Respiratory Muscle Strengths and Their Association with Lean Mass and Handgrip Strengths in Older Institutionalized Individuals

Martínez-Arnau, Francisco Miguel; Buigues, Cristina; Fonfría-Vivas, Rosa; Cauli, Omar

doi:10.3390/jcm9092727

Cited by 11 publications

(4 citation statements)

References 81 publications

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“…handgrip strength, gait speed, and maximal inspiratory pressure [37]. PEFR may also be an indicator of respiratory muscle strength and has been used to identify sarcopenia [38,39].…”

Section: Plos Onementioning

confidence: 99%

Peak expiratory flow rate and sarcopenia risk in older Indonesian people: A nationwide survey

et al. 2021

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Reduced peak expiratory flow is a common physiological change in older individuals and age is an important predictor for sarcopenia. We analyzed nationwide survey data to determine the relationship between peak expiratory flow rate and sarcopenia in older Indonesians. Community-dwelling Indonesian individuals aged ≥60 years (n = 2422; mean age = 67.21 y) from the fifth-wave data of the Indonesian Family Life Survey was selected. Sarcopenia was diagnosed based on handgrip strength, gait speed, and appendicular skeletal muscle mass measurements. Peak expiratory flow rates (PEFRs) were categorized according to their percentage of predicted flow rates as <50%, 50% to 80%, and >80%. Confounders previously determined to be associated with sarcopenia occurrence were included. Sarcopenia prevalence was 50.25%. After adjustment for confounders, PEFRs of <50% and 50% to 80% were associated with an increased sarcopenia risk (odds ratio = 5.22 and 1.88, respectively) compared with PEFRs of >80%. Poor lung function was independently associated with sarcopenia occurrence. Future studies should explore the usefulness of PEFR as a risk factor of sarcopenia.

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“…handgrip strength, gait speed, and maximal inspiratory pressure [37]. PEFR may also be an indicator of respiratory muscle strength and has been used to identify sarcopenia [38,39].…”

Section: Plos Onementioning

confidence: 99%

Peak expiratory flow rate and sarcopenia risk in older Indonesian people: A nationwide survey

et al. 2021

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“…Indeed, whole-body sarcopenia was associated with reduced diaphragmatic muscle thickness and respiratory function in older individuals [ 46 ]. The parameter respiratory muscle function was correlated with reduced handgrip strength and functional impairment but not with lean mass [ 47 ].…”

Section: Respiratory Sarcopenia and Sarcopenic Respiratory Disabilitymentioning

confidence: 99%

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability

Mizuno

Wakabayashi

Wada

2021

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review We describe the recent advances in rehabilitation nutrition, which is especially important for disabled or frail older individuals. Recent findings Recent evidence pertaining to rehabilitation nutrition conducted in rehabilitation wards and acute care hospitals has been accumulating. The combination of rehabilitation nutrition and rehabilitation pharmacotherapy is important for eliciting higher functions. The 2020 update of the clinical practice guidelines for rehabilitation nutrition provides a weak recommendation for enhanced nutritional care for patients with cerebrovascular disease, hip fracture, cancer, or acute illness who are undergoing rehabilitation. Rehabilitation nutritional care process and the International Classification of Functioning, Disability and Health-Dietetics are used to implement high-quality rehabilitation nutrition. Aggressive nutrition therapy incorporates the daily energy expenditure plus daily energy accumulation to increase body weight and muscle mass. Preventing and treating sarcopenic dysphagia should include iatrogenic sarcopenia prevention and aggressive nutrition therapy. The diagnosis criteria for respiratory sarcopenia and sarcopenic respiratory disability have been established. Summary The International Association of Rehabilitation Nutrition and Total Nutrition Therapy Rehabilitation program may contribute to international expansion of rehabilitation nutrition. Improving evidence–practice gaps in rehabilitation nutrition and increasing national health insurance coverage of aggressive nutrition therapy and rehabilitation nutrition teams are warranted.

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“…While previous studies have examined the correlation between respiratory muscle strength and sarcopenia [ 13 ], as well as DT and sarcopenia [ 9 ], there is a dearth of research investigating the association among all three factors simultaneously. Hence, our study aimed to assess the relationship between respiratory muscle strength, diaphragm muscle, and indices of sarcopenia within a single investigation.…”

Section: Introductionmentioning

confidence: 99%

Association of Diaphragm Thickness and Respiratory Muscle Strength With Indices of Sarcopenia

Lee,

Son,

Kim

et al. 2023

Ann Rehabil Med

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Objective: To evaluate the relationship between respiratory muscle strength, diaphragm thickness (DT), and indices of sarcopenia.Methods: This study included 45 healthy elderly volunteers (21 male and 24 female) aged 65 years or older. Sarcopenia indices, including hand grip strength (HGS) and body mass index-adjusted appendicular skeletal muscle (ASM/BMI), were measured using a hand grip dynamometer and bioimpedance analysis, respectively. Calf circumference (CC) and gait speed were also measured. Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were obtained using a spirometer, as a measure of respiratory muscle strength. DT was evaluated through ultrasonography. The association between indices of sarcopenia, respiratory muscle strength, and DT was evaluated using Spearman’s rank correlation test, and univariate and multiple regression analysis.Results: ASM/BMI (r=0.609, p<0.01), CC (r=0.499, p<0.01), HGS (r=0.759, p<0.01), and gait speed (r=0.319, p<0.05) were significantly correlated with DT. In the univariate linear regression analysis, MIP was significantly associated with age (p=0.003), DT (p<0.001), HGS (p=0.002), CC (p=0.013), and gait speed (p=0.026). MEP was significantly associated with sex (p=0.001), BMI (p=0.033), ASM/BMI (p=0.003), DT (p<0.001), HGS (p<0.001), CC (p=0.001) and gait speed (p=0.004). In the multiple linear regression analysis, age (p=0.001), DT (p<0.001), and ASM/BMI (p=0.008) showed significant association with MIP. DT (p<0.001) and gait speed (p=0.050) were associated with MEP.Conclusion: Our findings suggest that respiratory muscle strength is associated with DT and indices of sarcopenia. Further prospective studies with larger sample sizes are needed to confirm these findings.

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Respiratory Muscle Strengths and Their Association with Lean Mass and Handgrip Strengths in Older Institutionalized Individuals

Cited by 11 publications

References 81 publications

Peak expiratory flow rate and sarcopenia risk in older Indonesian people: A nationwide survey

Peak expiratory flow rate and sarcopenia risk in older Indonesian people: A nationwide survey

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability

Association of Diaphragm Thickness and Respiratory Muscle Strength With Indices of Sarcopenia

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