Sarcopenia Resistance Protocols are evidence-based, structured intervention programs designed to prevent, slow, or reverse the progressive and generalized loss of skeletal muscle mass and strength that occurs with aging. These protocols integrate specific components of nutrition, resistance training, and hormonal optimization to maximize muscle protein synthesis and minimize muscle protein breakdown. The clinical aim is to maintain functional independence, improve metabolic health, and reduce the risk of frailty and falls.
Origin
Sarcopenia, derived from the Greek words for “flesh” and “poverty,” was formally defined in the late 20th century as a distinct clinical syndrome. The development of “Resistance Protocols” stems from decades of research in geriatrics, exercise science, and endocrinology, demonstrating the modifiability of age-related muscle loss. These protocols represent the clinical translation of foundational muscle biology into practical intervention.
Mechanism
The core mechanism is the synergistic activation of the muscle’s anabolic machinery. This involves high-intensity resistance exercise to provide the mechanical stimulus, coupled with strategically timed, high-quality protein and essential amino acid intake to maximize mTOR pathway activation. Hormonal optimization, particularly the restoration of optimal testosterone, growth hormone, and Vitamin D levels, further enhances the muscle’s responsiveness to the mechanical and nutritional signals, tipping the balance toward net anabolism.
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