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An Urban Experience
Table 1: Non-Pharmacologic Multimodal Management of Cachexia and Sarcopenia
While there is no single therapy shown to mitigate muscle loss associated with aging and disease, a multimodal approach including nutritional and exercise therapies
can provide meaningful benefits that improve quantity and quality of life in our aging, diseased patients. The human medical community has made great strides towards better understanding and slowing these clinically important syndromes. As a profession, veterinarians are charged with following this exploration into these critical, devastating syndromes and have taken the first steps through creation of muscle condition scoring systems and pilot studies documenting that such syndromes indeed exist in our patient population.
1. National Institute on Aging. Global Health and Aging. Available at: Accessed Feb 28, 2017.
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6. Schaap LA, Pluijm SM, Deeg DJ, et al. Higher inflammatory marker levels in older persons: associations with 5-year change in muscle mass and muscle strength. J Gerontol A Biol Sci Med Sci 2009; 64(11): 1183-1189.
7. Mantovani G, Maccio A, Madeddu C, et al. Antioxidant agents are effective in inducing lymphocyte progression through cell cycle in advanced cancer patients: assessment of the most important laboratory indexes of cachexia and oxidative stress. J Mol Med 2003; 81: 664–673.
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11. Hall JA, Fritsch DA, Yerramilli M, et al. A longitudinal study on the acceptance and effects of a therapeutic renal food in pet dogs with IRIS-Stage 1 chronic kidney disease. JAPAN 2017; In Press.

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