Differences in Respiratory Muscle Strength Measures in Well-Nourished and Malnourished Hospitalized Patients

Zellner, Hillary K.; Moss, Olivia; Peterson, Sarah J.; Hicks-McGarry, Stephanie; Moran, Ellen M.; Becker, Ellen A; Foley, Sharon

doi:10.1016/j.jand.2019.01.004

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Cachexia caused by cancer is associated with atrophy of the appendicular skeletal muscle and respiratory muscles (53). The function of the diaphragm has also been reportedly reduced by undernutrition (54).…”

Section: Factors Promoting Disease-related Respiratory Sarcopeniamentioning

confidence: 99%

“…Acute inflammation associated with acute diseases such as infections (50) and chronic inflammation associated with chronic diseases such as cancer (59) cause respiratory muscle sarcopenia. Loss of appetite and reduced nutritional intake associated with aging or inflammation can cause respiratory muscle sarcopenia due to undernutrition (54). Age-related decline of physical activity may cause respiratory muscle sarcopenia due to low activity (60).…”

Section: The Vicious Cycle Of Respiratory Sarcopenia and Sarcopenic Rmentioning

confidence: 99%

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Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Nagano

Wakabayashi

Maeda

et al. 2021

The Journal of nutrition, health and aging

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The condition of muscle fiber atrophy and weakness that occurs in respiratory muscles along with systemic skeletal muscle with age is known as respiratory sarcopenia. The Japanese Working Group of Respiratory Sarcopenia of the Japanese Association of Rehabilitation Nutrition narratively reviews these areas, and proposes the concept and diagnostic criteria. We have defined respiratory sarcopenia as "wholebody sarcopenia and low respiratory muscle mass followed by low respiratory muscle strength and/or low respiratory function." Respiratory sarcopenia can be caused by various factors such as aging, decreased activity, undernutrition, disease, cachexia, and iatrogenic causes. We have also created an algorithm for diagnosing respiratory sarcopenia. Respiratory function decreases with age in healthy older people, along with low respiratory muscle mass and strength. We have created a new term, "Presbypnea," meaning a decline in respiratory function with aging. Minor functional respiratory disability due to aging, such as that indicated by a modified Medical Research Council level 1 (troubled by shortness of breath when hurrying or walking straight up hill), is an indicator of presbypnea. We also define sarcopenic respiratory disability as "a disability with deteriorated respiratory function that results from respiratory sarcopenia." Sarcopenic respiratory disability is diagnosed if respiratory sarcopenia is present with functional disability. Cases of respiratory sarcopenia without functional disability are diagnosed as "at risk of sarcopenic respiratory disability." Functional disability is defined as a modified Medical Research Council grade of 2 or more. Rehabilitation nutrition, treatment that combines rehabilitation and nutritional management, may be adequate to prevent and treat respiratory sarcopenia and sarcopenic respiratory disability.

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Section: Factors Promoting Disease-related Respiratory Sarcopeniamentioning

confidence: 99%

Section: The Vicious Cycle Of Respiratory Sarcopenia and Sarcopenic Rmentioning

confidence: 99%

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Nagano

Wakabayashi

Maeda

et al. 2021

The Journal of nutrition, health and aging

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“…Age, smoking status, nutritional status, respiratory disease, and sarcopenia are reported risk factors for PPCs after esophagectomy 3–7,27 . Moreover, each of these factors has also been reported to be associated with inspiratory muscle strength 28–30 . Considering that inspiratory muscle strength directly affects postoperative lung expansion and cough performance, inspiratory muscle strength may be an intermediate factor in the relationship between sarcopenia and PPCs.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7]27 Moreover, each of these factors has also been reported to be associated with inspiratory muscle strength. [28][29][30] Considering that inspiratory muscle strength directly affects postoperative lung expansion and cough performance, inspiratory muscle strength may be an intermediate factor in the relationship between sarcopenia and PPCs. The findings of this study showed that IMW was associated with PPCs even after adjusting for several factors, including age, smoking status, and nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Preoperative inspiratory muscle weakness as a risk factor of postoperative pulmonary complications in patients with esophageal cancer

Okura,

Suto,

Sato

et al. 2023

Journal of Surgical Oncology

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ObjectiveWe examined whether preoperative inspiratory muscle weakness (IMW) is a risk factor for postoperative pulmonary complications (PPCs) in patients with esophageal cancer who underwent subtotal esophagectomy.MethodsThis single‐center retrospective cohort study enrolled patients with esophageal cancer who underwent a scheduled subtotal esophagectomy between June 2020 and May 2022. Maximal inspiratory pressure (MIP) was measured as inspiratory muscle strength using a respiratory dynamometer, and we defined IMW as MIP < 80% of the predicted value. Our primary outcome comprised overall PPCs. We investigated the relationship between IMW and PPCs using the Bayesian logistic regression model.ResultsAfter exclusion, 72 patients were included in this study. IMW was identified in 26 patients (36%), and PPCs developed in 28 patients (39%). Among patients with IMW, 15 (58%) developed PPCs. Preoperative IMW was associated with PPCs (mean odds ratio [OR]: 3.58; 95% credible interval [95% CrI]: 1.29, 9.73) in the unweighted model. A similar association was observed in the weighted model adjusted for preoperative and intraoperative contributing factors (mean OR: 4.15; 95% CrI: 2.04, 8.45).ConclusionsPreoperative IMW was associated with PPCs in patients with esophageal cancer who underwent subtotal esophagectomy. This association remained after adjusting for preoperative and intraoperative contributing factors.

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“…Malnourished older adults make more visits to physicians, hospitals, and emergency rooms (Izawa et al, 2006). They are also more likely to develop a healthcare‐acquired condition including pressure injuries, have delayed wound healing, decreased respiratory and cardiac function, muscle wasting and functional loss increasing the risk of falls, longer length of hospital stay, higher readmission rates, and higher treatment costs (Tappenden et al, 2013; Ishida et al, 2020; Sharma et al, 2017; Lee et al, 2015; Zellner et al, 2019).…”

Section: Older Adult Nutrition Healthcare Outcomes and The Covid‐19 P...mentioning

confidence: 99%

Nutrition‐Related Policy Fundamentals for Supporting Older Adults in the Community during a Pandemic: Lessons from COVID‐19

Whitmire¹,

Arensberg²,

Ashbrook³

et al. 2021

Journal of Elder Policy

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Nutrition is a key factor supporting healthy aging. Yet during the global COVID-19 pandemic, issuances of shelter-in-place orders, closures of senior centers and other congregate dining locations, losses of income, increases in grocery prices, and other changes have left many older adults struggling to maintain good nutrition. However, there are available solutions to improve the nutrition of millions of older adults who may be challenged to put food on the table. This commentary outlines the problems of older adult malnutrition and food insecurity and their strong correlation with COVID-19. It summarizes existing federal nutrition programs for older adults, including the U.S. Department of Health and Human Services’ Older Americans Act (OAA) nutrition programs and the U.S. Department of Agriculture’s means-tested nutrition programs such as the Supplemental Nutrition Assistance Program (SNAP). The commentary also contains lessons from community-based OAA nutrition programs that refocused some of their nutrition services and other supportive services during the COVID-19 pandemic to better serve socially distancing, newly homebound older adults. It explores pre- and post-COVID-19 policy actions and opportunities for improving the nutrition, health, and well-being of community-dwelling older Americans during the current pandemic and beyond, including the need for more federal funding and flexibility for older adult nutrition programs, the need for improvements to older adult access to these programs, and the need for more older adult nutrition screening and intervention.

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Differences in Respiratory Muscle Strength Measures in Well-Nourished and Malnourished Hospitalized Patients

Cited by 5 publications

References 20 publications

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Preoperative inspiratory muscle weakness as a risk factor of postoperative pulmonary complications in patients with esophageal cancer

Nutrition‐Related Policy Fundamentals for Supporting Older Adults in the Community during a Pandemic: Lessons from COVID‐19

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