15. THE GREAT DANGER OF LOSS OF MUSCLE (“SARCOPENIA”): WITH SOME HARD WORK OFTEN REVERSIBLE (health project99+)

Summary. You need to start taking care of your muscles early on. If not, you can begin to lose 3–5% of your muscle mass every 10 years starting at the age of 30. Once you turn 60, this loss can speed up to about 10% per decade. The really good news is that muscle loss, known as sarcopenia, can almost always be reversed to a large extent! Which is a good thing as sarcopenia can be life-threatening.

Does losing muscle matter? Yes, it does so, very much—especially if you want to live a long and healthy life. For me, keeping my muscles strong has become one of the top five things to focus on! I didn’t always know how important strength training was. Lucky for me, I’ve always been active with sports, but I ignored strength and flexibility exercises like yoga. That changed once I learned about the dangers of sarcopenia. Now, I do daily exercises like push-ups, planking, balancing on one leg, and yoga. I also make sure to eat the right foods and take helpful supplements. When I am not in the mood I just take a look at the summary of risks (see point 3).

1. What is in a name?

Different terms like atrophy, myopenia, and sarcopenia are often used. I won’t go into their specific definitions, but they all generally refer to the same thing: loss of muscle. This muscle loss can be caused by illness, accidents, hormonal changes, or genetics. However, in this blog, I focus on the most common type: reduced muscle mass caused by disuse and aging.

Symptoms include a decrease in muscle mass. One limb may be smaller than the other. Legs can become thinner. Sensations like numbness, weakness, and tingling might appear in your limbs.

2. Sarcopenia = global pandemic

Up to 40% of people worldwide suffer from sarcopenia. This condition will affect more people globally. An estimated 22% of the world’s population will be over 60 years old by 2050. Older women are at greater risk of experiencing mobility issues.

3. Summary of risks

Sarcopenia poses several potential dangers and serious challenges, especially for older adults. Here are some of the key risks and issues.

1. Decreased Mobility: loss of muscle strength affects an individual’s ability to carry out daily activities. These activities include walking, climbing stairs, and getting out of a chair. Recovery from injuries will also be slower.

2. Increased Risk of Falls and Fractures: Many of us have heard stories of active 90-year-old people who fall, never fully recover, and pass away within a few months.

3. Metabolic Changes: These changes can contribute to conditions like insulin resistance and type 2 diabetes. Additionally, cardiovascular diseases and osteoporosis may also be of concern.

4. Decreased Physical Resilience: With reduced muscle mass, recovery from illnesses can be slower. Recovery from injuries or surgeries may also take longer. Additionally, the risk of complications may increase.

In short, when you have sarcopenia, you risk entering a self-reinforcing cycle of negative health outcomes. This includes reduced activity and increased weakness. Both are potentially life-threatening.

4. How to fight and prevent sarcopenia? 

A. Strength training, balancing exercises and yoga.

Food, as always, is important, and supplements can have some benefits, but physical activities are most essential. YouTube has great videos on what exercises to do, in addition to regular activities like walking, swimming, and cycling. Key exercises involve resistance training and weightlifting. Sports like yoga help you stay flexible. Or, in my case, they help me finally become flexible. Almost daily, I do 45 minutes of push-ups, planking, weightlifting, and some yoga. Maintaining balance should also be part of this routine, so I perform some exercises daily on one leg. It’s not easy at all.

B. What foods should you eat to avoid sarcopenia?

High-quality diets that are rich in fruits and vegetables are essential. Adequate protein intake, especially high in leucine, is also crucial. Hydration is the cornerstone of nutritional plans to fight sarcopenia. Nothing new, as this is general advice for almost everything health related.

C. Which supplements to take?

1. Reliable internet sources suggest that a daily dose of omega-3 oils may slow the aging process. A fair summary indicates that it may also increase the number of years spent in good health. Suggested quantities to take: 4,200 mg of omega-3s. This includes 2,700 mg of EPA and 1,200 mg of DHA. (Note: all info from the internet).

2. Proteins, particularly those with essential amino acids, are crucial. There are nine amino acids that the body does not produce itself. They are somewhat confusingly referred to as “essential” because they must come from external sources. All nine essential amino acids are important for muscle growth. These amino acids are vital for maintaining our body because they are the building blocks of protein. However, one particular essential amino acid that is often highlighted for its role in muscle protein synthesis is leucine. The quantities to take are explained in my blog on protein (see link), with the main messages being: a) it is not easy to get as much as needed, and b) the older you get, the more you need.https://shakethehealthtree.com/index.php/2025/02/25/5-power-to-the-proteins-and-also-enough-is-not-always-enough/

5. Some more info about Omega-3.

Omega-3″, often also called “omega-3 fatty acids” are a type of polyunsaturated fat (the so called ‘good fat’). These omega-3s play critical roles in maintaining heart health, supporting brain function, and reducing inflammation, among other benefits.

There are several types of Omega-3, with the most important being: EPA (Eicosapentaenoic Acid) – Found mainly in fish and seafood. DHA (Docosahexaenoic Acid) – Also found in fish and seafood and especially important for brain health. ALA (Alpha-linolenic Acid) – Found in plant sources such as flaxseeds, chia seeds, and walnuts.

The body can partially convert ALA into EPA and DHA. However, the conversion rate from ALA to EPA and DHA is very low for humans (5%). You need to eat over ½ kg of walnuts daily to get enough EPA and DHA through walnuts. Not practical. I will write a blog about Omega-3 as a supplement. The main conclusion is that most supplements are not as good as natural Omega-3s.

Time for some exercises. Lead a happy and healthy life.

Robert, your health friend

With our beloved dog Randy

15. PAY BETTER ATTENTION TO MOUTH HYGIENE AND LIVE (MUCH) LONGER (health project 99+)

divi divi trees on an Aruba beach

Summary: Proper oral hygiene, particularly aimed at preventing gum disease (“periodontitis“), is a crucial but underestimated factor in promoting longevity. It’s possible that maintaining good oral hygiene could easily add years to your life.

1. Strong Connection to Longevity

    Surprisingly few longevity experts emphasize the importance of oral hygiene. Interesting as oral hygiene is one of the most underestimated and neglected practices for better health. This should not be surprising. Bacteria entering your mouth and, especially if you have bleeding gums, can affect the health of your entire body, especially your heart, brain, lungs, and blood vessels. Hence, good oral hygiene that promotes healthy gums is much more than just a hygiene measure for your mouth.

    Some claim that proper oral hygiene can add up to seven years to your life. If you add up all claims—from coffee, chocolate, exercise, etc.—one could conclude that these might extend life to over 200 years. Of course, it does not work this way, as health is a complex system. You can’t isolate one action’s effects from others. Perfect oral hygiene is beneficial. Still, it can’t alone save those with unhealthy lifestyles. This includes heavy smokers with poor diets.

    It is impossible to quantify how much lifespan is attributable solely to good oral hygiene. A holistic health approach, including good oral care, regular exercise, balanced nutrition, stress management, and routine medical check-ups, is crucial. It is difficult to pinpoint exact lifespan extensions. However, the positive effects of good oral health contribute significantly to a potentially longer life. This last point seems sure to me.

    2. Can We Reverse the effects of poor Oral Hygiene?

    It’s perhaps difficult to reverse all structural damage from poor oral hygiene. However, timely action can often improve the situation. Consistent effort contributes to improvement as well. By adopting healthy habits like brushing, flossing, and consuming a balanced diet, you can protect your teeth and gums. Visit your dentist regularly and keep a healthy lifestyle.

    3. Spending More Time Caring for Oral Hygiene/what I do

    Speaking of ‘time in the bathroom’, men generally spend much less time in bathrooms than women. I used to spend a limit of 10 minutes daily, but I’ve changed my routine. I now dedicate two longer sessions to tooth care and two sessions for skincare (a future blog topic). My routine (see picture below) includes a water flos machine, modern plastic toothpicks, brushing, and mouthwash. I do this once in the morning and once after dinner. Additionally, I carry out brief cleanings and I also take the occasional chewing gum during the day.

    4. Toothbrush Care: Friend and Foe

    Toothbrushes wear out, so replacements are necessary every three months. Additionally, they easily harbor bacteria. I disinfect my toothbrush weekly by filling a clean cup with water. I add a splash of lemon juice and a spoonful of baking soda (sodium bicarbonate). Baking soda is available at drugstores.

    5. Benefits of Good Oral Hygiene

    1. There’s a well-established link between oral health and heart health. Gum disease has been linked to increased heart disease risk, as oral bacteria-induced inflammation leads to “atherosclerosis” (artery hardening).

     2. Good oral health helps regulate blood sugar levels, while gum disease complicates blood sugar control.

      3. Good oral hygiene reduces infection risks. One such risk is “endocarditis,” an infection of the heart lining. This infection is caused by mouth bacteria entering the bloodstream.

     4. Healthy gums reduce tooth loss risk, impacting nutrition and quality of life, especially for older adults.

     5. Oral health impacts self-esteem, communication, social life, and even better kissing““`.

    6. More about Periodontal Disease

    Stage 1. Food particles and bacteria form plaque. This can lead to early gum disease known as “gingivitis” if not removed through brushing and flossing. Harmful bacteria can enter the bloodstream. Which they do!

    Stage 2. Over time, plaque hardens into tartar, which only a dentist can remove professionally.

    Stage 3. Prolonged tartar leads to periodontitis.

    According to the CDC, 47% of adults over 30 and 70% over 65 in the USA have periodontal disease. It is more common in men and smokers.

    7. Periodontitis and Alzheimer’s Disease 

    Studies suggest a potential strong link between periodontal disease and Alzheimer’s disease, highlighting the importance of serious oral hygiene practices.

    On this note I wish you good flossing and brushing,

    Robert, your health friend

    A parador in Caceres, Spain