Anabolic Resistance Countermeasures represent targeted clinical strategies designed to restore or improve the skeletal muscle’s diminished responsiveness to anabolic stimuli, particularly amino acids and mechanical loading. Clinically, this condition often underlies sarcopenia and impaired recovery post-injury or surgery. Addressing this resistance is crucial for maintaining lean body mass and functional capacity in aging populations. We aim to overcome the impaired signaling downstream of the insulin and IGF-1 pathways.
Origin
The term arises from endocrinology and exercise physiology, stemming from observations that aging or catabolic states blunt the expected protein synthesis response to nutrients. Countermeasures derive their basis from established principles of nutrient timing and resistance exercise prescription, adapted to overcome inherent cellular signaling deficits. Understanding the root cause, often related to chronic inflammation or receptor signaling inefficiency, guides the intervention selection.
Mechanism
These countermeasures typically operate by enhancing insulin sensitivity or directly amplifying the mechanistic target of rapamycin (mTOR) signaling cascade in muscle fibers. Strategies often involve optimizing essential amino acid intake, especially leucine, or employing specific exercise protocols that create a potent local anabolic environment. Successful application results in improved post-prandial nitrogen retention and net positive protein balance, counteracting catabolic tendencies.
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