Sarcopenia is a progressive age-related generalized reduction in skeletal muscle mass,decreased skeletal muscle strength,and/or reduced somatic function.Recent epidemiological surveys in China have shown that the prevalence of sarcopenia among individuals aged 60 and above ranges from 5.7%to 23.9%.This condition increases the risk of falls and fractures,thereby exacerbating the burden on families and society.Currently,there are no effective pharmacological treatments for sarcopenia.Muscle and bone show significant commonalities in development,growth,ag-ing,and many diseases,and sarcopenia often occurs with osteoporosis.Zoledronic acid is one of the more widely used an-ti-osteoporosis drugs in clinical practice,and it acts mainly by inhibiting famesyl pyrophosphate synthase in the meval-onate metabolic pathway.Zoledronic acid not only maintains bone integrity,but also exerts muscle-promoting effects in a variety of situations.This article reviews the effects of zoledronic acid on sarcopenia and the potential mechanisms in-volved to provide new ideas for the future treatment of sarcopenia.
SarcopeniaZoledronic acidMolecular mechanisms of pharmacological actionReview