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facet of age-related sarcopenia is the deterioration of type II fast-twitch muscle fibers, crucial for muscle strength and
overall performance.
Sarcopenia emerges as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and
strength. It is inexorably linked with physical disability, diminished quality of life, and, notably, increased mortality rates.
Observational studies have indicated a substantial prevalence of sarcopenia among critically ill patients, affecting up to 60%
of individuals admitted to intensive care units, especially those requiring mechanical ventilation.
In light of these findings, this review aims to provide insights into the epidemiological, pathophysiological, and clinical
facets of sarcopenia. We underscore its particular relevance in the context of critically ill patients in intensive care
units, examining the profound impact on mortality. Furthermore, we delve into contemporary diagnostic methods for
identification and available treatment modalities, aiming to shed light on the complexities of this pervasive and under-
recognized condition.
Keywords: sarcopenia, muscle weakness, critical illness, intensive care unit, mortality
Literatura 14. Buckinx F, Landi F, Cesari M, Fielding RA, Visser M, Engelke K, et al.
Pitfalls in the measurement of muscle mass: a need for a reference
standard. J Cachexia Sarcopenia Muscle. 2018 Apr;9(2):269-78.
1. Clark BC. Neuromuscular Changes with Aging and Sarcopenia. J Frailty 15. Nishikawa H, Asai A, Fukunishi S, Takeuchi T, Goto M, Ogura T, et al.
Aging. 2019;8(1):7-9. Screening Tools for Sarcopenia. In Vivo. 2021 Nov-Dec;35(6):3001-9.
2. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et 16. Lee K, Shin Y, Huh J, Sung YS, Lee IS, Yoon KH, et al. Recent Issues on
al. Writing Group for the European Working Group on Sarcopenia in Body Composition Imaging for Sarcopenia Evaluation. Korean J Radiol.
Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. 2019 Feb;20(2):205-17.
Sarcopenia: revised European consensus on definition and diagnosis.
Age Ageing. 2019 Jan 1;48(1):16-31. 17. Tagliafico AS, Bignotti B, Torri L, Rossi F. Sarcopenia: how to measure,
when and why. Radiol Med. 2022 Mar;127(3):228-37.
3. Cruz-Jentoft AJ, Sayer AA. Sarcopenia. Lancet. 2019 Jun
29;393(10191):2636-46. 18. Akan B. Influence of sarcopenia focused on critically ill patients. Acute
4. Vellas B, Fielding RA, Bens C, Bernabei R, Cawthon PM, Cederholm T, et Crit Care. 2021 Feb;36(1):15-21.
al. Implications of ICD-10 for Sarcopenia Clinical Practice and Clinical 19. Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R,
Trials: Report by the International Conference on Frailty and Sarcopenia Higashiguchi T, et al. GLIM Core Leadership Committee; GLIM Working
Research Task Force. J Frailty Aging. 2018;7(1):2-9. Group. GLIM criteria for the diagnosis of malnutrition - A consensus
5. Mijnarends DM, Luiking YC, Halfens RJG, Evers SMAA, Lenaerts report from the global clinical nutrition community. Clin Nutr. 2019
Feb;38(1):1-9.
ELA, Verlaan S, et al. Muscle, Health and Costs: A Glance at their
Relationship. J Nutr Health Aging. 2018;22(7):766-73. 20. Zhang XM, Chen D, Xie XH, Zhang JE, Zeng Y, Cheng AS. Sarcopenia as a
predictor of mortality among the critically ill in an intensive care unit: a
6. Schaap LA, van Schoor NM, Lips P, Visser M. Associations of Sarcopenia systematic review and meta-analysis. BMC Geriatr. 2021 Jun 2;21(1):339.
Definitions, and Their Components, With the Incidence of Recurrent
Falling and Fractures: The Longitudinal Aging Study Amsterdam. J 21. Baggerman MR, van Dijk DPJ, Winkens B, van Gassel RJJ, Bol ME,
Gerontol A Biol Sci Med Sci. 2018 Aug 10;73(9):1199-204. Schnabel RM, et al. Muscle wasting associated co-morbidities, rather
7. Bone AE, Hepgul N, Kon S, Maddocks M. Sarcopenia and frailty in than sarcopenia are risk factors for hospital mortality in critical illness. J
Crit Care. 2020 Apr;56:31-36.
chronic respiratory disease. Chron Respir Dis. 2017 Feb;14(1):85-99.
8. Chang KV, Hsu TH, Wu WT, Huang KC, Han DF. Association Between 22. Shibahashi K, Sugiyama K, Kashiura M, Hamabe Y. Decreasing skeletal
muscle as a risk factor for mortality in elderly patients with sepsis: a
Sarcopenia and Cognitive Impairment: A Systematic Review and Meta- retrospective cohort study. J Intensive Care. 2017 Jan 11;5:8.
Analysis. J Am Med Dir Assoc. 2016 Dec 1;17(12):1164.e7-1164.e15.
23. Dres M, Demoule A. Diaphragm dysfunction during weaning from
9. Petermann-Rocha F, Balntzi V, Gray SR, Lara J, Ho FK, Pell JP, et al. Global mechanical ventilation: an underestimated phenomenon with clinical
prevalence of sarcopenia and severe sarcopenia: a systematic review implications. Crit Care. 2018 Mar 20;22(1):73.
and meta-analysis. J Cachexia Sarcopenia Muscle. 2022 Feb;13(1):86-99.
24. Kanova M, Kohout P. Molecular Mechanisms Underlying Intensive
10. Ibrahim K, Mullee MA, Cox N, Russell C, Baxter M, Tilley S, et al. The Care Unit-Acquired Weakness and Sarcopenia. Int J Mol Sci. 2022 Jul
feasibility and acceptability of assessing and managing sarcopenia and 29;23(15):8396.
frailty among older people with upper limb fracture. Age Ageing. 2022
Jan 6;51(1):afab252. 25. Kou HW, Yeh CH, Tsai HI, Hsu CC, Hsieh YC, Chen WT, et al. Sarcopenia is
11. Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. an effective predictor of difficult-to-wean and mortality among critically
ill surgical patients. PLoS One. 2019 Aug 8;14(8):e0220699.
Relationship between sarcopenia and physical activity in older people:
a systematic review and meta-analysis. Clin Interv Aging. 2017 May 26. Trethewey SP, Brown N, Gao F, Turner AM. Interventions for the
17;12:835-45. management and prevention of sarcopenia in the critically ill: A
systematic review. J Crit Care. 2019 Apr;50:287-95.
12. Papadopoulou SK, Tsintavis P, Potsaki P, Papandreou D. Differences in
the Prevalence of Sarcopenia in Community-Dwelling, Nursing Home 27. Damanti S, Azzolino D, Roncaglione C, Arosio B, Rossi P, Cesari M.
and Hospitalized Individuals. A Systematic Review and Meta-Analysis. J Efficacy of Nutritional Interventions as Stand-Alone or Synergistic
Nutr Health Aging. 2020;24(1):83-90. Treatments with Exercise for the Management of Sarcopenia. Nutrients.
13. Steffl M, Sima J, Shiells K, Holmerova I. The increase in health care costs 2019 Aug 23;11(9):1991.
associated with muscle weakness in older people without long-term 28. Nonoyama T, Shigemi H, Kubota M, Matsumine A, Shigemi K, Ishizuka T.
illnesses in the Czech Republic: results from the Survey of Health, Neuromuscular electrical stimulation in the intensive care unit prevents
Ageing and Retirement in Europe (SHARE). Clin Interv Aging. 2017 Nov muscle atrophy in critically ill older patients: A retrospective cohort
27;12:2003-7.
REVIJALNI RADOVI Galenika Medical Journal, 2023; 2(8):25-34. 33

