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The Curbsiders Internal Medicine Podcast


Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Dec 2, 2019

Make some gains with Drs. Feigenbaum (@Jordan_theCoach) & Baraki (@AustinBaraki) of Barbell Medicine as we delve into the topic of sarcopenia! Together we’ll learn what exactly is sarcopenia, how it is diagnosed, and explore approaches to both management and counseling including: exercise prescriptions,  recommendations for protein intake, and even how to treat patients with multiple comorbidities.

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Credits

  • Written and Produced by:  Cyrus Askin MD
  • Infographic: Cyrus Askin MD, Hannah Abrams
  • Cover Art: Dr. Kate Grant MBChB DipGUMed
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editors: Matthew Watto MD, FACP; Clair Morgan of Nodderly.com
  • Guests: Jordan Feigenbaum MD; Austin Baraki MD

Check Out our friends at Barbell Medicine!

Learn more about Barbell Medicine through their website at www.barbellmedicine.com or their YouTube channel - Barbell Medicine. They also have their own Podcast, The Barbell Medicine Podcast and can be found on Instagram: @barbell_medicine, Twitter via @BarbellMedicine.

Drs. Feigenbaum and Baraki can be found on instagram via Jordan_BarbellMedicine & Austin_BarbellMedicine. They can also be found on Twitter via @AustinBaraki, @Jordan_theCoach.

Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 03:20 Guest one-liners;
  • Picks of the Week*: Explain Pain (book) and Explain Pain Super Charged; Range Why Generalists Triumph in a Subspecialized World (book) by David Epstein; The Sports Gene: Inside the Science of Extraordinary Athletic Performance (book); The Mind’s Eye (book) by Oliver Sacks; The Predator High Five (Gif); The Bacterionomicon
  • 08:50 How Austin and Jordan got into coaching, fitness and lifestyle medicine
  • 14:30 Case of chronic pain, lack of exercise and loss of muscle mass; Defining sarcopenia, cachexia, frailty
  • 22:30 How to diagnose sarcopenia -measures of physical performance (Repeat Chair Sit to Stand; Timed Get Up and Go Test; Gait Speed); DXA scans; The SARC-F questionnaire; Serum Creatinine
  • 33:30 Anabolic resistance; Sarcopenic obesity and Osteosarcopenic obesity
  • 37:00 How to counsel patients about physical activity
  • 40:00 The 10,000 step thing is based on marketing, not evidence
  • 41:30 How to sell exercise to patients with comorbidities; Barriers to and safety of resistance training
  • 49:39 Finding a physical trainer
  • 53:18 Dietary protein intake recommendations
  • 61:33 What kind of results might patients expect
  • 65:55 Take home points
  • 68:11 Plugs: Barbell Medicine podcast, Instagram, YouTube and Twitter
  • 69:15 Outro and a pun

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goal

By the end of this episode, listeners will be familiar with sarcopenia as an important clinical entity, the risk factors for sarcopenia, how to assess a potential sacropenic patient and how to provide treatment and counsel towards preventing or reversing sarcopenia. 

Learning objectives

After listening to this episode listeners will…  

  1. Appreciate the clinical relevance/importance of sarcopenia
  2. Know who is at risk for sarcopenia and how to screen them
  3. Master the most recent exercise and nutrition recommendations for adults
  4. Be familiar with motivational interviewing techniques to help promote diet and exercise changes to combat sarcopenia

Disclosures

Dr. Feigenbaum is the owner of Barbell Medicine LLC which provides free, paid and retail content to include strength/nutrition coaching, strength/nutrition seminars, shirts, training gear and protein / pre-work out supplements.

Dr. Baraki works part-time for Barbell Medicine LLC as a writer and coach for which he is paid. He does not receive any proceeds from the sale of supplements or other retail goods. 

Citation

Askin C, Baraki A, Feigenbaum J, Williams PN, Brigham SK, Watto MF. “#186 Sarcopenia: Raising the Bar in Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. December 2, 2019.