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Keywords = aging muscle

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21 pages, 906 KB  
Review
Alkaline Water and Muscle Health in Aging: A Systematic Evidence Map and Translational Appraisal of Human Evidence
by Tariq A. Alalwan, Giuseppe Mazzola, Lucia Chiesa, Mariangela Rondanelli and Simone Perna
J. Ageing Longev. 2026, 6(3), 49; https://doi.org/10.3390/jal6030049 (registering DOI) - 24 Jun 2026
Abstract
Alkaline water is increasingly marketed for musculoskeletal and recovery benefits, yet its relevance to healthy aging, sarcopenia prevention, and functional capacity in older adults remains largely unexplored. This systematic evidence map and translational appraisal examined whether the available comparative human evidence on alkaline [...] Read more.
Alkaline water is increasingly marketed for musculoskeletal and recovery benefits, yet its relevance to healthy aging, sarcopenia prevention, and functional capacity in older adults remains largely unexplored. This systematic evidence map and translational appraisal examined whether the available comparative human evidence on alkaline water is applicable to aging populations and longevity research. Following PRISMA guidance, PubMed and Scopus were searched from January 2005 to September 2025. Eligible studies were controlled or comparative observational human studies reporting muscle strength, physical performance, or recovery outcomes. Risk of bias was assessed using RoB 2, ROBINS-I, and JBI criteria; evidence certainty was judged narratively using GRADE-informed principles. Ten studies met the inclusion criteria. Most enrolled young athletic populations; only two had partial relevance to aging cohorts. Crucially, no study included participants aged 65 years or older or assessed primary sarcopenia-relevant endpoints such as appendicular lean mass, gait speed, or chair-rise performance; this total absence of data in the target demographic represents the central limitation of the current literature. Risk of bias ranged from some concerns to serious. The most consistent signals were short-term improvements in lactate clearance and perceived exertion in young male athletes. Evidence for strength, functional performance, and safety in older adults was absent or indirect. Current evidence, rated low to very low certainty for aging-relevant outcomes, does not support alkaline water as an evidence-based strategy for healthy aging or muscle preservation in older adults. Age-appropriate trials using EWGSOP2-aligned outcomes are urgently needed. Full article
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27 pages, 5221 KB  
Review
Short-Chain Fatty Acids: Bridging Gut Microbiota and Systemic Aging—Mechanisms, Interventions, and Current Challenges
by Pengpeng Xie, Yaoye Pei, Luyun Xu, Yuanhao Shan and Xiamin Cao
Metabolites 2026, 16(7), 438; https://doi.org/10.3390/metabo16070438 (registering DOI) - 23 Jun 2026
Abstract
Aging is a systemic degenerative process that can lead to functional decline in multiple organs, such as skeletal muscles and the heart, and accelerates the overall aging process through organ-to-organ interactions mediated by metabolites such as short-chain fatty acids (SCFAs). SCFAs serve as [...] Read more.
Aging is a systemic degenerative process that can lead to functional decline in multiple organs, such as skeletal muscles and the heart, and accelerates the overall aging process through organ-to-organ interactions mediated by metabolites such as short-chain fatty acids (SCFAs). SCFAs serve as a crucial link connecting intestinal health and anti-aging, and their levels and functions undergo significant changes with aging. However, current research lacks understanding of the downstream molecular mechanisms of SCFAs, and intervention methods are mostly limited to simple regulation. This article clarifies the intrinsic relationship between SCFAs and aging from a systemic perspective, analyzes their regulatory mechanisms through key signaling pathways, examines their roles in tissue barrier protection, the improvement of metabolic disorders, and immune regulation, and summarizes their therapeutic potential and diversified intervention strategies in aging-related diseases. The detailed molecular mechanisms by which SCFAs regulate aging are still unclear, and there are no precise intervention plans for different aging stages and organ damage. In the future, we need to utilize techniques such as single-cell sequencing and organ models to explore the regulation of aging cell fates, providing support for the development of metabolite-mediated personalized anti-aging intervention measures. Full article
(This article belongs to the Section Thematic Reviews)
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17 pages, 1084 KB  
Article
Age-Dependent Safety and Effectiveness of Pridinol Versus NSAIDs in Acute (Low) Back Pain: A Secondary Analysis of the Providence Real-World Study
by Michael A. Überall, Artur Schikowski and Philipp C. G. Müller-Schwefe
J. Clin. Med. 2026, 15(13), 4888; https://doi.org/10.3390/jcm15134888 (registering DOI) - 23 Jun 2026
Abstract
Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely recommended for the treatment of acute (low) back pain, despite modest effectiveness and well-known safety concerns, particularly in older patients. Pridinol is a centrally acting antispasmodic with a mechanism-oriented approach targeting muscle spasm, a key component [...] Read more.
Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely recommended for the treatment of acute (low) back pain, despite modest effectiveness and well-known safety concerns, particularly in older patients. Pridinol is a centrally acting antispasmodic with a mechanism-oriented approach targeting muscle spasm, a key component of acute back pain. While a previous real-world analysis demonstrated a significantly better tolerability and effectiveness of pridinol compared with NSAIDs, age-dependent effects have not yet been systematically evaluated. Objective: To assess the age dependency of effectiveness, safety, and tolerability of pridinol versus NSAIDs in patients with acute (low) back pain under real-world conditions, based on already available data. Methods: This secondary analysis used propensity score-matched real-world data from the German Pain e-Registry (PROVIDENCE study; EUPAS identifier: 49718). A total of 934 patients with acute (low) back pain treated for four weeks with either pridinol (n = 467) or NSAIDs (n = 467) were stratified by age (<65 vs. ≥65 years). Outcomes included the incidence of adverse drug reactions (ADRs), ADR-related treatment discontinuations, time to ADR occurrence, and clinically meaningful improvement in pain-related disability (≥50% reduction in modified Pain Disability Index). Analyses were performed within and between age strata. Results: Overall, ADRs were reported by 9.0% of pridinol-treated patients and 20.8% of NSAID-treated patients (p < 0.001). In the pridinol cohort, ADR rates were virtually identical in patients <65 and ≥65 years (8.9% vs. 9.2%; p = 0.940). In contrast, NSAID-treated patients showed a pronounced age-related increase in ADR incidence (17.3% vs. 32.1%; p < 0.001). ADR-related treatment discontinuation rates under NSAIDs increased markedly with age (5.9% vs. 21.1%; p < 0.001), whereas rates under pridinol remained low and age independent (3.1% vs. 4.6%; p = 0.447). Gastrointestinal and cardiovascular ADRs were the main contributors to the age-related risk increase under NSAIDs, while corresponding events under pridinol were rare across age groups. Clinically meaningful improvement in pain-related disability was achieved with pridinol/NSAIDs in 91.9/48.0% (<65 years) and 88.1/47.7% (≥65 years; p < 0.001 for both). Conclusions: Age is a major modifier of NSAID-related risk but not of pridinol tolerability in acute (low) back pain. While NSAID-associated ADRs and treatment discontinuations increase substantially in patients aged 65 years or older, pridinol demonstrates a stable, age-independent safety profile combined with significantly better functional outcomes. These findings suggest that, particularly in older patients, mechanism-oriented alternatives such as pridinol may offer a more favorable benefit–risk profile than NSAIDs. Full article
(This article belongs to the Section Pharmacology)
16 pages, 621 KB  
Article
Administratively Defined Functional Vulnerability and Adverse Short-Term Outcomes in Older Adults Hospitalized with Crohn’s Disease Flares: A Propensity-Matched Multicenter Cohort Study
by Noor Albusta, Mohamed Abdulla, Ali Bosta and Rehab Almarzooq
Diseases 2026, 14(7), 225; https://doi.org/10.3390/diseases14070225 (registering DOI) - 23 Jun 2026
Abstract
Background/Objectives: Functional vulnerability may identify older adults hospitalized with Crohn’s disease flares who are at increased risk for adverse outcomes, but its prognostic significance in this setting remains incompletely defined. We evaluated the association between administratively defined functional vulnerability, identified using administrative diagnostic [...] Read more.
Background/Objectives: Functional vulnerability may identify older adults hospitalized with Crohn’s disease flares who are at increased risk for adverse outcomes, but its prognostic significance in this setting remains incompletely defined. We evaluated the association between administratively defined functional vulnerability, identified using administrative diagnostic codes, and short-term clinical outcomes among adults aged ≥65 years hospitalized with Crohn’s disease flares. Methods: We conducted a retrospective cohort study using the TriNetX US Collaborative Research Network through February 2026. Functional vulnerability was identified using ICD-10-CM codes for frailty, sarcopenia, cachexia, abnormal weight loss, muscle weakness, gait/mobility abnormalities, or reduced mobility within 12 months before or during the index hospitalization. Patients coded only for nonspecific weakness or fatigue were excluded from the functional vulnerability cohort. Patients underwent 1:1 propensity score matching using demographic, comorbidity, Crohn’s disease-related, medication, nutritional, and laboratory variables. The primary outcome was 30-day all-cause mortality. Results: Among 18,420 eligible patients, 2846 met criteria for functional vulnerability, and 15,574 did not. After matching, 2720 patients remained in each cohort. Functional vulnerability was associated with higher 30-day mortality (RR 1.61, 95% CI 1.21–2.14), 90-day mortality (RR 1.40, 95% CI 1.14–1.72), bowel surgery (RR 1.29, 95% CI 1.07–1.56), sepsis (RR 1.41, 95% CI 1.18–1.68), acute kidney injury (RR 1.26, 95% CI 1.10–1.44), ICU admission (RR 1.32, 95% CI 1.13–1.55), TPN use (RR 1.47, 95% CI 1.20–1.79), and 90-day readmission (RR 1.17, 95% CI 1.07–1.29). Functionally vulnerable patients also had longer hospital stays (8.9 vs. 6.7 days; mean difference 2.2 days, 95% CI 1.9–2.5). Conclusions: Administratively defined functional vulnerability identified through diagnostic coding was associated with worse short-term outcomes among older adults hospitalized with Crohn’s disease flares. Although functional vulnerability is a recognized predictor of adverse outcomes across hospitalized populations broadly, these findings quantify its prognostic significance specifically in Crohn’s disease flare hospitalizations and suggest that functional vulnerability may identify a high-risk geriatric IBD phenotype that could benefit from early multidisciplinary assessment, nutritional optimization, rehabilitation planning, and post-discharge care coordination. Full article
26 pages, 13819 KB  
Article
Age-Related Hyperphosphatemia Is Associated with Metabolic and Mitochondrial Alterations During Myogenic Differentiation and in Skeletal Muscle from Old Mice
by María Martos-Elvira, Alberto Guerrero-Méndez, Ariadna Moreno-Piedra, Javier Sanz-Zamora, Elena Alcalde-Estévez, Marta Ruiz-Ortega, Natalia Carrillo-López, Susana López-Ongil, Gemma Olmos and María Piedad Ruiz-Torres
Int. J. Mol. Sci. 2026, 27(13), 5662; https://doi.org/10.3390/ijms27135662 (registering DOI) - 23 Jun 2026
Abstract
Age-related hyperphosphatemia is increasingly recognized as a contributing factor in sarcopenia. This work studies the metabolic effects of elevated phosphate on muscle. C2C12 cells were differentiated in the absence or presence of 10 mM β-glycerophosphate (BGP), an exogenous phosphate donor. In addition, quadriceps [...] Read more.
Age-related hyperphosphatemia is increasingly recognized as a contributing factor in sarcopenia. This work studies the metabolic effects of elevated phosphate on muscle. C2C12 cells were differentiated in the absence or presence of 10 mM β-glycerophosphate (BGP), an exogenous phosphate donor. In addition, quadriceps muscles from four experimental groups of male C57BL/6J mice were analyzed: young (5 months) and old (24 months) fed with standard diet; old mice fed with hypophosphatemic diet or supplemented with the phosphate binder Velphoro®, for the last three months of life. Mice were stratified according to sarcopenia degree based on muscle mass, strength and physical performance. Protein levels were determined by immunoblotting and mRNA expression by RT-qPCR. ATP levels were measured by luminescence and L-lactate production, citrate synthase and cytochrome c oxidase activities by colorimetric assays. Mitochondrial content, membrane potential and reactive oxygen species (ROS) were determined by fluorescence assay. BGP-treated cells showed increased glucose transporter 1 (GLUT1) and decreased NADH Dehydrogenase (CI-NDUFB8) protein expression, elevated hexokinase II (HK2), phosphoglycerate kinase 1 (PGK1) and lactate dehydrogenase A (LDHA) mRNA levels, reduced ATP levels, increased lactate production, and decreased mitochondrial enzyme activities. Moreover, BGP increased ROS, diminished mitochondrial membrane potential, and altered fusion–fission dynamics and mitophagy. In aged quadriceps, oxidative phosphorylation (OXPHOS) subunits and superoxide dismutase 2 (SOD2) expression were reduced. The hypophosphatemic diet improved all parameters, whereas Velphoro® selectively increased Mitochondrial cytochrome C oxidase subunit 1 (CIV-MTCO1) expression. Several altered mitochondrial markers are associated with sarcopenia degree. Altogether, hyperphosphatemia induces metabolic changes that scale with the sarcopenic degree. Our findings show a relevant association between hyperphosphatemia and mitochondrial dysfunction, and they support the potential benefit of phosphate reduction as a strategy to prevent or mitigate sarcopenia. Full article
(This article belongs to the Special Issue New Insights into Mitochondria in Health and Diseases)
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14 pages, 894 KB  
Article
Radiological Assessment of Sarcopenia and Its Association with Metabolic Markers in Patients with Liver Cirrhosis
by Sedat Çiçek, Hasan Duyu, Selman Çetin, Abdulvahap Hohluoğlu, Furkan Kırsoy, Jehat Kılıç, Abdullah Mübin Özercan, Hakan Artaş, Mehmet Yalnız and İbrahim Halil Bahçecioğlu
J. Clin. Med. 2026, 15(13), 4854; https://doi.org/10.3390/jcm15134854 (registering DOI) - 23 Jun 2026
Abstract
Background: Cirrhosis is a progressive liver disease often associated with sarcopenia. Vitamin D and IGF-1 alterations may contribute to muscle loss and disease progression. This study evaluated their relationship in cirrhotic patients. Methods: A total of 90 patients with liver cirrhosis [...] Read more.
Background: Cirrhosis is a progressive liver disease often associated with sarcopenia. Vitamin D and IGF-1 alterations may contribute to muscle loss and disease progression. This study evaluated their relationship in cirrhotic patients. Methods: A total of 90 patients with liver cirrhosis were included in this retrospective observational study. Clinical and laboratory data were collected, and disease severity was assessed using Child–Pugh and MELD-Na scores. Sarcopenia was evaluated using CT-based skeletal muscle index at the L3 level with sex-specific cut-offs. Patients with malignancy, acute liver failure, recent surgery, or muscle-affecting conditions were excluded. Vitamin D and IGF-1 levels were classified using standard and age-adjusted reference ranges. Results: A total of 90 patients were included, of whom 42 were alive, and 48 died during follow-up. Gender distribution was similar between groups (p = 0.388). Skeletal muscle area was significantly lower in non-survivors (110 vs. 140 cm2, p = 0.002), while body mass index did not differ (p = 0.570). Vitamin D levels were significantly lower (10.0 vs. 17.9 ng/mL, p < 0.001), and hemoglobin levels were reduced in the non-survivor group (10.76 ± 2.13 vs. 12.87 ± 2.57 g/dL, p = 0.001). In multivariate analysis, age (OR 1.046, p = 0.032), MELD-Na score (OR 1.200, p = 0.001), and vitamin D level (OR 0.920, p = 0.024) were independently associated with mortality. Conclusions: CT-based sarcopenia assessment is a useful adjunct in cirrhosis when interpreted with disease severity. Radiological muscle depletion is common and associated with worse outcomes, while vitamin D deficiency independently associated with mortality, highlighting its potential as a biomarker and therapeutic target. Full article
(This article belongs to the Special Issue Cirrhosis and Its Complications: Prognosis and Clinical Management)
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21 pages, 840 KB  
Article
Agreement Between Standing Eight-Point Multifrequency Bioelectrical Impedance Analysis and Dual-Energy X-Ray Absorptiometry for Body Composition Assessment in Apparently Healthy Greek Adults
by Dimitrios Balampanos, Theodoros Stampoulis, Alexandra Avloniti, Anastasia Gkachtsou, Dimitrios Pantazis, Maria Protopapa, Nikolaos-Orestis Retzepis, Christos Kokkotis, Danai Kelaraki, Nikolaos Zaras, Dimitrios Ioannou, Stelios Kyriazidis, Maria Michalopoulou and Athanasios Chatzinikolaou
Healthcare 2026, 14(12), 1807; https://doi.org/10.3390/healthcare14121807 (registering DOI) - 22 Jun 2026
Abstract
Background/Objectives: Multifrequency bioelectrical impedance analysis (MF-BIA) is increasingly used for practical body composition assessment when dual-energy X-ray absorptiometry (DXA) is unavailable or impractical. However, MF-BIA estimates are device-, population-, and outcome-specific, and therefore require validation against reference methods under standardized conditions. This study [...] Read more.
Background/Objectives: Multifrequency bioelectrical impedance analysis (MF-BIA) is increasingly used for practical body composition assessment when dual-energy X-ray absorptiometry (DXA) is unavailable or impractical. However, MF-BIA estimates are device-, population-, and outcome-specific, and therefore require validation against reference methods under standardized conditions. This study examined the agreement, concordance, and systematic bias between a standing 8-point MF-BIA device and DXA-derived body composition estimates in apparently healthy Greek adults. Methods: A total of 1250 adults aged 18 to 80 years completed same-day DXA and MF-BIA (Charder MA801) assessments. Fat mass (FM), fat-free mass (FFM), body fat percentage (BF%), and appendicular skeletal muscle mass estimate (ASM) were compared between methods. Analyses were performed by sex and BMI category. Pearson correlations described association, whereas Bland–Altman analysis, Lin’s concordance correlation coefficient (CCC), mean absolute error (MAE), root mean square error (RMSE), and proportional bias testing evaluated agreement and error magnitude. Results: MF-BIA showed strong associations with DXA-derived outcomes, but systematic bias was observed. When BMI categories were considered collectively, MF-BIA underestimated BF% by 3.59 percentage points in men and 4.25 percentage points in women, underestimated FM by 2.89 kg and 2.58 kg, and overestimated FFM by 3.09 kg and 3.29 kg, respectively. CCC was highest for FM (men: 0.913; women: 0.949) and lower for FFM and ASM in women (0.642 and 0.714, respectively). Proportional bias was observed for BF%, FM, and ASM in both sexes, and for FFM in women. Conclusions: The MA801 showed strong associations and outcome-specific concordance with DXA, but systematic bias and individual-level error limit interchangeability. Under standardized conditions, MF-BIA may support group-level or repeated same-device assessments but not precise individual-level assessment, clinical classification, or monitoring of small longitudinal changes. Full article
(This article belongs to the Special Issue Exercise Interventions and Testing for Effective Health Promotion)
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20 pages, 1115 KB  
Article
Smartphone-Derived Movement Analysis for Musculoskeletal Assessment: Smartphone-Estimated Relative Vertical Power During the Sit-to-Stand Test as an Accessible Predictor of Knee Extensor Strength in Older Adults
by Chanon Fapinyo, Weerasak Tapanya, Nitiphoom Sinnathakorn, Pasa Sukson, Warunyou Ngiamphaisan and Noppharath Sangkarit
Medicina 2026, 62(6), 1195; https://doi.org/10.3390/medicina62061195 (registering DOI) - 21 Jun 2026
Viewed by 72
Abstract
Background and Objectives: Assessing knee extensor (KE) strength is important for detecting muscle weakness in older adults, yet dynamometry is often impractical in community settings. This study examined whether smartphone-derived kinematics during the Five Times Sit-to-Stand Test (FTSST) could predict seated isometric KE [...] Read more.
Background and Objectives: Assessing knee extensor (KE) strength is important for detecting muscle weakness in older adults, yet dynamometry is often impractical in community settings. This study examined whether smartphone-derived kinematics during the Five Times Sit-to-Stand Test (FTSST) could predict seated isometric KE strength. Materials and Methods: A cross-sectional study included 105 community-dwelling older adults (68.19 ± 5.85 years). A smartphone application extracted rising time, vertical velocity, and smartphone-estimated relative vertical power during the FTSST. KE strength was measured as maximum voluntary isometric contraction (MVIC) using fixed-frame dynamometry with a Lafayette dynamometer head. Bioelectrical impedance-derived body composition variables were reported descriptively but excluded from the primary prediction models to maintain a transparent movement-based model independent of device-specific body-composition estimates. Hierarchical regression models used smartphone-derived variables and transparent non-BIA covariates. Agreement was examined using Bland–Altman analysis. Results: Smartphone-estimated relative vertical power showed the strongest correlation with MVIC (r = 0.787, p < 0.001). The combined model including sex, age, femur length, and smartphone-estimated relative vertical power explained 71.6% of MVIC variance (adjusted R2 = 0.716, SEE = 3.276 kg), outperforming vertical velocity, rising time, and total FTSST time models. Internal validation using repeated 10-fold cross-validation showed CV-R2 = 0.701, CV-adjusted R2 = 0.689, CV-RMSE = 3.343 kg, and CV-MAE = 2.739 kg. Bland–Altman analysis showed minimal mean bias (0.00 kg), 95% limits of agreement from −6.296 to 6.296 kg, and significant proportional bias (slope = −0.172, p = 0.002), indicating overestimation in weaker individuals and underestimation in stronger individuals. Conclusions: Consistent with our hypothesis, smartphone-estimated relative vertical power was the strongest kinematic predictor of seated isometric KE strength among the evaluated FTSST-derived variables. This approach may support community screening and monitoring, but it should not replace standardized dynamometry for precise individual-level strength quantification. Full article
(This article belongs to the Special Issue Recent Trends in Physical Therapy for Musculoskeletal Disorders)
21 pages, 6689 KB  
Article
The Effect of Zinc Sulfate Treatment on Diabetic Cardiomyopathy in an Aged Female Rat Model of Type 2 Diabetes
by Nilufer Akgun-Unal, Omer Unal, Gamze Altun, Elif Gulbahce-Mutlu, Ahmet Akkoca and Mustafa Ayyildiz
Nutrients 2026, 18(12), 2005; https://doi.org/10.3390/nu18122005 (registering DOI) - 20 Jun 2026
Viewed by 182
Abstract
Background/Objectives: Diabetic cardiomyopathy (DCM) is largely driven by severe oxidative stress and calcium dyshomeostasis. We examined the targeted antioxidant and therapeutic effects of zinc sulfate (ZnSO4) on contractile dynamics, oxidative damage, calcium turnover, and apoptosis/fibrosis in aged female rats with [...] Read more.
Background/Objectives: Diabetic cardiomyopathy (DCM) is largely driven by severe oxidative stress and calcium dyshomeostasis. We examined the targeted antioxidant and therapeutic effects of zinc sulfate (ZnSO4) on contractile dynamics, oxidative damage, calcium turnover, and apoptosis/fibrosis in aged female rats with type 2 diabetes. Methods: Thirty-two aged female Wistar rats were divided into Control, Control + ZnSO4, Diabetes (DM), and DM + ZnSO4 groups. DM was induced via high-fat diet and 30 mg/kg streptozotocin. After a 4-week complication period, treatment groups received 10 mg/kg/day ZnSO4 (i.p.) for 6 weeks. Left ventricular papillary muscle contraction, oxidative/antioxidant markers (MDA/GSH), and gene expressions (SIRT1, GLUT4, SERCA2a, RyR2, Cav1.2, PLN) were evaluated. Myocardial architecture, fibrosis, and apoptosis were analyzed immunohistochemically. In DM rats, contractile force (CF) and velocities (±dF/dtmax) significantly declined. Results: Concurrently, SIRT1, GLUT4, SERCA2a, RyR2, Cav1.2, and antioxidant GSH decreased, while oxidative lipid damage (MDA), PLN, Caspase-3 activity, Collagen I, and fibrosis increased (p < 0.001). ZnSO4 treatment in diabetic rats acted as a potent antioxidant modulator; it restored redox balance, activated the SIRT1/GLUT4 pathway, protected calcium-handling proteins from oxidative degradation, and significantly improved contractile dynamics. It also preserved myocardial architecture by reducing apoptosis and fibrosis. In healthy rats, ZnSO4 caused mild stress and early fibrosis. Conclusions: In conclusion, while inducing mild stress in healthy myocardium, zinc supplementation provides robust antioxidant protection in diabetic hearts. It activates SIRT1, suppresses oxidative damage, maintains calcium homeostasis, and restores contractile dynamics, demonstrating strong antioxidant therapeutic potential against DCM. Full article
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17 pages, 279 KB  
Article
Carcass Composition, Meat Quality, and Digestive and Skeletal Traits of Muscovy and Pekin Broiler Ducks
by Marcin Wegner, Dariusz Kokoszyński, Kamil Stęczny, Mohamed Saleh, Marek Kotowicz, Joanna Żochowska-Kujawska and Dariusz Piwczyński
Animals 2026, 16(12), 1918; https://doi.org/10.3390/ani16121918 (registering DOI) - 20 Jun 2026
Viewed by 163
Abstract
The aim of this study was to compare carcass composition, meat quality, digestive tract morphometry, and leg bone dimensions of Pekin and Muscovy ducks. The study involved 40 birds, including 10 males and 10 females from each genotype, reared to market age. Carcass [...] Read more.
The aim of this study was to compare carcass composition, meat quality, digestive tract morphometry, and leg bone dimensions of Pekin and Muscovy ducks. The study involved 40 birds, including 10 males and 10 females from each genotype, reared to market age. Carcass traits, physicochemical properties of breast and leg muscles, texture parameters, internal organ development, intestinal measurements, and selected dimensions of the femur and tibia were evaluated. The results demonstrated a significant effect of duck genotype (p < 0.05) on carcass weight, dressing percentage, and the proportion of neck, wings, and skin with subcutaneous fat. Genotype also affected meat color (L*, a*, b*), intramuscular fat and collagen content, cooking loss, pH, electrical conductivity, and selected texture parameters of breast muscles. Differences were also observed in the mass and proportion of internal organs, most intestinal morphometric traits, and selected bone measurements. Sex had a significant effect on body and carcass weight, selected meat quality traits, intestinal measurements, and leg bone dimensions, with males generally showing greater body size and more developed skeletal structures. Significant interactions between genotype and sex were observed for several analyzed traits. The findings indicate that both genotype and sex substantially affect slaughter traits and meat quality characteristics of ducks. Full article
(This article belongs to the Section Poultry)
19 pages, 2618 KB  
Review
The Gut–Brain–Muscle Axis: Microbial Regulation of Neuromuscular Aging and Cognitive Frailty
by Nurpudji Astuti Taslim, Jeremy Nicolas Sibarani, Ricky Indra Alfaray, Nelly Mayulu, Arifa Mustika, Dian Aruni Kumalawati, Happy Kurnia Permatasari, Raymond Rubianto Tjandrawinata and Fahrul Nurkolis
Microorganisms 2026, 14(6), 1366; https://doi.org/10.3390/microorganisms14061366 (registering DOI) - 19 Jun 2026
Viewed by 310
Abstract
Cognitive frailty, characterized by the coexistence of physical frailty and cognitive impairment, has emerged as a major challenge in aging populations and is closely linked to sarcopenia, neurodegeneration, and chronic inflammation. Increasing evidence suggests that the gut microbiota acts as a central regulator [...] Read more.
Cognitive frailty, characterized by the coexistence of physical frailty and cognitive impairment, has emerged as a major challenge in aging populations and is closely linked to sarcopenia, neurodegeneration, and chronic inflammation. Increasing evidence suggests that the gut microbiota acts as a central regulator of neuromuscular and neurocognitive aging through the integrated gut–brain–muscle axis. This review highlights how microbial dysbiosis, reduced short-chain fatty acid (SCFA) production, systemic endotoxemia, and altered microbial metabolites contribute to mitochondrial dysfunction, neuroinflammation, anabolic resistance, and impaired neuroplasticity. Key signaling mediators, including SCFAs, bile acids, tryptophan-derived metabolites, cytokines, and myokines such as irisin, brain-derived neurotrophic factor (BDNF), and cathepsin B, orchestrate bidirectional communication among the gut, skeletal muscle, and brain. We further discuss the role of exercise-induced microbiota remodeling and muscle endocrine signaling in promoting mitochondrial biogenesis and cognitive resilience. In addition, emerging translational strategies including probiotics, prebiotics, postbiotics, polyphenol-rich functional foods, marine bioactives, and precision nutrition are explored as potential interventions targeting this axis. Collectively, the gut–brain–muscle axis provides a novel systems biology framework for understanding cognitive frailty and developing integrated therapeutic strategies for healthy longevity. Full article
(This article belongs to the Special Issue Probiotics and Gut Microbiome Dynamics in Health and Disease)
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23 pages, 9691 KB  
Article
Broccoli-Derived Peptides and Leucine in Combination Ameliorate D-Galactose-Induced Sarcopenia in Mice
by Kexin Yuan, Wenbin Wu, Ning Su, Mingyang Cui, Jingyi Qi, Yang Zhang, Zhengyang Zhang, Peng An, Junjie Luo and Yongting Luo
Nutrients 2026, 18(12), 1997; https://doi.org/10.3390/nu18121997 (registering DOI) - 19 Jun 2026
Viewed by 252
Abstract
Background: Sarcopenia is an age-related disorder characterized by loss of muscle mass, strength, and function, driven by oxidative stress, chronic inflammation, and protein imbalance. Broccoli-derived peptides (BDP) exert anti-inflammatory and myofiber-protective effects, while leucine regulates energy metabolism and redox balance. Methods: We established [...] Read more.
Background: Sarcopenia is an age-related disorder characterized by loss of muscle mass, strength, and function, driven by oxidative stress, chronic inflammation, and protein imbalance. Broccoli-derived peptides (BDP) exert anti-inflammatory and myofiber-protective effects, while leucine regulates energy metabolism and redox balance. Methods: We established a D-galactose aging mouse model and treated mice with BDP alone, leucine alone, or their combination for 8 weeks. Lean mass, muscle index, grip strength, endurance, and treadmill capacity were detected, and atrophic, disorganized myofibers were observed through histology. RNA-seq was applied to screen differential signaling pathways, and qPCR was used to verify related gene expression levels. Results: D-galactose caused marked deficits in lean mass, muscle index, grip strength, endurance, and treadmill capacity, accompanied by atrophic and disorganized myofibers. Single BDP or leucine partially reversed these deficits, but the combination produced the most robust improvements. RNA-seq revealed that BDP enriched actin, chemokine, and TNF pathways; leucine enriched Apelin and ECM pathways; while the combination uniquely regulated MAPK signaling. qPCR confirmed that co-administration optimally upregulated myogenic drivers (Myod1, Myog, Mef2c), suppressed catabolic/inflammatory mediators (Mstn, Tnf, Cxcl10), and restored metabolic/adhesive regulators (Sirt3, Aplnr, Icam1). Conclusions: BDP and leucine show superior efficacy in ameliorating sarcopenia, through multimodal regulation of multiple signaling pathways, offering a promising plant-based nutritional strategy against age-related muscle decline. Full article
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19 pages, 427 KB  
Article
Association Between Nutritional Biomarkers and Low Muscle Mass, Obesity, and Low Muscle Mass with Obesity Across Physical Activity Levels Among U.S. Adults: Finding from the National Health and Nutrition Examination Survey 2015–2018
by Uraiporn Booranasuksakul, Mario Siervo, Alongkote Singhato, Narisa Rueangsri, Tepparit Samrit, Wichukorn Suriyawongpaisal and Piyapong Prasertsri
Int. J. Environ. Res. Public Health 2026, 23(6), 815; https://doi.org/10.3390/ijerph23060815 (registering DOI) - 19 Jun 2026
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Abstract
Background: Nutritional biomarkers are linked to body composition changes, but limited evidence has studied how nutritional biomarkers relate to low muscle mass, excess adiposity, and both coexisting conditions across different physical activity levels. This study aims to investigate associations between low muscle mass, [...] Read more.
Background: Nutritional biomarkers are linked to body composition changes, but limited evidence has studied how nutritional biomarkers relate to low muscle mass, excess adiposity, and both coexisting conditions across different physical activity levels. This study aims to investigate associations between low muscle mass, obesity, and low muscle mass with obesity and nutritional biomarkers across physical activity levels among U.S. adults across physical activity levels. Methods: This cross-sectional study analyzed data from adults aged 20–59 years from the 2015–2018 cycles of the National Health and Nutrition Examination Survey (NHANES) 2015–2018. Low muscle mass was defined by low appendicular lean mass relative to body weight (LALM/W). Obesity was classified using body mass index (BMI1), waist circumference (WC2), and body fat percentage (FM%3), and low muscle mass with obesity was defined using three coexisting phenotypes (LALM/W-O1, LALM/W-O2, LALM/W-O3). Nutritional biomarkers included serum albumin, vitamin D, triglyceride, cholesterol, LDL cholesterol, iron, insulin resistance (HOMA IR), and high-sensitivity C-reactive protein (hs-CRP). Physical activity was categorized as inactive, insufficiently active, or sufficiently active based on MET minutes per week. Multivariable regression models accounted for the complex survey design and relevant covariates. Results: After adjustment, LALM/W was significantly associated with low serum albumin, low vitamin D, high triglyceride, high HOMA-IR, and high CRP. Obesity was significantly associated with low serum albumin, low vitamin D, high triglyceride, high LDL cholesterol, high HOMA-IR, and high CRP. LALM/W-O in all phenotypes were significantly associated with low serum albumin, low vitamin D, high triglyceride, high LDL cholesterol, high HOMA-IR, and high CRP. LALM/W-O phenotypes demonstrated the strongest associations, particularly with high HOMA-IR and hs-CRP. Although the associations varied by physical activity level, sufficiently active group was associated with lower odds of adverse nutritional biomarkers compared with insufficient activity. Conclusions: Nutritional biomarkers are associated with LALM/W and obesity. Sufficient physical activity was associated with fewer adverse outcomes. This suggests that adequate physical activity may be associated with better nutritional status and body composition. Full article
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14 pages, 1040 KB  
Article
Elastographic Changes in Cervical Muscle Following Combined Radial Extracorporeal Shockwave Therapy and Orthopedic Manual Therapy: A Randomized Controlled Trial
by Carlos López-Moreno, Javier Conde-Pipó, Antonio Martínez-Amat and Alexander Achalandabaso-Ochoa
J. Clin. Med. 2026, 15(12), 4767; https://doi.org/10.3390/jcm15124767 (registering DOI) - 19 Jun 2026
Viewed by 104
Abstract
Background: Non-specific neck pain is associated with altered muscle mechanical properties, including increased stiffness. Radial extracorporeal shockwave therapy (rESWT) and orthopedic manual therapy (OMT) are commonly used interventions, although their combined effects on cervical muscle stiffness remain unclear. This study aimed to evaluate [...] Read more.
Background: Non-specific neck pain is associated with altered muscle mechanical properties, including increased stiffness. Radial extracorporeal shockwave therapy (rESWT) and orthopedic manual therapy (OMT) are commonly used interventions, although their combined effects on cervical muscle stiffness remain unclear. This study aimed to evaluate the short-term and within-session effects of adding rESWT to OMT on cervical muscle stiffness measured by means of shear wave elastography (SWE) in individuals with non-specific neck pain. Methods: A randomized controlled trial was conducted including 24 participants (mean age 34.36 years) allocated to an intervention group (IG, n = 12) or a control group (CG, n = 12). The IG received a combined protocol of rESWT (1500 impulses per point at 10 Hz, 2–4 bar) and OMT based on the Maitland concept, while the CG received OMT alone. Primary outcomes included cervical muscle stiffness assessed via SWE expressed in meters per second (m/s) and kilopascals (kPa). Secondary outcomes were pain intensity (VAS), pressure pain threshold (PPT), cervical range of motion (ROM), and shoulder elevation strength (SES). Treatment effects were estimated using ANCOVA adjusted for baseline values. Results: The combined intervention was associated with greater reductions in cervical muscle stiffness compared with the control group, with significant decreases in SWE values (m/s: β = −1.27, p < 0.001; kPa: β = −27.97, p < 0.001). Pain intensity was also reduced (β = −2.12, p = 0.012), while PPT increased (β = 18.84, p = 0.024). Improvements were observed in cervical extension ROM (β = 10.30, p = 0.014) and right SES (β = 3.85, p = 0.044). No significant differences were found for other ROM variables or left SES. Conclusions: The addition of rESWT to OMT was associated with greater short-term improvements in cervical muscle stiffness, pain intensity, and mechanical sensitivity compared with OMT alone in individuals with non-specific neck pain. However, these findings should be interpreted with caution due to the study limitations. Full article
(This article belongs to the Special Issue Musculoskeletal Imaging and Intervention: 2nd Edition)
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18 pages, 646 KB  
Article
Effects of Dietary Sweet Potato Tuber Meal on Production Performance, Meat Quality and Intestine of Wenchang Chickens
by Jingli Yuan, Jie Liu, Limin Wei, Qiqi Guo, Yan Zhang, Xiuping Wang, Guiping Zhao and Quanwei Liu
Biology 2026, 15(12), 955; https://doi.org/10.3390/biology15120955 (registering DOI) - 18 Jun 2026
Viewed by 128
Abstract
This study was conducted to investigate the effects of dietary supplementation with graded levels of SPTM on growth performance, slaughter performance, physiological parameters, and jejunal morphology of Wenchang chickens. A total of 400 female Wenchang chickens at 81 days of age with the [...] Read more.
This study was conducted to investigate the effects of dietary supplementation with graded levels of SPTM on growth performance, slaughter performance, physiological parameters, and jejunal morphology of Wenchang chickens. A total of 400 female Wenchang chickens at 81 days of age with the same genetic background and similar body weight (1190.80 ± 5.54 g) were randomly allocated into four treatment groups with five replicates per group and 20 chickens per replicate. Birds were fed diets supplemented with 0%, 3%, 9%, and 12% SPTM, respectively. The experimental period lasted 40 days. The results showed that dietary SPTM supplementation had no significant effects on growth performance, slaughter performance, organ indices, or serum biochemical parameters (p > 0.05). However, significant effects were observed on serum enzyme activities, immune parameters, jejunal morphology, meat quality, and nutrient composition. Specifically, serum alanine aminotransferase (ALT) activity in the 9% SPTM group was significantly lower than that in all other groups (p < 0.05). Aspartate aminotransferase (AST) activity in the 3% SPTM group was significantly lower than that in the 12% SPTM group (p < 0.05). Breast muscle moisture content in the 12% SPTM group was significantly lower than that in the control group (p < 0.05). Total amino acid and threonine contents in the breast muscle of the 12% SPTM group were significantly lower than those in the 0% and 3% SPTM groups (p < 0.05). Lauric acid (C12:0) and myristic acid (C14:0) contents in the breast muscle of the 9% and 12% SPTM groups were significantly higher than those in the 0%, and 3% SPTM groups (p < 0.05). These selective effects on meat quality traits suggest that SPTM has potential as a partial corn replacer, but further studies are needed to optimize inclusion levels and validate sensory outcomes. This systematic investigation of the effects of SPTM on physiological parameters and meat quality in Wenchang chickens provides a theoretical basis for the rational and efficient utilization of SPTM in Wenchang chicken production. Full article
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