Rectus femoris (RF) ultrasound for the assessment of muscle mass in older people

Berger, Juan; Bunout, Daniel; Barrera, Gladys; Maza, María Pía de la; Henríquez, Sandra; Leiva, Laura; Hirsch, Sandra

doi:10.1016/j.archger.2015.03.006

Cited by 99 publications

(101 citation statements)

References 37 publications

(28 reference statements)

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“…All of the included studies evaluated concurrent validity with DXA, MRI, CT, or ultrasound used as criterion methods (Table ). The same construct was measured with ultrasound and the reference methods, except for one study, which compared muscle size with body composition parameters . All of the studies evaluated thigh muscles with a linear transducer.…”

Section: Resultsmentioning

confidence: 99%

The reliability and validity of ultrasound to quantify muscles in older adults: a systematic review

Nijholt

Scafoglieri

Jager‐Wittenaar

et al. 2017

J cachexia sarcopenia muscle

314

220

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This review evaluates the reliability and validity of ultrasound to quantify muscles in older adults. The databases PubMed, Cochrane, and Cumulative Index to Nursing and Allied Health Literature were systematically searched for studies. In 17 studies, the reliability (n = 13) and validity (n = 8) of ultrasound to quantify muscles in community‐dwelling older adults (≥60 years) or a clinical population were evaluated. Four out of 13 reliability studies investigated both intra‐rater and inter‐rater reliability. Intraclass correlation coefficient (ICC) scores for reliability ranged from −0.26 to 1.00. The highest ICC scores were found for the vastus lateralis, rectus femoris, upper arm anterior, and the trunk (ICC = 0.72 to 1.000). All included validity studies found ICC scores ranging from 0.92 to 0.999. Two studies describing the validity of ultrasound to predict lean body mass showed good validity as compared with dual‐energy X‐ray absorptiometry (r 2 = 0.92 to 0.96). This systematic review shows that ultrasound is a reliable and valid tool for the assessment of muscle size in older adults. More high‐quality research is required to confirm these findings in both clinical and healthy populations. Furthermore, ultrasound assessment of small muscles needs further evaluation. Ultrasound to predict lean body mass is feasible; however, future research is required to validate prediction equations in older adults with varying function and health.

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Section: Resultsmentioning

confidence: 99%

The reliability and validity of ultrasound to quantify muscles in older adults: a systematic review

Nijholt

Scafoglieri

Jager‐Wittenaar

et al. 2017

J cachexia sarcopenia muscle

314

220

View full text Add to dashboard Cite

show abstract

“…As supported by MRI results, there is a good correlation between the echo intensity and amount of intramuscular fat 24 . A recent study also described suitable consistency between rectus femoris measurements obtained by sonography and fat content as evaluated by dual‐energy x‐ray densitometry, 25 which is the reference standard for evaluating lean mass 26 …”

mentioning

confidence: 79%

“…22,23 As supported by MRI results, there is a good correlation between the echo intensity and amount of intramuscular fat. 24 A recent study also described suitable consistency between rectus femoris measurements obtained by sonography and fat content as evaluated by dual-energy x-ray densitometry, 25 which is the reference standard for evaluating lean mass. 26 Studies using MRI show that fat infiltration in the quadriceps is 74% greater in patients with COPD than in healthy individuals, 13 and this infiltration is inversely related to functionality, as determined by the 6MWT.…”

Section: Original Researchmentioning

confidence: 99%

Sonographic Measurement of the Quadriceps Muscle in Patients With Chronic Obstructive Pulmonary Disease

Cruz‐Montecinos

Guajardo-Rojas

Montt

et al. 2016

J of Ultrasound Medicine

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“…Specific trainings are necessary to reliably reproduce these measurements and software that is necessary for echogenicity analysis is not available on our ultrasound system. 33,34 To partially solve this problem, we will perform squeeze and force measurements to obtain some information about muscle function (e.g., muscle strength).…”

Section: Discussionmentioning

confidence: 99%

Impact and risk factors for clinically relevant surgery-related muscle loss in patients after major abdominal cancer surgery: study protocol for a prospective observational cohort study (MUSCLE POWER)

et al. 2019

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Background: Surgery-related muscle loss (SRML) occurs in at least one out of three cancer patients within one week after major surgery. Though, this important phenomenon has hardly been investigated. Methods: The MUSCLE POWER is a prospective, observational cohort study that investigates the presence, impact, and predictors for clinically relevant SRML in 178 cancer patients after major abdominal surgery using ultrasound measurements, squeeze and force measurements, and QoL questionnaires. Primary endpoint is the proportion of patients with clinically relevant SRML defined as ≥5% muscle loss within one week after surgery, measured by the cross-sectional area (CSA) of three different muscles: m. biceps brachii, m. rectus femoris, and m. vastus intermedius. Possible correlation with QoL and fatigue up to six months after surgery will be investigated. Daily physical activity during hospital stay will be monitored by a motility tracker, and protein intake will be monitored by a dietician. Possible predictors for clinically relevant SRML-consisting of age ≥65 years, preoperative diabetes, preoperative sarcopenia, major postoperative complications (Clavien-Dindo ≥III), insufficient physical activity, and insufficient postoperative protein intake-will be investigated with a multivariable logistic regression analyses with a backward stepwise approach. Variables with a p<0.05 will be retrained in the final multivariable model. Discussion: The MUSCLE POWER investigates the presence and impact of clinically relevant SRML in cancer patients after major abdominal surgery. Crucial information regarding possible predictors for clinically relevant SRML can be used in future intervention studies to prevent postoperative muscle loss and subsequently improve postoperative outcome and QoL.

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Rectus femoris (RF) ultrasound for the assessment of muscle mass in older people

Cited by 99 publications

References 37 publications

The reliability and validity of ultrasound to quantify muscles in older adults: a systematic review

The reliability and validity of ultrasound to quantify muscles in older adults: a systematic review

Sonographic Measurement of the Quadriceps Muscle in Patients With Chronic Obstructive Pulmonary Disease

Impact and risk factors for clinically relevant surgery-related muscle loss in patients after major abdominal cancer surgery: study protocol for a prospective observational cohort study (MUSCLE POWER)

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