Page last updated: 2024-10-30

metformin and Sarcopenia

metformin has been researched along with Sarcopenia in 12 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Sarcopenia: Progressive decline in muscle mass due to aging which results in decreased functional capacity of muscles.

Research Excerpts

ExcerptRelevanceReference
" We have recently demonstrated that the combined treatment between moderate exercise and metformin slows sarcopenia's onset by a mechanism that includes adipose reduction and REDOX regulation."8.02Metformin and tBHQ Treatment Combined with an Exercise Regime Prevents Osteosarcopenic Obesity in Middle-Aged Wistar Female Rats. ( Hernández-Álvarez, D; Königsberg, M; Lopéz-Cervantes, SP; López-Diazguerrero, NE; Luna-López, A; Mena-Montes, B; Pedraza-Vázquez, G; Sánchez-Garibay, C; Toledo-Pérez, R, 2021)
"We showed that being female and at an older age, lower educational level, and lower BMI were risk factors for sarcopenia in elderly T2DM and that metformin acted as a protective agent against sarcopenia in these patients."7.96Risk Factors for Sarcopenia in the Elderly with Type 2 Diabetes Mellitus and the Effect of Metformin. ( Cao, L; Chen, F; Huang, T; Liu, T; Ma, G; Wang, D; Wang, Y; Wei, Q; Xu, S; Zhao, Y, 2020)
"Resistance training may prevent and treat sarcopenia and physical frailty, but not everyone can or wants to exercise."7.11MET-PREVENT: metformin to improve physical performance in older people with sarcopenia and physical prefrailty/frailty - protocol for a double-blind, randomised controlled proof-of-concept trial. ( Bradley, P; Clegg, A; Connolly, S; Hancock, HC; Hiu, S; Marsay, L; McDonald, C; Rennie, KJ; Robertson, L; Sayer, AAP; Simms, L; Steel, AJ; Steves, CJ; Storey, B; von Zglinicki, T; Wason, J; Wilson, N; Witham, M, 2022)
" This is the first known metformin repurposing trial in non-diseased individuals, aimed specifically at the resistance exercise "non-responder" phenotype present in the aging population."5.24Metformin to Augment Strength Training Effective Response in Seniors (MASTERS): study protocol for a randomized controlled trial. ( Bamman, MM; Bush, HM; Kern, PA; Long, DE; Martz, JL; McGwin, G; Peck, BD; Peterson, CA; Tuggle, SC, 2017)
" We have recently demonstrated that the combined treatment between moderate exercise and metformin slows sarcopenia's onset by a mechanism that includes adipose reduction and REDOX regulation."4.02Metformin and tBHQ Treatment Combined with an Exercise Regime Prevents Osteosarcopenic Obesity in Middle-Aged Wistar Female Rats. ( Hernández-Álvarez, D; Königsberg, M; Lopéz-Cervantes, SP; López-Diazguerrero, NE; Luna-López, A; Mena-Montes, B; Pedraza-Vázquez, G; Sánchez-Garibay, C; Toledo-Pérez, R, 2021)
"We showed that being female and at an older age, lower educational level, and lower BMI were risk factors for sarcopenia in elderly T2DM and that metformin acted as a protective agent against sarcopenia in these patients."3.96Risk Factors for Sarcopenia in the Elderly with Type 2 Diabetes Mellitus and the Effect of Metformin. ( Cao, L; Chen, F; Huang, T; Liu, T; Ma, G; Wang, D; Wang, Y; Wei, Q; Xu, S; Zhao, Y, 2020)
"Resistance training may prevent and treat sarcopenia and physical frailty, but not everyone can or wants to exercise."3.11MET-PREVENT: metformin to improve physical performance in older people with sarcopenia and physical prefrailty/frailty - protocol for a double-blind, randomised controlled proof-of-concept trial. ( Bradley, P; Clegg, A; Connolly, S; Hancock, HC; Hiu, S; Marsay, L; McDonald, C; Rennie, KJ; Robertson, L; Sayer, AAP; Simms, L; Steel, AJ; Steves, CJ; Storey, B; von Zglinicki, T; Wason, J; Wilson, N; Witham, M, 2022)
"Drugs currently used to treat type 2 diabetes mellitus may have mechanisms of action that are relevant to the prevention and treatment of sarcopenia, for those with type 2 diabetes and those without diabetes."3.01Repurposing Drugs for Diabetes Mellitus as Potential Pharmacological Treatments for Sarcopenia - A Narrative Review. ( Granic, A; Pearson, E; Robinson, SM; Sayer, AA; Witham, MD, 2023)
"Metformin is an AMPK agonist potentiating insulin actions in the adult human muscle, but not in the aged individuals."2.50Effects of the antidiabetic drugs on the age-related atrophy and sarcopenia associated with diabetes type II. ( Cetrone, M; Mele, A; Tricarico, D, 2014)
"Sarcopenia is a geriatric syndrome and it impairs physical function."1.56A cross-sectional study: Associations between sarcopenia and clinical characteristics of patients with type 2 diabetes. ( Cui, M; Gang, X; Jiang, Z; Li, Z; Wang, G; Xiao, X, 2020)
" To date, there is great controversy if MTF treatment combined with exercise training improves or nullifies the benefits provided by physical activity."1.51Long-Term Moderate Exercise Combined with Metformin Treatment Induces an Hormetic Response That Prevents Strength and Muscle Mass Loss in Old Female Wistar Rats. ( Alarcón-Aguilar, A; Hernández-Álvarez, D; Hernández-Cruz, E; Ibañez-Contreras, A; Königsberg, M; Lazzarini-Lechuga, R; López-Cervantes, SP; López-Díazguerrero, NE; Luna-López, A; Mena-Montes, B; Morales-Salazar, A; Pedraza-Vázquez, G; Posadas-Rodríguez, P; Rosas-Carrasco, O; Santín-Márquez, R; Toledo-Pérez, R; Vázquez-Cárdenas, RR; Vilchis-DeLaRosa, S, 2019)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (33.33)24.3611
2020's8 (66.67)2.80

Authors

AuthorsStudies
Rennie, KJ1
Witham, M1
Bradley, P1
Clegg, A1
Connolly, S1
Hancock, HC1
Hiu, S1
Marsay, L1
McDonald, C1
Robertson, L1
Simms, L1
Steel, AJ1
Steves, CJ1
Storey, B1
Wason, J1
Wilson, N1
von Zglinicki, T1
Sayer, AAP1
Lyu, Q1
Wen, Y1
He, B1
Zhang, X1
Chen, J1
Sun, Y1
Zhao, Y2
Xu, L1
Xiao, Q1
Deng, H1
Witham, MD1
Granic, A1
Pearson, E1
Robinson, SM1
Sayer, AA1
Tezze, C1
Amendolagine, FI1
Nogara, L1
Baraldo, M1
Ciciliot, S1
Arcidiacono, D1
Zaramella, A1
Masiero, G1
Ferrarese, G1
Realdon, S1
Blaauw, B1
Detienne, G1
Beliën, AT1
Sandri, M1
Mercken, EM1
Hernández-Álvarez, D2
Mena-Montes, B2
Toledo-Pérez, R2
Pedraza-Vázquez, G2
López-Cervantes, SP2
Morales-Salazar, A1
Hernández-Cruz, E1
Lazzarini-Lechuga, R1
Vázquez-Cárdenas, RR1
Vilchis-DeLaRosa, S1
Posadas-Rodríguez, P1
Santín-Márquez, R1
Rosas-Carrasco, O1
Ibañez-Contreras, A1
Alarcón-Aguilar, A1
López-Díazguerrero, NE2
Luna-López, A2
Königsberg, M2
Cui, M1
Gang, X1
Wang, G2
Xiao, X1
Li, Z1
Jiang, Z1
Chen, F2
Xu, S1
Wang, Y1
Cao, L1
Liu, T1
Huang, T1
Wei, Q1
Ma, G1
Wang, D1
Massimino, E1
Izzo, A1
Riccardi, G1
Della Pepa, G1
Sánchez-Garibay, C1
Long, DE1
Peck, BD1
Martz, JL1
Tuggle, SC1
Bush, HM1
McGwin, G1
Kern, PA1
Bamman, MM1
Peterson, CA1
Zakeri, M1
Fatemi, I1
Kaeidi, A1
Zakeri, MA1
Hakimizadeh, E1
Hassanipour, M1
Rahmani, M1
Hassanshahi, J1
Ayoobi, F1
Allahtavakoli, M1
Cetrone, M1
Mele, A1
Tricarico, D1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Novel Actions of Metformin to Augment Resistance Training Adaptations in Older Adults[NCT02308228]Early Phase 1109 participants (Actual)Interventional2015-01-14Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Change in Muscle Strength

Determine if metformin treatment augments strength gains in conjunction with progressive resistance training by one repetition maximum assessments. Maximum (1RM) leg extension muscle strength was assessed at week 4 (to account for neurological adaptations during the initial stages of the resistance program) and week 16. The percent change from week 4 to week 16 is reported. (NCT02308228)
Timeframe: Week 4 and week 16

InterventionPercent change (Mean)
Metformin15.3
Placebo, Sugar Pill23.1

Percent Change in Normal Density Muscle Size by Computed Tomography

The ability of metformin to improve the hypertrophic response at the whole muscle level will be quantified by computed tomography. Percent change in normal density muscle area will be calculated as the difference between week 16 and week 0. (NCT02308228)
Timeframe: 16 weeks

InterventionPercent change (Mean)
Metformin4.2
Placebo, Sugar Pill10.5

Percent Change in Total Body Lean Mass by DXA

To determine if metformin improves changes in body composition associated with progressive resistance training. Percent change in total body lean mass in kg was calculated as the difference between week 16 and week 0 from a total body DXA scan. (NCT02308228)
Timeframe: 16 weeks

InterventionPercent change (Mean)
Metformin0.41
Placebo, Sugar Pill1.95

Percent Change in Type 2 Myofiber Cross Sectional Area

The ability of metformin to improve the hypertrophic response to resistance training will be determined. Muscle biopsies of the vastus lateralis will be used to quantify myofiber cross-sectional area. The percent change in type 2 myofiber size between week 16 and week 0 was used. (NCT02308228)
Timeframe: 16 weeks

InterventionPercent change (Mean)
Metformin18.5
Placebo, Sugar Pill14.5

Reviews

3 reviews available for metformin and Sarcopenia

ArticleYear
Repurposing Drugs for Diabetes Mellitus as Potential Pharmacological Treatments for Sarcopenia - A Narrative Review.
    Drugs & aging, 2023, Volume: 40, Issue:8

    Topics: Aged; Animals; Diabetes Mellitus, Type 2; Drug Repositioning; Humans; Hypoglycemic Agents; Metformin

2023
The Impact of Glucose-Lowering Drugs on Sarcopenia in Type 2 Diabetes: Current Evidence and Underlying Mechanisms.
    Cells, 2021, 08-01, Volume: 10, Issue:8

    Topics: Diabetes Mellitus, Type 2; Glycation End Products, Advanced; Hand Strength; Humans; Hypoglycemic Age

2021
Effects of the antidiabetic drugs on the age-related atrophy and sarcopenia associated with diabetes type II.
    Current diabetes reviews, 2014, Volume: 10, Issue:4

    Topics: Age Factors; Aging; AMP-Activated Protein Kinases; Diabetes Mellitus, Type 2; Humans; Hypoglycemic A

2014

Trials

2 trials available for metformin and Sarcopenia

ArticleYear
MET-PREVENT: metformin to improve physical performance in older people with sarcopenia and physical prefrailty/frailty - protocol for a double-blind, randomised controlled proof-of-concept trial.
    BMJ open, 2022, 07-18, Volume: 12, Issue:7

    Topics: Aged; Double-Blind Method; Frailty; Humans; Metformin; Physical Functional Performance; Randomized C

2022
Metformin to Augment Strength Training Effective Response in Seniors (MASTERS): study protocol for a randomized controlled trial.
    Trials, 2017, 04-26, Volume: 18, Issue:1

    Topics: Age Factors; Aged; Aging; Alabama; Clinical Protocols; Double-Blind Method; Female; Geriatric Assess

2017

Other Studies

7 other studies available for metformin and Sarcopenia

ArticleYear
The ameliorating effects of metformin on disarrangement ongoing in gastrocnemius muscle of sarcopenic and obese sarcopenic mice.
    Biochimica et biophysica acta. Molecular basis of disease, 2022, 11-01, Volume: 1868, Issue:11

    Topics: AMP-Activated Protein Kinases; Animals; Anti-Inflammatory Agents; Fatty Acids, Nonesterified; Interl

2022
A combination of metformin and galantamine exhibits synergistic benefits in the treatment of sarcopenia.
    JCI insight, 2023, 08-08, Volume: 8, Issue:15

    Topics: Aged; Aging; Animals; Galantamine; Humans; Infant; Metformin; Mice; Mice, Transgenic; Muscle, Skelet

2023
Long-Term Moderate Exercise Combined with Metformin Treatment Induces an Hormetic Response That Prevents Strength and Muscle Mass Loss in Old Female Wistar Rats.
    Oxidative medicine and cellular longevity, 2019, Volume: 2019

    Topics: Age Factors; Animals; Female; Humans; Male; Metformin; Muscle Strength; Physical Conditioning, Anima

2019
A cross-sectional study: Associations between sarcopenia and clinical characteristics of patients with type 2 diabetes.
    Medicine, 2020, Volume: 99, Issue:2

    Topics: Age Factors; Aged; Aged, 80 and over; Body Composition; Body Mass Index; China; Cross-Sectional Stud

2020
Risk Factors for Sarcopenia in the Elderly with Type 2 Diabetes Mellitus and the Effect of Metformin.
    Journal of diabetes research, 2020, Volume: 2020

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Exer

2020
Metformin and tBHQ Treatment Combined with an Exercise Regime Prevents Osteosarcopenic Obesity in Middle-Aged Wistar Female Rats.
    Oxidative medicine and cellular longevity, 2021, Volume: 2021

    Topics: Animals; Bone Diseases, Metabolic; Female; Hydroquinones; Metformin; Obesity; Physical Conditioning,

2021
Pro-neurocognitive and anti-sarcopenic benefits of one-year metformin therapy in ovariectomized aged mice.
    Clinical and experimental pharmacology & physiology, 2019, Volume: 46, Issue:12

    Topics: Aging; Animals; Anxiety; Behavior, Animal; Brain; Cognition; Disease Models, Animal; Drug Administra

2019