Muscle loss in the elderly can be effectively improved through nutritional interventions, resistance training, protein supplementation, vitamin D regulation, and hormone therapy. Muscle loss is closely related to factors such as aging, reduced protein synthesis, and decreased physical activity, and comprehensive measures need to be taken to slow down the process.
1. Nutritional intervention
Ensuring a daily intake of high-quality protein helps maintain muscle mass, and it is recommended to choose high biological value foods such as eggs, lean meat, whey protein, etc. Properly increasing ingredients rich in leucine, such as soybeans and fish, can stimulate muscle protein synthesis. At the same time, it is necessary to control the proportion of refined carbohydrates to avoid accelerating muscle breakdown due to blood sugar fluctuations.
2. Resistance training
Conducting equipment training or self weight training at least 3 times a week can significantly improve muscle fiber quality. Compound movements such as squats and presses can simultaneously exercise multiple muscle groups, and using elastic bands for progressive load training is suitable for those with weak foundations. During training, attention should be paid to the standardization of movements, with 8-12 repetitions per group until exhaustion as the effective intensity.
3. Protein supplementation
Whey protein powder has the best supplementation effect within 30 minutes after exercise, and the combination of casein can prolong the release time of amino acids. Vegetarians can choose soy protein isolate and add branched chain amino acid supplements if necessary. The recommended daily total protein intake is calculated at 1.2-1.5 grams per kilogram of body weight, with 4-5 supplements for higher absorption rate.
4. Vitamin D regulation
Maintaining serum 25 hydroxyvitamin D levels above 30ng/ml is crucial for maintaining muscle function. In addition to supplementing 800-1000IU of vitamin D3 daily, sunbathing 2-3 times a week can also promote skin synthesis. Patients with combined osteoporosis need to supplement with calcium supplements, but their blood calcium concentration must be monitored to avoid excessive intake.
5. Hormone therapy
Male patients with detected testosterone deficiency can increase lean body mass by using testosterone replacement therapy under the guidance of a doctor. Growth hormone releasing peptide analogs can improve muscle synthesis metabolism, but strict assessment of cardiovascular risk is necessary. Postmenopausal women should use estrogen replacement with caution, balancing the safety of the breast and endometrium. Intervention for muscle loss in the elderly requires long-term adherence to a combination of nutritional management and exercise. It is recommended to regularly conduct body composition analysis to monitor changes in muscle mass. Daily activities such as climbing stairs and gardening can be increased to resist gravity, and cooking should prioritize steaming to preserve the nutrition of ingredients. Sleep quality is crucial for muscle repair, ensuring at least 7 hours of high-quality sleep and avoiding alcohol intake before bedtime that affects growth hormone secretion. When sustained fatigue or decreased exercise ability occurs, timely medical attention should be sought to investigate secondary factors such as thyroid dysfunction.
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