help me understand sarcopenia, I have read the wiki twice
The title is the whole question — help me understand sarcopenia, I have read the wiki twice — but here is why I am asking.
Some lean mass loss accompanies weight loss in any deficit. Resistance training and adequate protein intake are the two interventions with the best evidence for limiting the proportion.
On comparing yourself to composition figures from trials.
Published composition data comes from supervised populations with structured protocols, standardised scanning, and analysis populations that have been defined in advance. Your two scans at a local clinic, taken in different states of hydration, are not the same measurement.
Use your own baseline. The question worth asking is whether your own trajectory is going the way you want given what you are actually doing, and the honest answer usually requires measuring protein rather than estimating it and being truthful about training frequency. Neither of those is advice — a programme and a target are things to work out with somebody who knows your history.
How to make a DEXA comparison mean anything.
Same machine, same clinic, same protocol. Same hydration and fasting state, as far as you can manage. At least three to four months apart, because the measurement error is large relative to short-term change. Three scans rather than two, because the first pair cannot distinguish a trend from noise.
Do less than that and you have two numbers with an offset of unknown size, which people then react to by rebuilding a training programme. The free alternative — a few tracked lifts and a monthly waist measurement — is directionally informative, costs nothing, and is far harder to over-interpret.
Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.
best — the order this archive was captured in
DEXA has a meaningful coefficient of variation, and it differs between machines and protocols. Comparing scans from different clinics adds a systematic offset that is invisible on the report.
Agreed on the error margin. Quoting a DEXA to one decimal implies a precision the method does not have.
Kept the same programme for a year instead of changing it every six weeks. That was the change that worked.
do not compare your composition to a trial average
strength retention is a decent proxy and it is free
Same. Volume over novelty. Changing programme every six weeks cost me a year.
Two scans on the same machine 15 months apart. Lean mass held better than I expected and the lifts told the same story for free.
[deleted]
Correcting myself upthread: 22 months between scans, not the figure I gave.
How many weeks between the two scans?
Have the lifts held, dropped, or moved around?
Tracked grip strength and three lifts monthly. Cheaper than scanning and directionally the same answer.
Protein was the whole problem. Appetite dropped and I was eating well under target without noticing for a month.
I would not change the programme on the strength of one scan. The measurement error is larger than the effect you are reacting to.
lean mass loss during weight loss is expected, the question is how much
Started weighing protein rather than estimating it. The gap between what I thought and what I ate was embarrassing.
resistance training first, cardio if there is time left
Removed a prescriptive nutrition target aimed at another member. Describe your own intake instead.
Removed a prescriptive nutrition target aimed at another member.
lift_heavy_things is right that protein becomes a logistics problem when appetite drops.
- 1Tracked grip strength and three lifts monthly. Cheaper than scanning and…8 comments in this branch · started by u/greta_lokken
- 2Same. Volume over novelty. Changing programme every six weeks cost me a year.6 comments in this branch · started by u/tomas_lundgren