Somatopause: Prevention

To prevent somatopause, that is, to delay its onset, attention must be paid to reducing individual risk factors.

Behavioral risk factors

  • Diet
    • Excessive fat and carbohydrate intake with associated elevation of blood lipids (blood fat levels).
  • Consumption of stimulants
    • Alcohol – (woman: > 20 g/day; man: > 30 g/day).
  • Physical activity
    • Physical inactivity
  • Psycho-social situation
    • Anxiety
    • Emotional disturbances
    • Stress – acute stress stimulates growth hormone; chronic stress, on the other hand, leads to suppression
  • Overweight (BMI ≥ 25; obesity) – especially with android body fat distribution.
  • Android body fat distribution, that is, abdominal/visceral, truncal, central body fat (apple type) – there is a high waist circumference or increased waist-to-hip ratio (THQ; waist-to-hip ratio (WHR))When measuring waist circumference according to the International Diabetes Federation guideline (IDF, 2005), the following standard values apply:
    • Men < 94 cm
    • Women < 80 cm

    The German Obesity Society published somewhat more moderate figures for waist circumference in 2006: < 102 cm for men and < 88 cm for women.

Medication

  • Bromocryptine
  • Chlorpromazine
  • Corticosteroids
  • Cyproheptadine
  • Ergotamine alkaloids
  • Morphine, apomorphine
  • Methylxanthines – aminophylline, theophylline
  • Methysergide
  • Phenoxybenzamine
  • Phentolamine
  • Reserpine
  • Tolazoline