David
@primarycarepac.bsky.social
@PrimaryCarePAC from X
Husband, dad, exercise evangelist.
Power lifting
#Creatine
Husband, dad, exercise evangelist.
Power lifting
#Creatine
This study provides a powerful roadmap for healthier aging. It's not just about the number on the scale; it's about building the strength to live well.
Full study: Mesinovic J, et al. JCSM, 2025.
#HealthyAging #Geriatrics #StrengthTraining #Sarcopenia #FallPrevention
Full study: Mesinovic J, et al. JCSM, 2025.
#HealthyAging #Geriatrics #StrengthTraining #Sarcopenia #FallPrevention
September 14, 2025 at 2:01 PM
This study provides a powerful roadmap for healthier aging. It's not just about the number on the scale; it's about building the strength to live well.
Full study: Mesinovic J, et al. JCSM, 2025.
#HealthyAging #Geriatrics #StrengthTraining #Sarcopenia #FallPrevention
Full study: Mesinovic J, et al. JCSM, 2025.
#HealthyAging #Geriatrics #StrengthTraining #Sarcopenia #FallPrevention
The bottom line: Don't just encourage older adults to lose weight. Encourage them to build strength while they do it.
And for those wondering, the study showed that this high-intensity program was safe, with very few injuries (one back strain I think).
And for those wondering, the study showed that this high-intensity program was safe, with very few injuries (one back strain I think).
September 14, 2025 at 2:01 PM
The bottom line: Don't just encourage older adults to lose weight. Encourage them to build strength while they do it.
And for those wondering, the study showed that this high-intensity program was safe, with very few injuries (one back strain I think).
And for those wondering, the study showed that this high-intensity program was safe, with very few injuries (one back strain I think).
Here's the kicker: BOTH groups lost the same amount of weight (~11 lbs).
But only the HiRIT group got measurably stronger and more mobile. They lost weight AND gained function. The other group just lost weight.
But only the HiRIT group got measurably stronger and more mobile. They lost weight AND gained function. The other group just lost weight.
September 14, 2025 at 2:01 PM
Here's the kicker: BOTH groups lost the same amount of weight (~11 lbs).
But only the HiRIT group got measurably stronger and more mobile. They lost weight AND gained function. The other group just lost weight.
But only the HiRIT group got measurably stronger and more mobile. They lost weight AND gained function. The other group just lost weight.
Why is walking speed so important? It's often called the "sixth vital sign" in geriatrics.
Even a small increase is directly linked to a lower risk of falls, fewer hospitalizations, and a longer, healthier life. It’s a direct measure of resilience.
Even a small increase is directly linked to a lower risk of falls, fewer hospitalizations, and a longer, healthier life. It’s a direct measure of resilience.
September 14, 2025 at 2:01 PM
Why is walking speed so important? It's often called the "sixth vital sign" in geriatrics.
Even a small increase is directly linked to a lower risk of falls, fewer hospitalizations, and a longer, healthier life. It’s a direct measure of resilience.
Even a small increase is directly linked to a lower risk of falls, fewer hospitalizations, and a longer, healthier life. It’s a direct measure of resilience.
The results were clear. While both groups lost weight, only the HEAVY LIFTING group saw a clinically meaningful improvement in their walking speed.
The HiRIT group got faster. The walking group didn't. 🚀
The HiRIT group got faster. The walking group didn't. 🚀
September 14, 2025 at 2:01 PM
The results were clear. While both groups lost weight, only the HEAVY LIFTING group saw a clinically meaningful improvement in their walking speed.
The HiRIT group got faster. The walking group didn't. 🚀
The HiRIT group got faster. The walking group didn't. 🚀
The setup: A 12-week study with older adults with obesity on a weight-loss diet.
GROUP 🚶: Unsupervised, home-based walking.
GROUP 🏋️: Supervised, high-intensity resistance & impact training (HiRIT).
GROUP 🚶: Unsupervised, home-based walking.
GROUP 🏋️: Supervised, high-intensity resistance & impact training (HiRIT).
September 14, 2025 at 2:01 PM
The setup: A 12-week study with older adults with obesity on a weight-loss diet.
GROUP 🚶: Unsupervised, home-based walking.
GROUP 🏋️: Supervised, high-intensity resistance & impact training (HiRIT).
GROUP 🚶: Unsupervised, home-based walking.
GROUP 🏋️: Supervised, high-intensity resistance & impact training (HiRIT).
Full study here:
Weighing the risk of GLP-1 treatment in older adults: Should we be concerned about sarcopenic obesity?
Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have been pivotal for obesity treatment, achieving 15–25 % weight loss over 12–24 months, but qu…
www.sciencedirect.com
September 6, 2025 at 2:19 PM
Full study here:
📖 Full breakdown here:
open.substack.com/pu...
RT if you agree “muscle retention” must be part of every weight loss protocol.
open.substack.com/pu...
RT if you agree “muscle retention” must be part of every weight loss protocol.
September 6, 2025 at 2:19 PM
📖 Full breakdown here:
open.substack.com/pu...
RT if you agree “muscle retention” must be part of every weight loss protocol.
open.substack.com/pu...
RT if you agree “muscle retention” must be part of every weight loss protocol.
The solution is simple:
✅ Resistance training 2–3x/week
✅ 1.2–1.6 g/kg protein
✅ Sarcopenia screening
The wider availability of GLP-1s is a huge win.
But prescribers must protect muscle, not just chase weight loss.
✅ Resistance training 2–3x/week
✅ 1.2–1.6 g/kg protein
✅ Sarcopenia screening
The wider availability of GLP-1s is a huge win.
But prescribers must protect muscle, not just chase weight loss.
September 6, 2025 at 2:18 PM
The solution is simple:
✅ Resistance training 2–3x/week
✅ 1.2–1.6 g/kg protein
✅ Sarcopenia screening
The wider availability of GLP-1s is a huge win.
But prescribers must protect muscle, not just chase weight loss.
✅ Resistance training 2–3x/week
✅ 1.2–1.6 g/kg protein
✅ Sarcopenia screening
The wider availability of GLP-1s is a huge win.
But prescribers must protect muscle, not just chase weight loss.
This is sarcopenic obesity:
🔻 Low muscle
🔺 High fat
⚠️ Higher risk of falls, fractures, diabetes, mortality
Already 10–20% of older adults live with it.
GLP-1 cycling could push that higher.
🔻 Low muscle
🔺 High fat
⚠️ Higher risk of falls, fractures, diabetes, mortality
Already 10–20% of older adults live with it.
GLP-1 cycling could push that higher.
September 6, 2025 at 2:18 PM
This is sarcopenic obesity:
🔻 Low muscle
🔺 High fat
⚠️ Higher risk of falls, fractures, diabetes, mortality
Already 10–20% of older adults live with it.
GLP-1 cycling could push that higher.
🔻 Low muscle
🔺 High fat
⚠️ Higher risk of falls, fractures, diabetes, mortality
Already 10–20% of older adults live with it.
GLP-1 cycling could push that higher.
When treatment stops?
Weight comes back.
But mostly as fat, not muscle.
Example: after liraglutide cessation
+6.3 kg fat
+2.5 kg lean
➡️ Net: weaker, not stronger.
Another study:
+2.52 kg fat
−0.12 kg lean
➡️ Sarcopenia risk climbs.
Weight comes back.
But mostly as fat, not muscle.
Example: after liraglutide cessation
+6.3 kg fat
+2.5 kg lean
➡️ Net: weaker, not stronger.
Another study:
+2.52 kg fat
−0.12 kg lean
➡️ Sarcopenia risk climbs.
September 6, 2025 at 2:18 PM
When treatment stops?
Weight comes back.
But mostly as fat, not muscle.
Example: after liraglutide cessation
+6.3 kg fat
+2.5 kg lean
➡️ Net: weaker, not stronger.
Another study:
+2.52 kg fat
−0.12 kg lean
➡️ Sarcopenia risk climbs.
Weight comes back.
But mostly as fat, not muscle.
Example: after liraglutide cessation
+6.3 kg fat
+2.5 kg lean
➡️ Net: weaker, not stronger.
Another study:
+2.52 kg fat
−0.12 kg lean
➡️ Sarcopenia risk climbs.