2020
DOI: 10.1186/s13098-020-0523-x
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Mechanism of increased risk of insulin resistance in aging skeletal muscle

Abstract: As age increases, the risk of developing type 2 diabetes increases, which is associated with senile skeletal muscle dysfunction. During skeletal muscle aging, mitochondrial dysfunction, intramyocellular lipid accumulation, increased inflammation, oxidative stress, modified activity of insulin sensitivity regulatory enzymes, endoplasmic reticulum stress, decreased autophagy, sarcopenia and over-activated renin-angiotensin system may occur. These changes can impair skeletal muscle insulin sensitivity and increas… Show more

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Cited by 167 publications
(147 citation statements)
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“…25,26 The aging mechanisms that lead to tissue dysfunctions are related to, lipid accumulation in cells, intracellular dysfunctions in mitochondrial activities, proinflammatory states, high oxygen reactive species and free radicals causing oxidative stress, dysfunction of insulin sensitivity regulatory enzymes and autophagy. 27 Intramyocellular involvement and sarcopenia is also associated with all the above mentioned mechanisms and exacerbates insulin resistance with its consequences. Therefore, during skeletal muscle aging there will be an increase in insulin resistance that leads to T2DM.…”
Section: Discussionmentioning
confidence: 99%
“…25,26 The aging mechanisms that lead to tissue dysfunctions are related to, lipid accumulation in cells, intracellular dysfunctions in mitochondrial activities, proinflammatory states, high oxygen reactive species and free radicals causing oxidative stress, dysfunction of insulin sensitivity regulatory enzymes and autophagy. 27 Intramyocellular involvement and sarcopenia is also associated with all the above mentioned mechanisms and exacerbates insulin resistance with its consequences. Therefore, during skeletal muscle aging there will be an increase in insulin resistance that leads to T2DM.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies have associated age-related processes, such as increase in adiposity, skeletal muscle mitochondrial dysfunction and chronic low-grade inflammation, with insulin resistance [ 117 , 118 , 119 ]. Nutritional interventions may aid in preventing or delaying prediabetes by optimizing the biomarkers correlated with these deleterious processes.…”
Section: Discussionmentioning
confidence: 99%
“…Such investigations may measure postprandial glucose and insulin concentrations following an oral glucose tolerance test, or the gold-standard hyperinsulinaemic-euglycaemic clamp technique [89]. The findings from these trials may be of particular importance for older persons, given that glycaemic control may be impaired in this population due to losses in skeletal muscle mass and function that predispose individuals to reduced skeletal muscle insulin sensitivity [34,90].…”
Section: Glycaemic Controlmentioning
confidence: 99%