Associations between the psoas major muscle index and the presence and severity of coronary artery disease

Imaizumi, Tomoki; Shiga, Yuhei; Idemoto, Yoshiaki; Tashiro, Kohei; Ueda, Yôko; Yano, Y; Norimatsu, Kenji; Nakamura, Ayumi; Kuwano, Takashi; Iwata, Atsushi; Miura, Shin‐ichiro

doi:10.1097/md.0000000000021086

Cited by 5 publications

(6 citation statements)

References 32 publications

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“… 31 To date, several studies have found a correlation between the level of psoas major muscle and arteriosclerosis and coronary heart disease in non-elderly individuals. 32 In the middle-aged and elderly subjects enrolled in the present study, the area of psoas major muscle decreased with age, but was positively correlated with volumes of abdominal and pericardial fat. It is therefore suggested that the level of psoas major muscle might be significantly correlated with nutritional status in middle-aged and elderly individuals.…”

Section: Discussionmentioning

confidence: 52%

Correlation Between the Distribution of Abdominal, Pericardial and Subcutaneous Fat and Muscle and Age and Gender in a Middle-Aged and Elderly Population

Ni¹,

Li²,

Zhang³

et al. 2021

DMSO

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Objective: The present study aimed to explore the relationships between the distribution of abdominal fat and muscle and age and gender in a middle-aged and elderly population. Methods: The levels of abdominal (visceral and subcutaneous) fat, pericardial fat, and psoas major muscle were measured in subjects who had physical examinations at the Health and Medical Department of Peking Union Medical College Hospital from July 2019 to June 2020. The relationship between fat in different areas (ie, different types of fat) and the relationship between different types of fat and the psoas major muscle were investigated in the context of different genders and ages. Results: The distribution of fat and muscle differed between males and females of the middle-aged and elderly study sample. Volumes of pericardial fat, total abdominal fat, and visceral fat were significantly lower in females than in males, and the area of the psoas major muscle was also significantly lower in females than in males. Levels of subcutaneous fat and total abdominal fat showed no significant correlation with age. The level of muscle showed a significant negative correlation with age. Conclusion: 1) Within the middle-aged and elderly sample, male subjects had higher levels than females of all types of fat except for abdominal subcutaneous fat, and had higher levels of psoas muscle than females. 2) Pericardial fat increased with age, whereas levels of abdominal fat did not change significantly with age. 3) The area of psoas major muscle appears to be positively correlated with volumes of all types of fat: subjects with more fat tended to have higher levels of psoas major muscle.

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Section: Discussionmentioning

confidence: 52%

Correlation Between the Distribution of Abdominal, Pericardial and Subcutaneous Fat and Muscle and Age and Gender in a Middle-Aged and Elderly Population

Ni¹,

Li²,

Zhang³

et al. 2021

DMSO

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“…We have been searching for new coronary risk factors using data from patients who underwent CCTA at Fukuoka University Hospital (FU-CCTA registry) [ 1 , 2 , 8 , 9 , 10 , 11 ]. For example, the liver fibrosis score may be an independent predictor of major adverse cardiovascular events (MACEs: cardiovascular death, ischemic stroke, acute myocardial infarction and coronary revascularization) in hypertensive patients undergoing CCTA [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Considering the Possible Role of Pharmacists According to the Presence or Absence of Lifestyle-Related Diseases at the Time of Coronary CT Examination and Trends of Medication Use for These Diseases by Medical Doctors

Miura-Takahashi,

Tashiro,

Shiga

et al. 2024

Pharmacy

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Background: Because patients often already have coronary artery disease (CAD) at the time of a coronary artery computed tomography angiography (CCTA) examination, we examined the medications prescribed by medical doctors for lifestyle-related diseases and investigated what possible role pharmacists can play in prescribing. Methods: Patients (n = 1357) who underwent CCTA examination were divided into two groups according to the presence or absence of lifestyle-related diseases [hypertension (HTN), dyslipidemia (DL) and diabetes mellitus (DM)], and the relationship between the presence or absence of CAD was examined. Results: The rate of CAD was significantly higher in patients with HTN, DL or DM than in patients without these diseases. The blood pressure in the HTN group was 140 ± 20/79 ± 13 mmHg, the low-density lipoprotein cholesterol value in the DL group was 119 ± 35 mg/dL, and the hemoglobin A1c value in the DM group was 7.0 ± 1.1%, all of which were poorly controlled. Anti-hypertensive drugs were used at low rates in the HTN group, statins were used in 47% and ezetimibe was used in 4% of the DL group, and dipeptidyl peptidase-4 inhibitors were used in 41% of the DM group. Conclusions: Since the rate of CAD (+) was high and control of the three major lifestyle-related diseases was poor, pharmacists should advise medical doctors to use combinations of drugs.

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“…Besides, faster recovery, shorter duration of hospital stay, less bleeding and higher patient satisfaction after OLIF have also been mentioned in the literature 1–4 . However, the incidence of postoperative complications after OLIF was reported to range from 29.9% to 46.2%, which was a concern for spinal surgeons 2,5,6 . Postoperative complications mainly include transient psoas major (PM) or quadriceps weakness, anterolateral thigh numbness, cage subsidence, vascular injury, and contralateral nerve root injury.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 , 4 However, the incidence of postoperative complications after OLIF was reported to range from 29.9% to 46.2%, which was a concern for spinal surgeons. 2 , 5 , 6 Postoperative complications mainly include transient psoas major (PM) or quadriceps weakness, anterolateral thigh numbness, cage subsidence, vascular injury, and contralateral nerve root injury. Relative to other complications, thigh pain and weakness often occur in the early period of post operation, which may greatly impair the patient's satisfaction.…”

Section: Introductionmentioning

confidence: 99%

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Psoas Major Swelling Grade Affects the Clinical Outcomes after OLIF: A Retrospective Study of 89 Patients

Song

Chen

Zhu

et al. 2023

Orthopaedic Surgery

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ObjectsOblique lumbar interbody fusion (OLIF) has gained increasing popularity recently. However, complications resulting from intraoperative retraction of psoas major (PM) sometimes occur. The aim of this study is to evaluate the degree of PM swelling by developing a scoring system called the Psoas Major Swelling Grade (PMSG), and to investigate the correlation between the PMSG and clinical outcomes after OLIF.MethodsPatients who underwent L4‐5 OLIF at our hospital from May 2019 to May 2021 were reviewed and all data were recorded. The extent of postoperative PM swelling was determined by calculating the percentage of change in the PM area before and after surgery on MRI and divided into three grades subsequently. Swelling within the range of 0% to 25% was defined as grade I, 25%–50% was grade II, and more than 50% was grade III. All patients were grouped into the new grade system and followed up for at least 1 year, during which the visual analog scale (VAS) and Oswestry disability index (ODI) scores were recorded. Categorical data were analyzed using chi‐square and Fisher's exact tests, while continuous variables were assessed with one‐way ANOVA and paired t‐tests.ResultsEighty‐nine consecutive patients were enrolled in this study, with a mean follow‐up duration of 16.9 months. The proportion of female patients in the PMSG I, II, and III groups was 57.1%, 58.3%, and 84.1%, respectively (p = 0.024). Furthermore, the total complication rate was 43.2% in the PMSG III group, significantly higher than 9.5% and 20.8% in the PMSG I and II groups (p = 0.012). The incidence of thigh paraesthesia was also considerably higher in the PMSG III group at 34.1% (p = 0.015), compared to 9.5% and 8.3% in the PMSG I and II groups. Among the patients, 12.4% exhibited a teardrop‐shaped PM, with the majority (90.9%) belonging to the PMSG III group (p = 0.012). Additionally, the PMSG III group demonstrated a higher estimated blood loss (p = 0.007) and significantly worse clinical scores at the 1‐week follow‐up assessment (p < 0.001).ConclusionPM swelling adversely affects the OLIF prognosis. Female patients with teardrop‐shaped PM are more likely to develop swelling after OLIF. A higher PMSG is associated with a higher complication rate of thigh pain or numbness and worse short‐term clinical outcomes.

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Associations between the psoas major muscle index and the presence and severity of coronary artery disease

Cited by 5 publications

References 32 publications

Correlation Between the Distribution of Abdominal, Pericardial and Subcutaneous Fat and Muscle and Age and Gender in a Middle-Aged and Elderly Population

Correlation Between the Distribution of Abdominal, Pericardial and Subcutaneous Fat and Muscle and Age and Gender in a Middle-Aged and Elderly Population

Considering the Possible Role of Pharmacists According to the Presence or Absence of Lifestyle-Related Diseases at the Time of Coronary CT Examination and Trends of Medication Use for These Diseases by Medical Doctors

Psoas Major Swelling Grade Affects the Clinical Outcomes after OLIF: A Retrospective Study of 89 Patients

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