Decreased muscle mass, also known as muscle atrophy, occurs when there is a loss of protein in muscle fibers. *This can lead to muscle weakness, fatigue, and an inability to perform physical tasks*. There are several possible causes of muscle atrophy:

  • Poor nutrition - Not consuming enough calories or sufficient amounts of protein can lead to loss of muscle over time. A diet low in protein and calories can result in muscle starting to break down to obtain what it needs to function.
  • Immobility - When you don't move or use your muscles for a prolonged period, your muscles begin to break down. "Use it or lose it" is a saying that applies to muscle.
  • Aging - As we get older, muscle mass naturally decreases. Our bodies produce less testosterone, human growth hormone, and other hormones/proteins that help maintain muscle. Weight training can help combat this, but it's common to lose muscle over time.
  • Diseases and illnesses - Certain chronic or acute health conditions can directly or indirectly lead to loss of muscle tissue. Examples include Type 1 diabetes, arthritis, HIV/AIDS, cancer, chronic kidney disease, and more. Inflammation and hormonal changes often contribute.
  • Steroid use - Sometimes drugs like corticosteroids are prescribed to resolve inflammation but also cause muscle deterioration and loss called steroid myopathy.
Some symptoms of decreased muscle mass may include:
  • Weak grip strength
  • Difficulty getting up from a seated position
  • Fatigue from little exertion
  • Loss of balance or coordination
  • Muscle shrinkage/loss of bulk
To counteract this complex issue, I recommend:
  • Consuming high protein foods at meals (chicken, fish, eggs, dairy, beans)
  • Lifting weights 2-3x week to maintain size/strength
  • Getting prescribed resistance training
  • Asking your doctor about physiotherapy options
  • Optimizing sleep, stress, and hydration
  • Using a forearm brace/walking cane for extra support
In summary, muscle wasting can severely impact strength and mobility but can often be slowed through exercise, nutrition, and certain treatments. Pay attention to sudden changes in capability and discuss with your doctor as needed. I hope these tips help maintain your active lifestyle! Let me know if you have any other questions.

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