
Muscle loss, or atrophy, is a decrease in muscle mass and strength. It can be caused by various factors, including age, genetics, malnutrition, nerve problems, disease, and lack of physical activity. Malnutrition, for example, can lead to inadequate nutritional intake, resulting in muscle wasting. Diseases such as cancer, sepsis, and heart failure are associated with muscle wasting, while conditions like muscular dystrophy directly cause muscle weakness and mass loss. Physiologic atrophy occurs when muscles are not used enough, and neurogenic atrophy is due to nerve problems. Treatments for muscle loss include exercise, physical therapy, ultrasound therapy, and dietary changes.
| Characteristics | Values |
|---|---|
| General Term | Muscle Loss |
| Medical Term | Muscle Atrophy |
| Type of Muscle Atrophy | Physiologic, Pathologic, Neurogenic |
| Causes | Malnutrition, Age, Genetics, Lack of Physical Activity, Medical Conditions |
| Reversible | Yes |
| Treatments | Exercise, Physical Therapy, Ultrasound Therapy, Surgery, Dietary Changes |
| Related Conditions | Sarcopenia, Muscular Dystrophy, Multiple Sclerosis, Spinal Muscular Atrophy |
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Malnutrition
Recent definitions of malnutrition include low muscle mass within its diagnostic criteria. Malnutrition is one of the main risk factors for skeletal muscle loss, contributing to the onset of sarcopenia. Skeletal muscle loss is one of the main features of malnutrition in community-dwelling and hospitalized patients and dramatically impacts their need for care and quality of life. Early identification of malnutrition in high-risk populations is essential, yet current tools to screen and diagnose malnutrition based on measures of body weight do not reflect skeletal muscle loss.
Low muscle strength and mass are highly prevalent in older hospitalized patients and are associated with adverse outcomes. Malnutrition may be a risk factor for developing low muscle mass. In a prospective cohort of older patients, it was found that patients with lower muscle strength and muscle mass at admission were at risk of a higher number of geriatric conditions, including malnutrition, falls, and functional disability. It can be speculated that malnutrition in combination with physical inactivity not only causes muscle wasting but may also have adverse impacts on muscle strength and physical functioning.
Muscle atrophy, or the wasting or thinning of muscle mass, can be caused by disuse of muscles or neurogenic conditions. Disuse atrophy occurs when you don't use your muscles enough, and your body starts to break them down, causing them to decrease in size and strength. Malnutrition is one of the factors that can lead to disuse atrophy.
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Lack of physical activity
Muscle atrophy is the wasting or thinning of muscle mass. It can be caused by the disuse of muscles or neurogenic conditions. Physiologic atrophy, or muscle atrophy due to inactivity, can occur if a person remains immobile while recovering from an illness or injury, or simply due to a sedentary lifestyle.
The amount of time it takes for muscle atrophy to set in depends on the individual's age, fitness level, and cause of atrophy. If muscle atrophy is due to disuse, the process can start within two to three weeks of not using the muscles. The consequences of muscle atrophy include overall weakness, poor balance, and even frailty.
The good news is that muscle atrophy due to inactivity is reversible. Muscle mass can be rebuilt through a comprehensive program that includes physical therapy, strength training, cardio, flexibility, and a nutrition plan that includes more protein and calories. Progressive resistance-based strength training can help improve strength and reverse muscle loss.
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Ageing
Sarcopenia is characterised by a decrease in the size and number of muscle fibres, leading to a loss of muscle tissue. At the cellular level, age-related alterations include a reduction in muscle cell number, muscle twitch time and twitch force, sarcoplasmic reticulum volume, and calcium pumping capacity. Sarcomere spacing becomes disorganized, muscle nuclei become centralized along the muscle fibre, and the plasma membrane of the muscle becomes less excitable. Additionally, there is an increase in fat accumulation within and around the muscle cells, further contributing to muscle loss.
Hormonal changes during the ageing process may also contribute to muscle loss. For example, testosterone levels gradually decrease with age, and since testosterone increases muscle protein synthesis, its decline may result in reduced muscle mass. Other hormones that decrease with age include growth hormone and insulin-like growth factor.
In addition to the biological changes associated with ageing, older adults may also have additional risk factors that contribute to muscle loss, such as inactivity, a poor diet, and chronic disease. Studies suggest that staying active and maintaining a healthy diet can help reduce the risk of sarcopenia and improve muscle strength. Progressive resistance-based strength training is recommended to improve muscle strength and reverse muscle loss. Additionally, consuming adequate calories, protein, and other essential nutrients is crucial for slowing down the rate of muscle loss.
While ageing does cause muscle loss, it is important to note that this process can be slowed or even reversed through lifestyle interventions such as regular physical activity, resistance training, and a nutritious diet.
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Genetic disorders
There are several genetic disorders that can cause muscle loss. One of the most well-known groups of disorders is muscular dystrophy (MD), which refers to a group of over 30 genetic diseases that cause progressive weakness and degeneration of skeletal muscles. The main symptom of muscular dystrophy is muscle weakness that gets worse over time, leading to the eventual loss of strength and muscle wasting. The condition is caused by changes or mutations in the genes responsible for producing proteins necessary for healthy muscle structure and function. There are many types of muscular dystrophy, including Duchenne, Becker, and facioscapulohumeral (FSHD) muscular dystrophy, with symptoms ranging from mild to severe and varying ages of onset.
Another group of genetic disorders that can cause muscle loss are the neuromuscular disorders, which involve dysfunction of peripheral nerves, muscles, or the communication between them. These disorders can lead to muscle weakness, muscle atrophy or loss, and sensory disturbances. Some neuromuscular disorders are genetic and can be inherited from biological parents, while others may result from a random genetic mutation.
Additionally, there are other heritable diseases that affect muscles, nerves, and the neuromuscular junction, such as inflammatory myopathy, progressive muscle weakness, and cardiomyopathy (heart muscle weakness). These diseases may produce symptoms similar to muscular dystrophy but are caused by different genetic defects.
In summary, while muscular dystrophy is a well-known genetic disorder that causes muscle loss, there are also other genetic conditions, such as neuromuscular disorders and heritable diseases affecting the neuromuscular junction, that can contribute to muscle atrophy and weakness.
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Neurogenic atrophy
The diagnosis of neurogenic atrophy involves a physical examination, patient history, and specific tests. These tests may include blood tests, muscle or nerve biopsies, electromyography (EMG), nerve conduction studies, computed tomography (CT) scans, and magnetic resonance imaging (MRI) scans. The specific tests performed depend on the suspected cause and clinical presentation of the patient.
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Frequently asked questions
Yes, muscle atrophy is the thinning or loss of muscle tissue and is common with ageing. Sarcopenia is the age-related progressive loss of muscle mass and strength.
Yes, malnutrition can lead to muscle wasting and loss. Malnutrition can be caused by anorexia nervosa, cancer, and persistent nausea.
Yes, muscular dystrophy is a group of diseases that cause muscles to become weaker and lose mass over time.
Yes, muscle atrophy can be caused by not using muscles enough. This is called physiologic atrophy.











































