Sarcopenia in chronic kidney disease.
Sarcopenia is a chronic condition associated with physiological aging process and is defined by the reduction of the mass, muscle strength and function. In Chronic Kidney Disease (CKD), sarcopenia is prevalent and is associated with increased morbidity and mortality and the occurrence of cardiovascular complications. By analyzing sarcopenia in patients with renal insufficiency, complex mechanisms that contribute to loss of muscle mass are highlighted, such as activation of mediators that stimulate the ubiquitin-proteasome system (SUP) ATP-dependent, inflammation, metabolic acidosis, angiotensin II and some hormonal factors. The therapeutic approach to sarcopenia in CKD includes exercises, correction of metabolic acidosis, hormone replacement therapy and insulin resistance. Thus, it is of paramount importance early recognition of sarcopenia in this population, in order to establish effective therapeutic interventions, thus avoiding the full range of complications associated with muscle wasting in CKD.
Universidade Federal de Juiz de Fora, Brasil.
Viviane Angelina de
VA
Souza
Universidade Federal de Juiz de Fora, Brasil.
Dílmerson de
Dd
Oliveira
Universidade Federal do Pernambuco, Brasil.
Henrique Novais
HN
Mansur
Universidade Federal de Juiz de Fora, Brasil.
Natália Maria da Silva
NM
Fernandes
Universidade Federal de Juiz de Fora, Brasil.
Marcus Gomes
MG
Bastos
D006801:Humans; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D055948:Sarcopenia / Q000209:etiology*