Adequate Judgment and Management for Elderly Patients with Sarcopenia from Various Points of View

Sarcopenia has been recently in focus for elderly people, and Asian Working Group for Sarcopenia (AWGS) and European Working Group on Sarcopenia in Older People 2 (EWGSOP2) have an important role. The causes of sarcopenia include aging, underactivity, malnutrition, illness, hospitalization, medicines and so on. For diagnosis, several inventories can be applied such as Mini Nutritional Assessment (MNA). For the elderly with sarcopenia, several steps would be recommended as follows: i) evaluate nutritional status and the causes of sarcopenia, ii) eliminate the cause and approach nutrition therapy together, iii) a target energy and nutrition amount is secured, iv) nutritional intervention will be started such as branched chain amino acids (BCAA) including valine, leucine and isoleucine.

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