Immobility Flashcards
What is the commonest type of disability in the elderly?
Problems with locomotion
What is the commonest cause of disability in the elderly?
Musculoskeletal conditions
What types of trauma cause functional limitations in the elderly?
Brain injury Spinal cord injury Multiple trauma Fractures Fall
What illnesses cause functional limitations in the elderly?
Stroke Cardiac failure MI Cancer Infections (UTI, pneumonia)
Which long term conditions cause functional limitations in the elderly?
COPD Diabetes Arthritis Parkinson's disease Multiple sclerosis
What is sarcopenia?
Age related loss of muscle mass and function
At what age does muscle mass start to decline?
30 years old
What is sarcopenia obesity?
Loss of muscle mass with increased fat levels
What are the consequences of sarcopenia?
Add picture
List mechanisms of sarcopenia
Age-related (sex hormones, apoptosis)
Neuro-degenerative disease (motoneuron loss)
Cachexia (wasting of the body due to illness)
Starvation/Malabsorption
Disuse (immobility, physical inactivity, zero gravity)
Endocrine (corticosteroids, GH, IGF-2, thyroid, insulin resistance)
What interventions can improve sarcopenia?
Exercise
Progressive resistance training and functional measures (gait speed, chair stands)
What is the recommended weekly exercise for adults?
150 minutes of moderate to vigorous activity
Strength and balance work at least 2 times a week
What are some inventions for sarcopenia?
Nutrition- calcium and vit D + protein supplementation
Creatinine
ACEi