The Curbsiders Internal Medicine Podcast #186 Sarcopenia: Raising the Bar in Primary Care
Dec 2, 2019
Join Dr. Austin Baraki, an academic hospitalist, and Dr. Jordan Feigenbaum, a primary care physician and Barbell Medicine founder, as they dive into sarcopenia, the decline in muscle strength. They discuss how to diagnose and manage this condition through exercise prescriptions and tailored nutritional advice. Discover their insights on engaging patients in lifestyle changes despite comorbidities, and the vital role of resistance training and protein intake. Expect personal anecdotes and humor sprinkled throughout this enlightening conversation on health!
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Sarcopenia's Impact Beyond Aging
- Muscle strength loss accelerates after age 50 and links strongly with increased mortality.
- Sarcopenia occurs at any age and can be acute, notably in critical illness.
Simple Sarcopenia Screening Tests
- Use physical performance tests like repeat chair sit-to-stand, timed up and go, or gait speed for sarcopenia screening.
- These practical tests take under 30 seconds and detect functional muscle impairment.
Labs and Questionnaires in Sarcopenia
- No specific lab test diagnoses sarcopenia but very low serum creatinine in normal kidney function signals low muscle mass.
- SARC-F questionnaire helps assess functional impairment, useful in screening.
