Structured, multi-modal clinical programs designed to counteract age-related skeletal muscle mass and strength loss, sarcopenia, by addressing underlying anabolic deficits. These protocols typically integrate specific resistance training parameters with optimized nutritional support and, often, targeted endocrine modulation. The goal is to restore functional muscle protein synthesis.
Origin
The term originates from geriatric medicine and exercise physiology, focusing on reversing the decline in muscle mass which severely impacts metabolic health and longevity. In our domain, reversal necessitates addressing the anabolic resistance often seen with declining growth factors and sex steroids. It represents an active countermeasure to physiological aging.
Mechanism
The primary mechanism involves mechanical tension from progressive resistance exercise, which stimulates the mTOR pathway critical for muscle protein synthesis. Concurrently, optimizing anabolic hormones like testosterone or GH signaling maximizes the cellular machinery available for hypertrophy. Adequate amino acid availability, particularly leucine, is necessary to bridge the gap between stimulus and tangible tissue gain.
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