at the end of this presentation you · 2018. 6. 13. · at the end of this presentation you will be...
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At the end of this presentation you
will be able to…
1. Explain the importance of muscle
throughout a lifespan
2. Identify what types of exercise will
lead to growth in muscle mass and
the nutrients required to maintain
and preserve it
Why is it important?
• Better quality of life
• Decreased risk of falls
• More independence
• Better recovery from injuries
and surgeries
• Better quality of Life
• Improved insulin resistance5
Long Term Short Term
What is lean body mass?Or Fat free mass includes bone, water, blood, and non-adipose tissues.
Sarcopenia
The natural loss of muscle over time
due to senescence
Within Dietetics
Muscle as an indication of nourished-state during
Nutrition Focused Physical Exam
Scenario 1Victor
26 yo male
Works out every morning before work. He loves lifting weights and tracked a gain of 12 lbs of muscle using a BOD POD over the
past 3 years. One morning he does not have time to eat his typical breakfast of eggs toast and a banana after his workout. Instead he grabs a muffin on the way to work. He feels ok the rest of that day, but during his workout the next morning he
was not able to lift what he normally does. The day after that it gets even worse. He is plagued by DOMS for the rest of that
week.
What nutrition strategies does he need to implement to prevent this from happening again?
Interventions• Consume protein/carb source within one hour of intense
physical activity
• His typical Eggs/Toast/Banana combo
OR
• In a hurry Milk/Protein shake
• Carb - Protein Ratio 6
• 3-1 or 4-1
• Branched Chain Amino Acids
Scenario 2Maria
73 yo Female
Activities include walking her dog and gardening. She noticed that she has less stamina after her regular activities. She has also had some lower back pain when doing menial tasks like standing up from a chair.
What might help her have more energy?
What would you do about her back?
Interventions• Increased calories to fuel activity
• Refer to Physical Therapist
Obtaining LBMWith Exercise
• Goes beyond cardiovascular exercise
• Adding resistance to muscles
With Nutrition• Protein: the building block of
cells
Scenario 3Alfred
56 yo Male
Admitted to the hospital for influenza B. He is in need of nutrition education for weight loss because he is grade 2 obese
(BMI 36). He is increasingly interested in beginning to make healthy life style changes and want to know where to begin.
Interventions• Tips for weight loss
• Begin daily activity of walking
• Refer to outpatient RD
Daily Sitting Time
Moderate-to-Vigorous Physical Activity
Risk of all-cause mortality decreases as one moves from red to
green1
“Greater Adherence to the Mediterranean diet was associated with significantly lower incident frailty risk than
low adherence.”4
The Journal of the American Geriatrics Society
Mediterranean Diet and Frailty
Take Away
• Physical activity is a part of a healthy life style
• Muscle is an important piece of someone overall health
• Dietitians can speak to building muscle
• Be on the look out for the NEW 2018 Physical Activity
Guidelines!
Resources1 Advisory Committee, “2018 Physical Activity Guidelines: Scientific
Report.” Obtained from https://health.gov/paguidelines/second-edition/report.aspx
2 http://www.miamiherald.com/living/health-fitness/article206673899.html
3 Trappenden, Quatrara, Parkhurst, Malone, Fanjiang, Ziegler. “Critical Role of Nutrition in Improving Quality of Care. An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition” (PG 1219-1237) Journal of the Academy of Nutrition and Dietetics September 2013.
4 Kojima, Avgerinou, Iliffe, Walters. “Adherence to Mediterranean Diet Reduces Incident Frailty Risk: Systematic Review and Meta-Analysis” (PG 1-6) Journal of American Geriatric Society 2018
5 Fukushima Y, et al. “ Importance of Lean Muscle Maintenance to Improve Insulin Resistance by Body Weight Reduction in Female Patients with Obesity” (PG 147-153) Diabetes & Metabolic Journal 2016
6 American College of Sports Medicine Information on… “Resistance Training for Health and Fitness” (Copyright 2013) and “ Protein Intake for Optimal Muscle Maintenance” (Copyright 2015).
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