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2020 ; 21
(1
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The Use of Proton Pump Inhibitors May Increase Symptoms of Muscle Function Loss
in Patients with Chronic Illnesses
#MMPMID31947724
Vinke P
; Wesselink E
; van Orten-Luiten W
; van Norren K
Int J Mol Sci
2020[Jan]; 21
(1
): ä PMID31947724
show ga
Long-term use of proton pump inhibitors (PPIs) is common in patients with muscle
wasting-related chronic diseases. We explored the hypothesis that the use of PPIs
may contribute to a reduction in muscle mass and function in these patients.
Literature indicates that a PPI-induced reduction in acidity of the
gastrointestinal tract can decrease the absorption of, amongst others, magnesium.
Low levels of magnesium are associated with impaired muscle function. This
unwanted side-effect of PPIs on muscle function has been described in different
disease backgrounds. Furthermore, magnesium is necessary for activation of
vitamin D. Low vitamin D and magnesium levels together can lead to increased
inflammation involved in muscle wasting. In addition, PPI use has been described
to alter the microbiota's composition in the gut, which might lead to increased
inflammation. However, PPIs are often provided together with nonsteroidal
anti-inflammatory drugs (NSAIDs), which are anti-inflammatory. In the presence of
obesity, additional mechanisms could further contribute to muscle alterations. In
conclusion, use of PPIs has been reported to contribute to muscle function loss.
Whether this will add to the risk factor for development of muscle function loss
in patients with chronic disease needs further investigation.