Position paper on essential strategies for healthy aging: focus on preventing sarcopenia and cardiovascular diseases from the 38th National Congress of the Italian Society of Geriatrics Hospital and Territory (SIGOT)

Submitted: 1 June 2024
Accepted: 15 July 2024
Published: 22 July 2024
Abstract Views: 277
PDF: 166
HTML: 16
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Italy’s demographic setting is rapidly evolving and is characterized by a substantial increase in the older population segment. This trend, driven by prolonged life expectancy and declining birth rates, positions Italy as a leader in global aging patterns. The 38th National Congress of the Società Italiana di Geriatria Ospedale e Territorio (SIGOT), held in Rome, underlined the importance of addressing the health needs of this aging population, particularly focusing on preventing sarcopenia and cardiovascular diseases. Recent data challenge the notion of functional decline as an inevitable consequence of aging, highlighting the interplay of genetic, environmental, and lifestyle factors in modulating health outcomes. Sarcopenia, a prevalent condition and biological substrate of frailty, significantly impacts physical function and mortality rates, necessitating behavioral interventions to mitigate its effects. Physical exercise emerges as a key strategy for maintaining cardiovascular health and reducing the risk of arrhythmias, prevalent in older age groups. However, the complex relationship between physical activity intensity, age, and cardiovascular risk underlines the importance of tailored interventions and preliminary screenings. Looking ahead, proactive measures such as enhanced screening, promoting lifelong healthy habits, research and innovation, robust community support systems, and adaptable policies are essential to address the multifaceted challenges posed by an aging population. With this consensus paper, we aimed to summarize the key messages from the three intensive days of the SIGOT National Congress.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

De Tommaso CV. Ageing, longevity and sustainability. Available from: https://www.secondowelfare.it/primo-welfare/aging-longevity-and-sustainability/. Accessed on: 27/05/2024.
Monasta L, Abbafati C, Logroscino G, et al. Italy’s health performance, 1990-2017: findings from the Global Burden of Disease Study 2017. Lancet Public Health 2019;4:e645-57. DOI: https://doi.org/10.1016/S2468-2667(19)30189-6
Gusmano MK, Okma KGH. Population aging and the sustainability of the welfare state. Hastings Cent Rep 2018;48:S57-S61. DOI: https://doi.org/10.1002/hast.915
Cristea M, Noja GG, Stefea P, Sala AL. The impact of population aging and public health support on EU labor markets. Intl J Environ Res Public Health 2020;17:1439. DOI: https://doi.org/10.3390/ijerph17041439
Ayoubi-Mahani S, Eghbali-Babadi M, Farajzadegan Z, et al. Active aging needs from the perspectives of older adults and geriatric experts: a qualitative study. Front Public Health 2023;11:1121761. DOI: https://doi.org/10.3389/fpubh.2023.1121761
STATISTA. Aging index in Italy from 2010 to 2024. Available from: https://www.statista.com/statistics/657628/ageing-index-italy/. Accessed on: 27/05/2024.
ISTAT. Households and population projections. Fewer residents, more elderly, smaller families. Available from: https://www.istat.it/en/press-release/households-and-population-projections-base-112021/.
ISTAT. Demographic Indicators - Year 2023. Nearly stable population thanks to immigration. Available from: https://www.istat.it/en/press-release/demographic-indicators-year-2023/#:~:text=Nearly%20stable%20population%20thanks%20to,2022%20to%20%2B274thousand%20in%202023.
The Lancet Healthy Longevity. The decade of healthy ageing: progress and challenges ahead. Lancet Healthy Longev 2024;5:e1. DOI: https://doi.org/10.1016/S2666-7568(23)00271-4
Leung AYM, Molassiotis A, Carino DA. A challenge to healthy aging: limited social participation in old age. Aging Dis 2021;12:1536-8. DOI: https://doi.org/10.14336/AD.2021.02018
Morgan PT, Witard OC, Højfeldt G, et al. Dietary protein recommendations to support healthy muscle ageing in the 21st century and beyond: considerations and future directions. Proc Nutr Soc 2023;11:1-14. DOI: https://doi.org/10.1017/S0029665123003750
Townsend JR, Kirby TO, Marshall TM, et al. Foundational nutrition: implications for human health. Nutrients 2023;15:2837. DOI: https://doi.org/10.3390/nu15132837
Ekmekcioglu C. Nutrition and longevity – from mechanisms to uncertainties. Crit Rev Food Sci Nutr 2020;60:3063-82. DOI: https://doi.org/10.1080/10408398.2019.1676698
Lee DC, Lee IM. Optimum dose of resistance exercise for cardiovascular health and longevity: is more better? Curr Cardiol Rep 2023;25:1573-80. DOI: https://doi.org/10.1007/s11886-023-01976-6
Boccardi V. Sarcopenia: a dive into metabolism to promote a multimodal, preventive, and regenerative approach. Mech Ageing Dev 2024;219:111941. DOI: https://doi.org/10.1016/j.mad.2024.111941
Evans WJ, Guralnik J, Cawthon P, et al. Sarcopenia: no consensus, no diagnostic criteria, and no approved indication - how did we get here?. Geroscience 2024;46:183-90. DOI: https://doi.org/10.1007/s11357-023-01016-9
Evans WJ, Ferrucci L. A simplified definition of sarcopenia: muscle mass/body weight. J Nutr Health Aging 2024;28:100302. DOI: https://doi.org/10.1016/j.jnha.2024.100302
Beaudart C, Zaaria M, Pasleau F, et al. Health outcomes of sarcopenia: a systematic review and meta-analysis. PLoS One 2017;12:e0169548. DOI: https://doi.org/10.1371/journal.pone.0169548
Gallardo-Gómez D, del Pozo-Cruz J, Pedder H, et al. Optimal dose and type of physical activity to improve functional capacity and minimise adverse events in acutely hospitalised older adults: a systematic review with dose-response network meta-analysis of randomised controlled trials. Br J Sports Med 2023;57:1272-8. DOI: https://doi.org/10.1136/bjsports-2022-106409
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ 2006;174:801-9. DOI: https://doi.org/10.1503/cmaj.051351
Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 2021;42:373-498. DOI: https://doi.org/10.1093/eurheartj/ehaa945
Brundel BJJM, Ai X, Hills MT, et al. Atrial fibrillation. Nat Rev Dis Primers 2022;8:21. DOI: https://doi.org/10.1038/s41572-022-00347-9
Curtis AB, Karki R, Hattoum A, Sharma UC. Arrhythmias in patients ≥80 years of age: pathophysiology, management, and outcomes. J Am Coll Cardiol 2018;71:2041-57. DOI: https://doi.org/10.1016/j.jacc.2018.03.019
Rodgers JL, Jones J, Bolleddu SI, et al. Cardiovascular risks associated with gender and aging. J Cardiovasc Dev Dis 2019;6:19. DOI: https://doi.org/10.3390/jcdd6020019
Franklin BA, Eijsvogels TMH, Pandey A, et al. Physical activity, cardiorespiratory fitness, and cardiovascular health: a clinical practice statement of the ASPC part I: bioenergetics, contemporary physical activity recommendations, benefits, risks, extreme exercise regimens, potential maladaptations. Am J Prev Cardiol 2022;12:100424. DOI: https://doi.org/10.1016/j.ajpc.2022.100424
Bilski J, Pierzchalski P, Szczepanik M, et al. Multifactorial mechanism of sarcopenia and sarcopenic obesity. Role of physical exercise, microbiota and myokines. Cells 2022;11:160. DOI: https://doi.org/10.3390/cells11010160
Hunter GR, Singh H, Carter SJ, et al. Sarcopenia and its implications for metabolic health. J Obes 2019;2019:8031705. DOI: https://doi.org/10.1155/2019/8031705
Thompson PD, Franklin BA, Balady GJ, et al. Exercise and acute cardiovascular events. Circulation 2007;115:2358-68. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.181485
Izquierdo M, Merchant RA, Morley JE, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines. J Nutr Health Aging 2021;25:824-53. DOI: https://doi.org/10.1007/s12603-021-1665-8
He N, Zhang Y, Zhang L, et al. Relationship between sarcopenia and cardiovascular diseases in the elderly: an overview. Front Cardiovasc Med 2021;8:743710. DOI: https://doi.org/10.3389/fcvm.2021.743710
ESPEN. ESPEN guidelines and consensus papers. Available from: https://www.espen.org/guidelines-home/espen-guidelines. Accessed on: 28/05/2024.
Wang M, Tan Y, Shi Y, et al. Diabetes and sarcopenic obesity: pathogenesis, diagnosis, and treatments. Front Endocrinol (Lausanne) 2020;11:568. DOI: https://doi.org/10.3389/fendo.2020.00568
Schoufour JD, Tieland M, Barazzoni R, et al. The relevance of diet, physical activity, exercise, and persuasive technology in the prevention and treatment of sarcopenic obesity in older adults. Front Nutr 2021;8:661449. DOI: https://doi.org/10.3389/fnut.2021.661449
Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev 2009;2009:CD002759. DOI: https://doi.org/10.1002/14651858.CD002759.pub2
Voulgaridou G, Papadopoulou SD, Spanoudaki M, et al. Increasing muscle mass in elders through diet and exercise: a literature review of recent RCTs. Foods 2023;12:1218. DOI: https://doi.org/10.3390/foods12061218
Isath A, Koziol KJ, Martinez MW, et al. Exercise and cardiovascular health: a state-of-the-art review. Prog Cardiovasc Dis 2023;79:44-52. DOI: https://doi.org/10.1016/j.pcad.2023.04.008
Lv H, Zhang T, Li B, Wang R. The influence of control beliefs on the cardiovascular fitness of college students: the chain mediating effect of subjective exercise experience and exercise adherence. BMC Public Health 2024;24:2. DOI: https://doi.org/10.1186/s12889-023-17509-3
Kennedy BK, Berger SL, Brunet A, et al. Geroscience: linking aging to chronic disease. Cell 2014;159:709-13. DOI: https://doi.org/10.1016/j.cell.2014.10.039
Campisi J, Kapahi P, Lithgow GJ, et al. From discoveries in ageing research to therapeutics for healthy ageing. Nature 2019;571:183-92. DOI: https://doi.org/10.1038/s41586-019-1365-2
Rutenberg AD, Mitnitski AB, Farrell SG, Rockwood K. Unifying aging and frailty through complex dynamical networks. Exp Gerontol 2018;107:126-9. DOI: https://doi.org/10.1016/j.exger.2017.08.027
Duggal NA, Pollock RD, Lazarus NR, et al. Major features of immunesenescence, including reduced thymic output, are ameliorated by high levels of physical activity in adulthood. Aging Cell 2018;17:e12750. DOI: https://doi.org/10.1111/acel.12750
Chakravarty EF, Hubert HB, Lingala VB, Fries JF. Reduced disability and mortality among aging runners: a 21-year longitudinal study. Arch Intern Med 2008;168:1638-46. DOI: https://doi.org/10.1001/archinte.168.15.1638
Lee D chul, Brellenthin AG, Thompson PD, et al. Running as a key lifestyle medicine for longevity. Prog Cardiovasc Dis 2017;60:45-55. DOI: https://doi.org/10.1016/j.pcad.2017.03.005

How to Cite

Boccardi, V., Vetta, F., Cipriani, L., Fabbo, A., Cella, A., Ceci, M., Azzini, M., Bauco, C., Benati, G., Castagna, A., Lunardelli, M. L., Mecocci, P., Passamonte, M., Romano, M., Tardi, S., Mazza, L., Ottomanelli, G., Secreto, P., Solfrizzi, V., Vargas, N., Fimognari, F. L., & Palleschi, L. (2024). Position paper on essential strategies for healthy aging: focus on preventing sarcopenia and cardiovascular diseases from the 38<sup>th</sup> National Congress of the Italian Society of Geriatrics Hospital and Territory (SIGOT). Geriatric Care, 10(1). https://doi.org/10.4081/gc.2024.12702