine imbalance, decreased protein synthesis and regeneration, and motor unit remodelling are some of the main risk factors for sarcopenia. Dual energy X-ray absorptiometry, bio-electrical impedance analysis and computed tomography are frequently utilized for its diagnosis. Management of sarcopenia involves appropriate management of comorbidities, interventions to facilitate physical activities, nutrition interventions and pharmacotherapy.

journal_name

Asian J Surg

journal_title

Asian journal of surgery

authors

Wahlen BM,Mekkodathil A,Al-Thani H,El-Menyar A

doi

10.1016/j.asjsur.2019.10.010

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

647-653

issue

6

eissn

1015-9584

issn

0219-3108

pii

S1015-9584(19)30828-0

journal_volume

43

pub_type

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