Promoting Musculoskeletal Health in the Elderly Through Gut Microbiome Support with special reference to Ayurvedic Dietetics - A Review

Aging brings a variety of mental and physical challenges, particularly musculoskeletal diseases, which significantly impact the quality of life in elderly individuals. Variations in gut microbiome composition are increasingly recognized as contributing to musculoskeletal disorders such as sarcopenia, tendinopathy, and arthritis. This review examines the relationship between gut dysbiosis and musculoskeletal disorders in the elderly and explores the potential role of Ayurvedic dietary practices in maintaining gut health, preventing disease progression, and promoting healthy aging. The scientific literature on the relationship between gut microbiome variations and musculoskeletal diseases in elderly populations is reviewed. Ayurvedic principles, particularly those focusing on personalized nutrition and Dosha balance, are analyzed for their potential to modulate the gut microbiome. Gut dysbiosis in elderly individuals contributes to musculoskeletal disorders, potentially through impaired nutrient metabolism. Ayurvedic dietary practices, particularly those aligned with Ashtahara Vidhiviseshayatana (the eight-fold dietetic rules), provide a holistic approach to preserving gut health, mitigating disease risks, and promoting musculoskeletal health. The review highlights the importance of gut health in musculoskeletal health during aging. Ayurvedic dietary practices offer a promising strategy for maintaining gut health and preventing musculoskeletal disorders in the elderly. Further studies are necessary to validate these traditional approaches and integrate them with modern medical practices.