Authors:
A Molnár Semmelweis University, Hungary

Search for other papers by A Molnár in
Current site
Google Scholar
PubMed
Close
,
I Jónásné Sztruhár Old Age Home of the Municipality of Budapest, Hungary

Search for other papers by I Jónásné Sztruhár in
Current site
Google Scholar
PubMed
Close
,
ÁA Csontos Semmelweis University, Hungary

Search for other papers by ÁA Csontos in
Current site
Google Scholar
PubMed
Close
,
Cs Ferencz Szent Imre University Teaching Hospital, Hungary

Search for other papers by Cs Ferencz in
Current site
Google Scholar
PubMed
Close
,
Sz Várbíró Semmelweis University, Hungary

Search for other papers by Sz Várbíró in
Current site
Google Scholar
PubMed
Close
, and
B Székács Semmelweis University, Hungary

Search for other papers by B Székács in
Current site
Google Scholar
PubMed
Close
Restricted access

Progressive loss of muscle mass and strength is a physiological consequence of aging, and without interventions, it usually deteriorates into sarcopenia. In this study, the hypothesis that combined special nutritional–physiotherapeutical intervention to prevent or reverse this biological deterioration in elderly people was tested. The effects of the regular resistance muscle training (PT, n = 17) alone and the combined exercise + special nutrition therapy containing whey protein and vitamin D (PT + NT, n = 17) were monitored for 3 months in 34 elderly patients (12 men and 22 women; mean age: 66.47 years) randomly distributed into two groups at a long-term care facility. Physical exercise alone did not result in significant improvement in skeletal muscle mass or strength, whereas combined intervention significantly increased the muscle strength (22.51 ± 2.35 vs. 24.54 ± 2.65, x¯ ± SEM, kg, p = 0.027). When therapeutic responses to the intervention were compared, a significant advantage of PT + NT over PT was found. The same trend was found when the non-significant post-therapeutic alterations (χ2 test) of the distribution of normal vs. pre-sarcopenic + sarcopenic conditions within the two groups were compared. Combined intervention (PT + NT) is necessary for the efficient protection of the musculature in the high-risk elderly patients.

  • 1.

    Batsis JA , Mackenzie TA , Barre LK , Lopez-Jimenez F , Bartels SJ : Sarcopenia, sarcopenic obesity and mortality in older adults: results from the National Health and Nutrition Examination Survey III. Eur J. Clin. Nutr. 68, 10011007 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Bauer J , Biolo G , Cederholm T , Cesari M , Cruz-Jentoft AJ , Morley JE , Phillips S , Sieber C , Stehle P , Teta D , Visvanathan R , Volpi E , Boirie Y : Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE study group. J. Am. Med. Dir. Assoc. 14, 542559 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Bauer JM , Kaiser MJ , Sieber CC : Sarcopenia in nursing home residents. J. Am. Med. Dir. Assoc. 9, 545551 (2008)

  • 4.

    Bauer JM , Verlaan S , Bautmans I , Brandt K , Donini LM , Maggio M , McMurdo ME , Mets T , Seal C , Wijers SL , Ceda GP , De Vito G , Donders G , Drey M , Greig C , Holmbäck U , Narici M , McPhee J , Poggiogalle E , Power D , Scafoglieri A , Schultz R , Sieber CC , Cederholm T : Effects of a vitamin D and leucine-enriched whey protein nutritional supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double-blind, placebo-controlled trial. J. Am. Med. Dir. Assoc. 9, 740747 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Baumgartner RN , Koehler KM , Gallagher D , Romero L , Heymsfield SB , Ross RR , Garry PJ , Lindeman RD : Epidemiology of sarcopenia among the elderly in New Mexico. Am. J. Epidemiol. 147, 755763 (1998)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Biolo G , Cederholm T , Muscaritoli M : Muscle contractile and metabolic dysfunction is a common feature of sarcopenia of aging and chronic diseases: from sarcopenic obesity to cachexia. Clin. Nutr. 33, 737748 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Boirie Y , Morio B , Caumon E , Cano NJ : Nutrition and protein energy homeostasis in elderly. Mech. Ageing Dev. 136–137, 7684 (2014)

  • 8.

    Borsheim E , Bui QU , Tissier S , Kobayashi H , Ferrando AA , Wolfe RR : Effect of amino acid supplementation on muscle mass, strength and physical function in elderly. Clin. Nutr. 27, 189195 (2008)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Bozzetti F : Tailoring the nutritional regimen in the elderly cancer patient. Nutrition 31, 612614 (2015)

  • 10.

    Breen L , Phillips SM : Skeletal muscle protein metabolism in the elderly: interventions to counteract the ‘anabolic resistance’ of ageing. Nutr. Metab. 8, 68 (2011)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Candow DG , Forbes SC , Little JP , Cornish SM , Pinkoski C , Chilibeck PD : Effect of nutritional interventions and resistance exercise on aging muscle mass and strength. Biogerontology 13, 345358 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Cederholm T , Bosaeus I , Barazzoni R , Bauer J , Van Gossum A , Klek S , Muscaritoli M , Nyulasi I , Ockenga J , Schneider SM , Muscaritoli M , Nyulasi I , Ockenga J , Schneider SM , de van der Schueren MA , Singer P : Diagnostic criteria for malnutrition – an ESPEN consensus statement. Clin. Nutr. 34, 335340 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Chale A , Cloutier GJ , Hau C , Phillips EM , Dallal GE , Fielding RA : Efficacy of whey protein supplementation on resistance exercise-induced changes in lean mass, muscle strength, and physical function in mobility-limited older adults. J. Gerontol. A Biol. Sci. Med. Sci. 68, 682690 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Cruz-Jentoft AJ , Baeyens JP , Bauer JM , Boirie Y , Cederholm T , Landi F , Martin FC , Michel JP , Rolland Y , Schneider SM , Topinková E , Vandewoude M , Zamboni M : Sarcopenia: European consensus on definition and diagnosis: report of the European working group on sarcopenia in older people. Age Ageing 39, 412423 (2010)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Deutz NE , Bauer JM , Barazzoni R , Biolo G , Boirie Y , Bosy-Westphal A , Cederholm T , Cruz-Jentoft A , Krznaric Z , Nair KS , Singer P , Teta D , Tipton K , Calder PC : Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN expert group. Clin. Nutr. 33, 929936 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Dickinson JM , Volpi E , Rasmussen BB : Exercise and nutrition to target protein synthesis impairments in aging skeletal muscle. Exerc. Sport Sci. Rev. 41, 216223 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Glover EI , Phillips SM , Oates BR , Tang JE , Tarnopolsky MA , Selby A , Smith K , Rennie MJ : Immobilization induces anabolic resistance in human myofibrillar protein synthesis with low and high dose amino acid infusion. J. Physiol. 586, 60496061 (2008)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Hegerova P , Dedkova Z , Sobotka L : Early nutritional support and physiotherapy improved long-term self-sufficiency in acutely ill older patients. Nutrition 31, 166170 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Holloszy JO : The biology of aging. Mayo Clin. Proc. 75 Suppl. S3–S8, discussion S8–S9 (2000)

  • 20.

    Hughes VA , Frontera WR , Wood M , Evans WJ , Dallal GE , Roubenoff R , Fiatarone Singh MA : Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J. Gerontol. A Biol. Sci. Med. Sci. 56, B209B217 (2001)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Janssen I , Heymsfield SB , Ross R : Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J. Am. Geriatr. Soc. 50, 889896 (2002)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Landi F , Liperoti R , Fusco D , Mastropaolo S , Quattrociocchi D , Proia A , Russo A , Bernabei R , Onder G : Prevalence and risk factors of sarcopenia among nursing home older residents. J. Gerontol. A Biol. Sci. Med. Sci. 67, 4855 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Lauretani F , Russo CR , Bandinelli S , Bartali B , Cavazzini C , Di Iorio A , Corsi AM , Rantanen T , Guralnik JM , Ferrucci L : Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J. Appl. Physiol. 95, 18511860 (2003)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Luiking YC , Deutz NE , Memelink RG , Verlaan S , Wolfe RR : Postprandial muscle protein synthesis is higher after a high whey protein, leucine-enriched supplement than after a dairy-like product in healthy older people: a randomized controlled trial. Nutr. J. 13, 9 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    McCracken CM : Muscle mass loss in active adults. Master’s Theses, Department of Kinesiology of the School of Health, Physical Education, and Recreation, Indiana University (2009), https://scholarworks.iu.edu/dspace/bitstream/handle/2022/6669/Thesis_Colleen_McCracken.pdf?sequence=1. Accessed 13 Nov 2015

    • Search Google Scholar
    • Export Citation
  • 26.

    Molnár A , Jónásné IS , Várbíró Sz , Székács B : Effect of physical exercise and medical nutrition in elderlies admitted to a care home. Clin. Nutr. 34 Suppl. 1, S165S166 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Montero-Fernandez N , Serra-Rexach JA : Role of exercise on sarcopenia in the elderly. Eur. J. Phys. Rehabil. Med. 49, 131143 (2013)

  • 28.

    Morley JE , Argiles JM , Evans WJ , Bhasin S , Cella D , Deutz NE , Doehner W , Fearon KC , Ferrucci L , Hellerstein MK , Kalantar-Zadeh K , Lochs H , MacDonald N , Mulligan K , Muscaritoli M , Ponikowski P , Posthauer ME , Rossi Fanelli F , Schambelan M , Schols AM , Schuster MW , Anker SD : Nutritional recommendations for the management of sarcopenia. J. Am. Med. Dir. Assoc. 11, 391396 (2010)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29.

    Paddon-Jones D , Rasmussen BB : Dietary protein recommendations and the prevention of sarcopenia. Curr. Opin. Clin. Nutr. Metab. Care 12, 8690 (2009)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Patel HP , Syddall HE , Jameson K , Robinson S , Denison H , Roberts HC , Edwards M , Dennison E , Cooper C , Aihie Sayer A : Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS). Age Ageing 42, 378384 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Thibault R , Genton L , Pichard C : Body composition: why, when and for who? Clin. Nutr. 31(4), 435447 (2012)

  • 32.

    Wiswell RA , Hawkins SA , Jaque SV , Hyslop D , Constantino N , Tarpenning K , Marcell T , Schroeder ET : Relationship between physiological loss, performance decrement, and age in master athletes. J. Gerontol. A Biol. Sci. Med. Sci. 56, M618M626 (2001)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

Editor-in-Chief

László ROSIVALL (Semmelweis University, Budapest, Hungary)

Managing Editor

Anna BERHIDI (Semmelweis University, Budapest, Hungary)

Co-Editors

  • Gábor SZÉNÁSI (Semmelweis University, Budapest, Hungary)
  • Ákos KOLLER (Semmelweis University, Budapest, Hungary)
  • Zsolt RADÁK (University of Physical Education, Budapest, Hungary)
  • László LÉNÁRD (University of Pécs, Hungary)
  • Zoltán UNGVÁRI (Semmelweis University, Budapest, Hungary)

Assistant Editors

  • Gabriella DÖRNYEI (Semmelweis University, Budapest, Hungary)
  • Zsuzsanna MIKLÓS (Semmelweis University, Budapest, Hungary)
  • György NÁDASY (Semmelweis University, Budapest, Hungary)

Hungarian Editorial Board

  • György BENEDEK (University of Szeged, Hungary)
  • Zoltán BENYÓ (Semmelweis University, Budapest, Hungary)
  • Mihály BOROS (University of Szeged, Hungary)
  • László CSERNOCH (University of Debrecen, Hungary)
  • Magdolna DANK (Semmelweis University, Budapest, Hungary)
  • László DÉTÁRI (Eötvös Loránd University, Budapest, Hungary)
  • Zoltán GIRICZ (Semmelweis University, Budapest, Hungary and Pharmahungary Group, Szeged, Hungary)
  • Zoltán HANTOS (Semmelweis University, Budapest and University of Szeged, Hungary)
  • Zoltán HEROLD (Semmelweis University, Budapest, Hungary) 
  • László HUNYADI (Semmelweis University, Budapest, Hungary)
  • Gábor JANCSÓ (University of Pécs, Hungary)
  • Zoltán KARÁDI (University of Pecs, Hungary)
  • Miklós PALKOVITS (Semmelweis University, Budapest, Hungary)
  • Gyula PAPP (University of Szeged, Hungary)
  • Gábor PAVLIK (University of Physical Education, Budapest, Hungary)
  • András SPÄT (Semmelweis University, Budapest, Hungary)
  • Gyula SZABÓ (University of Szeged, Hungary)
  • Zoltán SZELÉNYI (University of Pécs, Hungary)
  • Lajos SZOLLÁR (Semmelweis University, Budapest, Hungary)
  • József TOLDI (MTA-SZTE Neuroscience Research Group and University of Szeged, Hungary)
  • Árpád TÓSAKI (University of Debrecen, Hungary)

International Editorial Board

  • Dragan DJURIC (University of Belgrade, Serbia)
  • Christopher H.  FRY (University of Bristol, UK)
  • Stephen E. GREENWALD (Blizard Institute, Barts and Queen Mary University of London, UK)
  • Tibor HORTOBÁGYI (University of Groningen, Netherlands)
  • George KUNOS (National Institutes of Health, Bethesda, USA)
  • Massoud MAHMOUDIAN (Iran University of Medical Sciences, Tehran, Iran)
  • Tadaaki MANO (Gifu University of Medical Science, Japan)
  • Luis Gabriel NAVAR (Tulane University School of Medicine, New Orleans, USA)
  • Hitoo NISHINO (Nagoya City University, Japan)
  • Ole H. PETERSEN (Cardiff University, UK)
  • Ulrich POHL (German Centre for Cardiovascular Research and Ludwig-Maximilians-University, Planegg, Germany)
  • Andrej A. ROMANOVSKY (University of Arizona, USA)
  • Anwar Ali SIDDIQUI (Aga Khan University, Karachi, Pakistan)
  • Csaba SZABÓ (University of Fribourg, Switzerland)
  • Eric VICAUT (Université de Paris, UMRS 942 INSERM, France)

 

Editorial Correspondence:
Physiology International
Semmelweis University
Faculty of Medicine, Institute of Translational Medicine
Nagyvárad tér 4, H-1089 Budapest, Hungary
Phone/Fax: +36-1-2100-100
E-mail: pi@semmelweis.hu

Indexing and Abstracting Services:

  • Biological Abstracts
  • BIOSIS Previews
  • CAB Abstracts
  • CABELLS Journalytics
  • EMBASE/Excerpta Medica
  • Global Health
  • Index Copernicus
  • Index Medicus
  • Medline
  • Referativnyi Zhurnal
  • SCOPUS
  • WoS - Science Citation Index Expanded

 

2024  
Scopus  
CiteScore  
CiteScore rank  
SNIP  
Scimago  
SJR index 0.356
SJR Q rank Q2

2023  
Web of Science  
Journal Impact Factor 2.2
Rank by Impact Factor Q3 (Physiology)
Journal Citation Indicator 0.58
Scopus  
CiteScore 3.4
CiteScore rank Q2 (Physical Therapy, Sports Therapy and Rehabilitation)
SNIP 0.508
Scimago  
SJR index 0.407
SJR Q rank Q2

Physiology International
Publication Model Hybrid
Submission Fee none
Article Processing Charge Effective from 1st Apr 2025:
600 EUR/article
Printed Color Illustrations 40 EUR (or 10 000 HUF) + VAT / piece
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Editorial Board / Advisory Board members: 50%
Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%
Subscription fee 2025 Online subsscription: 752 EUR / 828 USD
Print + online subscription: 880 EUR / 968 USD
Subscription Information Online subscribers are entitled access to all back issues published by Akadémiai Kiadó for each title for the duration of the subscription, as well as Online First content for the subscribed content.
Purchase per Title Individual articles are sold on the displayed price.

Physiology International
Language English
Size B5
Year of
Foundation
2006 (1950)
Volumes
per Year
1
Issues
per Year
4
Founder Magyar Tudományos Akadémia
Founder's
Address
H-1051 Budapest, Hungary, Széchenyi István tér 9.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2498-602X (Print)
ISSN 2677-0164 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Dec 2024 115 1 4
Jan 2025 149 0 0
Feb 2025 156 0 0
Mar 2025 197 0 0
Apr 2025 99 0 0
May 2025 32 0 0
Jun 2025 0 0 0