PMID- 37156410 OWN - NLM STAT- MEDLINE DCOM- 20230620 LR - 20230622 IS - 1532-8600 (Electronic) IS - 0026-0495 (Linking) VI - 144 DP - 2023 Jul TI - Diet, exercise, and pharmacotherapy for sarcopenia in people with diabetes. PG - 155585 LID - S0026-0495(23)00188-9 [pii] LID - 10.1016/j.metabol.2023.155585 [doi] AB - Diabetes prevalence is increasing rapidly in older people, and sarcopenia is prevalent as a novel complication, particularly in patients with type 2 diabetes mellitus (T2DM). Therefore, sarcopenia prevention and treatment in these people is necessary. Diabetes accelerates sarcopenia through several mechanisms, such as hyperglycemia, chronic inflammation and oxidative stress. The effects of diet, exercise, and pharmacotherapy on sarcopenia in patients with T2DM need to be considered. In diet, low intake of energy, protein, vitamin D, and omega-3 fatty acid are associated with sarcopenia risk. In exercises, although intervention studies in people, especially older and non-obese patients with diabetes, are few, accumulating evidence shows the usefulness of exercise, particularly resistance exercise for muscle mass and strength, and aerobic exercise for physical performance in sarcopenia. In pharmacotherapy, certain classes of anti-diabetes compounds have possibility of preventing sarcopenia. However, much data on diet, exercise, and pharmacotherapy were obtained in obese and non-elderly patients with T2DM, demanding actual clinical data on non-obese and older patients with diabetes. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Hashimoto, Yoshitaka AU - Hashimoto Y AD - Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan; Department of Diabetes and Endocrinology, Matsushita Memorial Hospital, 5-55 Sotojima-cho, Moriguchi 570-8540, Japan. Electronic address: y-hashi@koto.kpu-m.ac.jp. FAU - Takahashi, Fuyuko AU - Takahashi F AD - Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. FAU - Okamura, Takuro AU - Okamura T AD - Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. FAU - Hamaguchi, Masahide AU - Hamaguchi M AD - Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. FAU - Fukui, Michiaki AU - Fukui M AD - Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230506 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Vitamins) SB - IM MH - Humans MH - Aged MH - Middle Aged MH - *Sarcopenia/drug therapy/etiology MH - *Diabetes Mellitus, Type 2/complications/therapy MH - Diet MH - Exercise MH - Vitamins MH - Muscle Strength MH - Muscle, Skeletal/physiology OTO - NOTNLM OT - Aged OT - Diabetes OT - Diets OT - Exercise OT - Lifestyles OT - Medication OT - Muscle mass OT - Older OT - Sarcopenia COIS- Declaration of competing interest Dr. Hashimoto reports personal fees from Novo Nordisk Pharma Ltd., Sanofi K.K., Mitsubishi Tanabe Pharma Corp., Ono Pharma Co. Ltd., Nippon Boehringer Ingelheim Co. Ltd., Kowa Pharma Co. Ltd., and Sumitomo Dainippon Pharma Co. Ltd. Dr. Hamaguchi received grants from Daiichi Sankyo Co. Ltd., Nippon Boehringer Ingelheim Co. Ltd., Astellas Pharma Inc., Mitsubishi Tanabe Pharma Corp., Novo Nordisk Pharma Ltd., Sanofi K.K., Takeda Pharma Co. Ltd., Sumitomo Dainippon Pharma Co. Ltd., Asahi Kasei Pharma, Kyowa Kirin Co. Ltd., and Eli Lilly Japan K.K. outside the submitted work. Prof. Fukui received grants from Taisho Pharma Co., Ltd., Mitsubishi Tanabe Pharma Corp, Novo Nordisk Pharma Ltd., Ono Pharma Co. Ltd., Kowa Pharma Co. Ltd., Sanofi K.K., Nippon Boehringer Ingelheim Co. Ltd., Daiichi Sankyo Co. Ltd., Kissei Pharma Co. Ltd., MSD K.K., Kyowa Kirin Co., Ltd., Sumitomo Dainippon Pharma Co., Ltd., Eli Lilly Japan K.K., Tejin Pharma Ltd., Takeda Pharma Co. Ltd., Nippon Chemiphar Co., Ltd., Astellas Pharma Inc., Abbott Japan Co. Ltd., Sanwa Kagagu Kenkyusho CO., LtD., Johnson & Johnson k.k. Medical Co., and Terumo Corp., and received honoraria from AstraZeneca K.K., Taisho Pharma Co., Ltd., Ono Pharma Co. Ltd., Novo Nordisk Pharma Ltd., Sanofi K.K., Teijin Pharma Ltd., Takeda Pharma Co. Ltd., Astellas Pharma Inc., MSD K.K., Mitsubishi Tanabe Pharma Corp., Eli Lilly Japan K.K., Kissei Pharma Co., Ltd., Sumitomo Dainippon Pharma Co. Ltd., Daiichi Sankyo Co. Ltd., Mochida Pharma Co. Ltd., Kowa Pharma Co. Ltd., Arkray Inc., Abbott Japan Co. Ltd., Sanwa Kagaku Kenkyusho Co. Ltd., Kyowa Kirin Co. Ltd., Nippon Boehringer Ingelheim Co., Ltd., Medtronic Japan Co. Ltd., Bayer Yakuhin, Ltd., and Nipro Corp. outside the submitted work. The other authors declare no conflict of interest. EDAT- 2023/05/09 00:42 MHDA- 2023/06/20 06:42 CRDT- 2023/05/08 19:22 PHST- 2023/01/24 00:00 [received] PHST- 2023/04/17 00:00 [revised] PHST- 2023/05/01 00:00 [accepted] PHST- 2023/06/20 06:42 [medline] PHST- 2023/05/09 00:42 [pubmed] PHST- 2023/05/08 19:22 [entrez] AID - S0026-0495(23)00188-9 [pii] AID - 10.1016/j.metabol.2023.155585 [doi] PST - ppublish SO - Metabolism. 2023 Jul;144:155585. doi: 10.1016/j.metabol.2023.155585. Epub 2023 May 6.