Sarcopenia in children: Lecture

Abstract

Primary sarcopenia characterizes frailty of old age. Secondary sarcopenia can occur in both adults and children with severe somatic or surgical pathology. A model for studying sarcopenia in children can be patients with cerebral palsy, whose muscle development differs from typically developing children. The lecture presents the mechanism of the development of sarcopenia, diagnostic criteria for adult patients presented in consent documents, as well as analogues of diagnostic scales used in pediatric practice. The diagnosis of sarcopenia in children has something in common with the diagnosis of the patient’s nutritional status. Diagnosis of sarcopenia in children using bioimpedansometry method was proposed by the authors, and a Eurasian patent was received. Based on the volumes of adipose and active cellular tissue in the component composition of the body: with a combination of a percentage of fat mass of 40.5% and above and a percentage of active cell mass of 37% and below, sarcopenia is diagnosed, and with a combination of a percentage of fat mass of 30.5% and above and percentage of active cell mass from 37% to 43.5% is diagnosed as presarcopenia. Options for preventing sarcopenia are presented, including patented ones. A multidisciplinary approach to working with a patient with sarcopenia includes, while treating the underlying disease, nutritious nutrition, restoration of the intestinal microflora and motor activity of the patient.