<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-6343</journal-id>
<journal-title><![CDATA[Farmacia Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Farm Hosp.]]></abbrev-journal-title>
<issn>1130-6343</issn>
<publisher>
<publisher-name><![CDATA[Grupo Aula Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-63432017000400543</article-id>
<article-id pub-id-type="doi">10.7399/fh.2017.41.4.10802</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Sarcopenia: what should a pharmacist know?]]></article-title>
<article-title xml:lang="es"><![CDATA[Sarcopenia: ¿qué tiene que saber un farmacéutico?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Jentoft]]></surname>
<given-names><![CDATA[Alfonso J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Ramón y Cajal (IRYCIS) Geriatrics Unit ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>4</numero>
<fpage>543</fpage>
<lpage>549</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-63432017000400543&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-63432017000400543&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-63432017000400543&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Sarcopenia (or muscle insufficiency) is a geriatric syndrome characterized by a progressive and generalized loss of skeletal muscle mass and function which has adverse consequences, particularly physical disability, falls and death. It can develop slowly, as a chronic condition that emerges over many years, or acutely, generally due to immobilization associated with an acute disease. The physiopathology of sarcopenia is complex, and affects both the muscle and its neurological and hormonal regulation. The prevalence of sarcopenia increases with age and in certain healthcare settings (nursing homes, hospitals, rehabilitation centres). Its diagnosis is based on the documentation of a low muscle mass associated with low muscle strength and/or low physical performance. Once confirmed, a syndromic approach is needed, based on a comprehensive geriatric assessment in order to determine its causes and prepare a treatment plan which addresses the treatment of symptoms as well as the etiology. Prevention of sarcopenia starts in the adult age, through the promotion of adequate nutritional habits, an increase in physical activity and, ideally, resistance exercise. Sarcopenia treatment must necessarily include resistance exercises (that can be associated with other types of exercise) and an improvement in diet, increasing protein intake up to 1.2-1.5 g/kg/day and covering caloric requirements. In some cases, this will require the use of nutritional supplements, which can contain leucine, beta-hydroxy beta-methylbutyrate acid (HMB) and vitamin D, in order to optimize its effects on the muscle. There are still no medications available to treat sarcopenia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La sarcopenia (o insuficiencia muscular) es un síndrome geriátrico caracterizado por una pérdida progresiva y generalizada de masa y función del músculo esquelético que tiene consecuencias adversas, especialmente la discapacidad física, las caídas y la muerte. Puede producirse de forma crónica, a lo largo de muchos años, o aguda, generalmente por una inmovilización asociada a una enfermedad aguda. La fisiopatología de la sarcopenia es compleja y afecta tanto al músculo como a su regulación neurológica y hormonal. La prevalencia de la sarcopenia aumenta con la edad y en determinados entornos asistenciales (residencias, hospitales, centros de rehabilitación). Su diagnóstico se basa en la documentación de una baja masa muscular asociada a baja fuerza muscular y/o bajo rendimiento físico. Una vez se confirma, es preciso adoptar un enfoque sindrómico y usar una valoración geriátrica integral para determinar sus causas y elaborar un plan de tratamiento que incluya tanto el tratamiento de los síntomas como el etiológico. La prevención de la sarcopenia comienza en la edad adulta, a través de la promoción de hábitos de alimentación correctos, un aumento de la actividad física e, idealmente, ejercicios de resistencia. El tratamiento de la sarcopenia debe incluir necesariamente ejercicios de resistencia (que pueden asociarse a otros tipos de ejercicio) y la mejora de la dieta, aumentando la ingesta proteica hasta 1,2-1,5 g/kg/día y cubriendo los requerimientos calóricos. En algunos casos será preciso para ello el uso de suplementos nutricionales, que pueden contener leucina, ácido &#946;-hidroxi &#946;-metilbutírico (HMB) y vitamina D, para optimizar sus efectos en el músculo. Aún no disponemos de medicamentos para tratar la sarcopenia.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Frailty]]></kwd>
<kwd lng="en"><![CDATA[Geriatric nutrition]]></kwd>
<kwd lng="en"><![CDATA[Mobility]]></kwd>
<kwd lng="en"><![CDATA[Sarcopenia]]></kwd>
<kwd lng="en"><![CDATA[Older people]]></kwd>
<kwd lng="en"><![CDATA[Pharmacist intervention]]></kwd>
<kwd lng="es"><![CDATA[Fragilidad]]></kwd>
<kwd lng="es"><![CDATA[Nutrición geriátrica]]></kwd>
<kwd lng="es"><![CDATA[Mobilidad]]></kwd>
<kwd lng="es"><![CDATA[Sarcopenia]]></kwd>
<kwd lng="es"><![CDATA[Personas mayores]]></kwd>
<kwd lng="es"><![CDATA[Intervención farmacéutica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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