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Introduction: Currently, we live in the age of promoting a healthy lifestyle and encouraging physical activity, which justifies conducting a survey on the level of physical activity of the population living in Bydgoszcz. The results of the observation carried out will allow for the analysis of changes in physical activity of Bydgoszcz residents over the years in the future. Material and methods: 199 people living in Bydgoszcz, 97 women and 102 men participated in the study. The mean age of the respondents is 37.7 years, mean BMI: 25.84. The study was conducted using the Polish version of the IPAQ - Long version. Results: 84.42% (n = 168) of respondents were physically active, 12.06% (n = 24) of respondents were sufficiently physically active, and 3.52% (n = 7) were insufficiently physically active. Conclusions: The physical activity of the inhabitants of Bydgoszcz is at a high level, but the in-depth analysis of the results encourages the education in the aim to increase the level even more and to conduct more research.

Background. Amyotrophic lateral sclerosis is a degenerative disease of the nervous system, neurodegenerative cerebral cortex, pad and spinal cord due to damage to the upper and lower motor neurons, with progressive course, various symptoms with varying intensity and duration (from several months to even 10 years), extremely unfavorable prognosis. As an incurable and progressive disease, due to the deterioration of mobility it leads to complete stopping of muscles, including respiratory ones, with the intellectual ability of the patients fully preserved Case report. A 65-year-old patient was hospitalized in Geriatrics Clinic in University Hospital A. Jurasza in Bydgoszcz. Patient with shortness of breath, present paradoxical chest movement, impaired chest mobility, present whirring, wheezing during auscultation examination. The patient was admitted to the ward because of pneumonia. Amyotrophic lateral sclerosis, chronic respiratory failure, hypertension, and hyperthyroidism were diagnosed. In the medical history she had swallowing problems, abdominal pain, insufficient cough reflex, dysphagia, increased body temperature, difficulty falling asleep, depressed mood. The patient did not consent to a tracheotomy for aspiration of secretions from the respiratory tract. The patient required suctioning of excessively accumulating secretions in the mouth. The patient was patted. Patient's skin without pathological changes. During the night, the patient requires non-invasive mechanical ventilation - BIPAP respirator. Patient under the care of the Palliative Medicine Clinic. Patient fed an industrial diet (Isosource Protein) for PEG (percutaneous endoscopic gastrostomy) - self-service. Results. Although the disease is incurable, many of its symptoms can be alleviated, and the goal of therapy should be to improve the quality of life and maintain patient independence for as long as possible. SLA patients and their relatives often experience depression, feelings of despair and anxiety. Therefore, psychological help is recommended for patients and their relatives. The continuous development of medicine remains a hope for this disease. There is a need to continue research into the search for an effective cure for amyotrophic lateral sclerosis.

Background. The etiology of MDS syndromes (myelodysplastic syndromes) is unknown. MDS is a disease of the elderly, mostly affects people over 50 years of age. Elderly patients with MDS are diagnosed at an earlier stage of the disease compared to younger people. Therapeutic options in MDS include treatment with high-dose chemotherapy with / without hematopoietic stem cell transplantation, treatment with low-dose chemotherapy, supportive care and symptomatic treatment. Transfusion of RBC (Red Blood Cells) concentrate and platelet concentrate is used in the majority of patients with MDS and it is the only form of therapy recommended for both patients with good and bad prognosis. Case report. A 77-year-old patient repeatedly hospitalized in the Clinic of Geriatrics for symptomatic anemia in myelodysplastic syndrome. Independent patient in the field of self-care, living alone. Patient take many medicines from different groups. Patient with multidisease. Symptoms of the patient: weakness, depressed mood, reduced tolerance of physical exercise, dizziness, palpitations associated with slight physical effort, symptoms of gastrointestinal bleeding, stenocardial complaints in 2017. A bone marrow biopsy was performed - in the myelogram MDS was diagnosed with features of low-grade triplicate dysplasia. Patient repeatedly hospitalized for transfusion of Irradiated Leukocyte-Depleted RBC Concentrate (since the beginning of 2018 11 times - average 1 x / month). From October 2012 to November 2018, a total of 49 Irradiated Leukocyte-Depleted RBC Concentrates units were transfused, reducing only the symptoms of the disease. Results. A careful assessment of the functional status, ability to tolerate treatment, disease progression and overall health can be helpful in determining treatment. To improve access to treatment, emphasis should be placed on oral drug therapies that can be easily administered on an outpatient basis to minimize transfusion. Palliative care and environmental care are important aspects of improving the health and quality of life of MDS patients.

Introduction: Postural defects became in recent decades significant problem, both medical and social. Many examinations show that faulty posture affect about 60-80 per cent of children. The rapid development of technology has led to limiting of physical activity which manifests itself by massive occurrence of faulty posture. Therefore it is extremely important to increase the parents knowledge and awareness of the prevention and correction of faulty posture as well as benefit from physical activity. Aim: The aim of the present study was estimation parents knowledge about faulty posture and verification who knows more – parents who have children with correct posture or these who have children with postural defects as well as parents who encourage children to exercise or these who don’t do this. Materials and methods: A survey was conducted in a group of 60 parents. First group: 30 parents of children attending The Postural Defect Clinic, second group: 30 parents of children attending School Complex No. 8 in Bydgoszcz. The original questionnaire was used for the study. Questionnaire to the estimation of parents knowledge consisted of 19 questions: metric questions and knowledge test. The results were analyzed statistically (p

Introduction. The most common ailment of the motion system is spinal pain. For one of the main reasons, it consider a sedentary lifestyle that weakens the musculo-skeletal system, obesity that increases spine load, sleep disorders resulting from unsettled positions during rest or sleep, and chronic stress. The use of massage can reduce the painful pain of the spine, by loosening the excessively tight spine muscles, the articular joints of the joints and the relaxation of the body. Objective. An assessment of the effect of classical spine massage on spinal pain in a woman with large breasts. Material and methods. 10 massage treatments of the classical ridge using olive oil were performed. Sessions took place 2-3 times a week after 30-50 minutes. Before and after intervention were measured: linear measurements of upper and lower limbs; Measurement of the first and short long and short for the upper and lower limbs for the upper and lower extremities; Measurement of the range of mobility of individual segments of the spine; Measurement of muscle strength of the cervical, thoracic and lumbar musculature of the upper limbs; Assessment of deviation from the symmetry of body posture. Also tested was the Cross Stroke Challenge, finger-to-floor test, lumbar vertebrae overtaxis test, Laseque test, Scherer test and Gilett test. Results. The difference in the range of motion, ie the flexion of the thorax and lumbar spine and the finger-to-floor examination, was statistically significantly different. After intervention the silhouette of the body was positioned closer to the vertical axis. The Laseque test for both lower limbs turned out to be negative. The difference in linear and limb length measurements and the Schober test was not statistically significant. The test of cross-provocation, the overtaking test for the lumbar spine movement and the Gillet test did not show deviations before or after intervention. Conclusions. Therapeutic massage of the classic back reduced the pain of the spine. Improved body posture and increased range of motion in individual spinal segments. In addition, no effect of classical massage on muscle strength and limb circumference was found.

Radajewski Kamil, Mirlak Izabela, Sokołowska Natalia, Sokołowski Remigiusz, Podhorecka Marta, Stemplowski Wojciech, Zukow Walery. Kamica nerkowa – Metody leczenia u pacjentów geriatrycznych = Urolithiasis - Methods of treatment of geriatric patients. Journal of Education, Health and Sport. 2016;6(8):128-134. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.59898 http://ojs.ukw.edu.pl/index.php/johs/article/view/3739 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.07.2016. Revised 25.07.2016. Accepted: 28.07.2016. Kamica nerkowa – Metody leczenia u pacjentów geriatrycznych Urolithiasis - Methods of treatment of geriatric patients Kamil Radajewski1, Izabela Mirlak1, Natalia Sokołowska2, Remigiusz Sokołowski2, Marta Podhorecka2, Wojciech Stemplowski2, Walery Zukow3 1Specialist Hospital. Sniadecki in Nowy Sącz, Poland 2Department and Clinic of Geriatrics, Ludwik Rydygier Collegium Medicum in Bydgoszcz NCU, Poland 3WKFZIT, Kazimierz Wielki University, Bydgoszcz, Poland Słowa klucze: kamica nerkowa, ESWL, PCNL, RIRS, geriatria. Key words: urolithiasis, ESWL, PCNL, RIRS, geriatrics. Streszczenie Wstęp. Kamica nerkowa jest to obecność w drogach moczowych nierozpuszczalnych złogów, które powstają w wyniku wytrącania się substancji chemicznych zawartych w moczu, gdy ich stężenie przekracza próg rozpuszczalności. Największy wzrost zachorowań obserwowany jest w przedziale wiekowym 60-74 lata. Coraz częściej w leczeniu kamicy stosowane są mało inwazyjne metody leczenia, wśród których wyróżniamy przezskórną nefrolitotrypsję, litotrypsję zewnątrzustrojową falą uderzeniową, oraz wsteczną ureterorenoskopię giętką. Cel. Porównanie mało inwazyjnych metod leczenia kamicy moczowej u pacjentów geriatrycznych. Materiały i metody. Posługując się słowami kluczowymi przeszukano zagraniczne bazy bibliograficze: Embase, Medline, ScienceDirect, Web of Sciense. Przeanalizowano badanie kliniczne opublikowane w języku angielskim i międzynarodowych czasopismach. Wyniki. Najczęściej stosowaną metodą leczenia u pacjentów geriatrycznych jest itotrypsja zewnątrzustrojową falą uderzeniową. Na wybór metody wpływa nie tylko wielkość kamienia ale również choroby współistniejące takie jak cukrzyca, nadciśnienie tętnicze, niewydolność nerek. Wnioski. Z przeprowadzonych dotychczas badań wynika, że sam wiek nie jest czynnikiem determinującym wybór metody. Jakkolwiek, wciąż potrzeba dalszych badań w grupie pacjentów geriatrycznych, aby zmniejszyć liczbę powikłań po leczeniu inwazyjnym kamicy nerkowej. Summary Admission. Urolithiasis is present in the urinary insoluble deposits, which result from precipitation chemicals in the urine when their concentration exceeds the limit of solubility. The highest increase in incidence is observed in the age group 60-74 years. More and more frequently in the treatment of urolithiasis are used in minimally invasive treatments, among which we distinguish percutaneous nephronlithotripsy, lithotripsy extracorporeal shock wave and backward ureterorenoscopy flexible. Objective. Comparison of minimally invasive treatment of urolithiasis geriatric patients. Materials and methods. Using the keywords searched international bibliographic databases: Embase, Medline, Science Direct, Web of Science. We analyzed clinical trial published in English and international journals. Results. The most commonly used treatment for geriatric patients is extracorporeal shock wave lithotripsy. The choice of the method is affected not only the size but also stone co-morbidities such as diabetes, hypertension, renal failure. Conclusions. From the studies to date show that age alone is not the determining factor in the choice of method. However, we still need further research in geriatric patients, to reduce the number of complications after invasive treatment urolithiasis.

Dembowski Łukasz, Dudek Paula, Ciesielska Natalia, Stemplowski Wojciech, Sokolowski Remigiusz, Filipska Karolina, Zukow Walery. Wykorzystanie nowoczesnych metod fizjoterapeutycznych w zesztywniającym zapaleniu stawów kręgosłupa = The use of modern methods of physiotherapy in ankylosing spondylitis. Journal of Education, Health and Sport. 2015;5(8):145-158. ISSN 2391-8306. DOI 10.5281/zenodo.27864 http://dx.doi.org/10.5281/zenodo.27864 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%288%29%3A145-158 https://pbn.nauka.gov.pl/works/607000 POL-index https://pbn.nauka.gov.pl/polindex/browse/article/article-38a8442b-5ab9-4ec2-97a2-0fdb1db836e2 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.06.2015. Revised 15.07.2015. Accepted: 12.08.2015. Wykorzystanie nowoczesnych metod fizjoterapeutycznych w zesztywniającym zapaleniu stawów kręgosłupa The use of modern methods of physiotherapy in ankylosing spondylitis Łukasz Dembowski1, Paula Dudek1, Natalia Ciesielska1, Wojciech Stemplowski1, Remigiusz Sokolowski1, Karolina Filipska1, Walery Zukow2 1Katedra i Klinika Geriatrii, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu 2Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy Abstrakt Wstęp. Zesztywniające zapalenia stawów kręgosłupa (ZZSK) jest chorobą reumatyczną zaliczaną do grupy spondyloartropatii zapalnych, obejmującą stawy, aparat więzadłowo-ścięgnisty kręgosłupa oraz stawy krzyżowo-biodrowych. ZZSK prowadzi do stopniowego ograniczenia ruchomości kręgosłupa oraz szeregu zmian w postawie pacjenta. Zastosowanie nowoczesnych technik w połączeniu ze standardową procedurą fizjoterapeutyczną, może przyczynić się do zwiększenia efektu terapeutycznego. Cel. Przedstawienie nowoczesnych metody fizjoterapeutycznych stosowanych u osób z ZZSK. Materiały i metody. Dokonano przeglądu 44 doniesień naukowych, obejmujących swą tematyką postępowanie fizjoterapeutyczne u pacjentów z ZZSK. Posługując się kluczowymi: zesztywniające zapalenie stawów kręgosłupa (ankylosing spondylitis), fizjoterapia (physiotherapy), choroby reumatyczne (rheumatic diseases), usprawnianie (improving), metody fizjoterapeutyczne (kinesitherapy methods) przeszukano bazy bibliograficzne Medline, Web of Scientes, EBSCO HOST, ScienceDirect oraz Google Scholar. Wnioski. Na podstawie przeglądu literatury można stwierdzić, iż istnieje szereg alternatywnych metod, które mogłyby wspomagać standardowe procedury terapeutyczne stosowane w osób z ZZSK. Jednakże, w dalszym ciągu brak jest jednoznacznych i wiarygodnych dowodów na temat skuteczności większości z nich. Zatem można uznać że, prowadzenie badań klinicznie istotnych zgodnych z domeną Evidence Based Medicine (EBM), pomogłoby w rozstrzygnięciu tej kwestii. Abstract Admission. Ankylosing spondylitis (AS) is a rheumatic disease that belongs to the group of inflammatory spondyloarthropatia, including the joints, the ligamentotendos apparatus cross flow spine and hip joints. AS leads to a gradual reduction in spinal mobility and a number of changes in the attitude of the patient. The use of modern techniques in combination with the standard procedure of physiotherapy, can contribute to increasing the therapeutic effect. Purpose. Presentation of the modern physiotherapy methods used in patients with AS. Materials and methods. A review of 44 scientific reports, including its theme proceedings physiotherapy in patients with ankylosing spondylitis. Using the key: ankylosing spondylitis (ankylosing spondylitis), physiotherapy (physiotherapy), rheumatic diseases (rheumatic diseases), improvement (Improving), physiotherapy methods (kinesitherapy methods) bibliographic databases were searched Medline, Web of Scientes, EBSCO HOST, ScienceDirect and Google Scholar. Conclusions. Based on a review of literature it can be stated that there are a number of alternative methods which could help the standard therapeutic procedures used in people with AS. However, there is still no clear and reliable evidence on the effectiveness of most of them. Thus, it can be considered that, by conducting studies consistent with clinically relevant domain Evidence Based Medicine (EBM), would help in resolving this issue. Słowa kluczowe: zesztywniające zapalenie stawów kręgosłupa, ZZSK, fizjoterapia, choroby reumatyczne, usprawnianie, metody kinezyterapeutyczne, rozluźnianie mięśniowo-powięziowe, punkty spustowe, kinesiology taping, PNF. Key words: ankylosing spondylitis, physiotherapy, rheumatic diseases, improving, kinesitherapy methods, myofascial release, trigger points, kinesiology taping, PNF.

Nowak Karina, Porażyńska Daria, Ciesielska Natalia, Stemplowski Wojciech, Sokolowski Remigiusz, Zukow Walery. Wspomaganie żywieniowe pacjentów geriatrycznych z postępującą sarkopenią = Supporting nutrition in geriatric patients with progressive sarcopenia. Journal of Education, Health and Sport. 2015;5(7):216-225. ISSN 2391-8306. DOI 10.5281/zenodo.19940 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%287%29%3A216-225 https://pbn.nauka.gov.pl/works/583641 http://dx.doi.org/10.5281/zenodo.19940 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2015. Revised 28.05.2015. Accepted: 30.06.2015. Wspomaganie żywieniowe pacjentów geriatrycznych z postępującą sarkopenią Supporting nutrition in geriatric patients with progressive sarcopenia Karina Nowak1, Daria Porażyńska1, Natalia Ciesielska1, Wojciech Stemplowski1, Remigiusz Sokolowski1, Walery Zukow2 1Katedra i Klinika Geriatrii, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu 2Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy Streszczenie Wstęp. Sarkopenia to postępująca wraz z wiekiem utrata tkanki mięśniowej która przyczynia się do pogorszenia funkcji mięśni zwiększając ryzyko upadków, złamań kości oraz nasilenia niepełnosprawności. W świetle dzisiejszych doniesień naukowych żywienie może być istotnym elementem wspomagającym u pacjentów z postępującą sarkopenią. Cel. Przedstawienie aktualnych doniesień dotyczących wspomagania żywieniowego w przypadku postępującej sarkopenii mięśniowej. Materiał i metody. Posługując się słowami kluczowymi: sarkopenia (sarcopenia), żywienie w sarkopenii (nutrition in sarcopenia), witamina D (vitamin D), osoby starsze (elderly people), dieta białkowa (protein diet/ intake) , starzenie (ageing), epidemiologia (epidemiology), stan odżywienia (nutrition status), otyłość sarkopeniczna (sarcopenic obesity), antyoksydanty (antioxidant), dieta niskokaloryczna (low energy diet), mięsnie szkieletowe (skeletal muscles), przeszukano elektroniczne polskie oraz zagraniczne pełnotekstowe bazy bibliograficzne: Polska Bibliografia Lekarska, EBSCO host Web, Wiley Online Library, Springer Ling, Science Direct oraz Medline. Ostatecznie przeanalizowano 48 publikacji dotyczących sarkopenii z ostatnich 18 lat. Wyniki. Przegląd literatury ukazuje, że stan odżywiania organizmu tj. niedożywienie oraz otyłość istotnie może wpłynąć na postepowanie sarkopenii mięśniowej. Wśród naukowców, odnotowano duże zainteresowanie dietą wysokobiałkową, restrykcyjną oraz dietą wzbogaconą o suplementacje antyoksydantów oraz witaminę D. Wnioski. Zaobserwowano, że aktualnie brakuje badań, które jednoznacznie potwierdzą skuteczność stosowanego wspomagania żywieniowego w sarkopenii mięśniowej. Dieta restrykcyjna stosowana w leczeniu i zapobieganiu sarkopenii prócz tego, iż nie może doprowadzać do niedożywienia musi zawierać prawidłowe ilości wszystkich składników odżywczych i witamin. Obniża się wtedy produkcja wolnych rodników, stymuluje biogeneza a także mechanizmy obronne mitochondriów w mięśniach oraz można tym samym zapobiegać apoptozie rabdomiocytów. Istotne ograniczenia dziennego dowozu kalorii są jednak często źle tolerowane przez starsze osoby o prawidłowym wskaźniku masy ciała a badania nad wpływem diety restrykcyjnej na postęp zaniku mięśni i uszkodzeń DNA nadal trwają. Znaczenie w diecie osób z postępującą sarkopenią ma także prawidłowe stężenie witaminy D w surowicy. Istnieją badania wskazujące na to, że niskie stężenie 25-OHD i wysokie stężenie parathormonu (PTH ≥4.0 pmol / litr) zwiększają ryzyko rozwoju sarkopenii u starszych mężczyzn i kobiet [42]. Słowa kluczowe: sarkopenia, dieta, osoby starsze. Abstract Introduction. Sarcopenia is progressing with age, loss of muscle tissue that contributes to the deterioration of muscle function by increasing the risk of falls, fractures and severity of disability. In the light of today's scientific reports nutrition may be an important element supporting patients with progressive sarcopenia. Purpose. Presentation of the recent reports of nutritional support for progressive muscle sarcopenia. Materials and methods. Using the keywords: sarcopenia (sarcopenia), nutrition in sarcopenia (nutrition in sarcopenia), vitamin D (vitamin D), the elderly (elderly people), protein diet (protein diets / intake), aging (aging), epidemiology (epidemiology ), nutritional status (nutrition status), obesity sarcopenic (sarcopenic obesity), antioxidants (antioxidant), low-calorie diet (low energy diet), skeletal muscle (skeletal muscles), searched electronic full-text Polish and foreign bibliographic databases: Polish Medical Bibliography, EBSCO Web host, Wiley Online Library, Springer Ling, Science Direct, and Medline. Finally, they analyzed 48 publications on sarcopenia over the past 18 years. Results. The literature review shows that the nutritional status of the organism, ie. Malnutrition and obesity can significantly affect the outcome sarcopenia muscle. Among scientists, there has been great interest in high protein diet, a restrictive and supplemental diet enriched with antioxidants and vitamin D. Conclusions. It was observed that currently lack research that clearly confirm the effectiveness of the nutritional support in muscle sarcopenia. Restrictive diet used in the treatment and prevention of sarcopenia except that it may not lead to malnutrition must contain the proper amounts of all nutrients and vitamins. Then descends free radical production, stimulates biogenesis and we defense mechanisms of mitochondria in muscle and may thus prevent apoptosis rabdomyocytes. Significant limitations calories daily commutation, however, are often not well tolerated by older people with normal body mass index and research on the effects of diet restriction on muscle atrophy progression and DNA damage are still ongoing. The importance in the diet of people with progressive sarcopenia also has the correct amount of vitamin D in serum. There are studies indicating that low levels of 25-OHD and high levels of parathyroid hormone (PTH ≥4.0 pmol / L) increase the risk of development of sarcopenia in older men and women [42]. Keywords: sarcopenia, diet, older people.