Faculty Research

Anne R. Cappola, M.D., Sc.M.
Assistant Professor of Medicine and Epidemiology
Director of Research Programs for FOCUS on Health and Leadership for Women

Email:acappola@cceb.med.upenn.edu


Dr. Cappola's Profile

Program Summary
Sarcopenia, the involuntary loss of skeletal muscle mass and function, is a potentially modifiable condition that contributes to functional dependence and falls in older individuals. In addition, sarcopenia is a central component of the frailty syndrome. Frail individuals are the most vulnerable subset of older people, with significantly higher rates of morbidity, mortality, and functional decline as compared to age-matched individuals who are not frail. As increasing numbers of Americans live into their 80’s and 90’s, it will be of critical importance for investigators and clinicians to understand the physiologic basis of frailty in order to identify individuals at risk and to facilitate improved prevention and treatment. The role of the endocrine system in the development of sarcopenia is poorly understood. Dr. Cappola is studying how low levels of androgens and of other anabolic hormones, alone and in concert with age-related alterations in nutritional status and in the immune system, may affect the development of sarcopenia and frailty. An additional research area is the relationship between thyroid dysfunction and cardiovascular disease in older men and women.

Publications
Please visit PubMed for a complete list of publications.

Miller R, Cappola AR, Hawkes W, Shardell M, Hawkes WG, Yu-Yahiro J, Hebel JR, Magaziner J. Persistent changes in interleukin-6 and lower extremity function following hip fracture. J Gerontol A Biol Sci Med Sci, In press.

Cappola AR, Xue QL, Walston JD, Leng SX, Ferrucci L, Guralnik J, Fried LP. DHEAS levels and mortality in disabled older women: The Women's Health and Aging Study I. J Gerontol A Biol Sci Med Sci, In press.

Cappola AR, Fried LP, Arnold AM, Danese MD, Kuller LH, Burke GL, Tracy RP, Ladenson PW. Thyroid status, cardiovascular risk, and mortality in older adults. JAMA, 295:1033-1041.

Leng SX, Cappola AR, Andersen RS, Blackman MR, Koenig K, Blair M, Walston JD. Serum levels of insulin-like growth factor-I (IGF-I) and dehydroepiandrosterone sulfate (DHEA-S), and their relationships with serum interleukin-6, in the geriatric syndrome of frailty. Aging Clin Exp Res 16:153-157, 2004.

Cappola AR, Xue QL, Ferrucci L, Guralnik JM, Volpato S, Fried LP. Insulin-like growth factor-I and interleukin-6 contribute synergistically to disability and mortality in older women. J Clin Endocrinol Metab 88:2019-2025, 2003.

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