The role of muscle ultrasound to predict sarcopenia

Öztürk, Yelda; Koca, Meltem; Bürkük, Suna; Ünsal, Pelin; Dikmeer, Ayşe; Oytun, Merve Güner; Baş, Arzu Okyar; Kahyaoğlu, Zeynep; Deniz, Olgun; Çöteli, Süheyla; Ileri, İ̇brahim; Cankurtaran, Mustafa; Halil, Meltem

doi:10.1016/j.nut.2022.111692

Cited by 23 publications

(19 citation statements)

References 26 publications

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“…Muscle mass is one of the sarcopenia criteria, and ultrasonography is a bedside applicable noninvasive technique for assessing skeletal muscle mass ( 7 ). In a geriatric population outside of the ICU, it has been found that the thickness of the rectus femoris (RF) muscle is correlated with some nutritional assessment tests ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Association of nutritional status, frailty, and rectus femoris muscle thickness measured by ultrasound and weaning in critically ill elderly patients

Mızrak

Aydemir

et al. 2023

Tuberk Toraks

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Association of nutritional status, frailty, and rectus femoris muscle thickness measured by ultrasound and weaning in critically ill elderly patients Introduction Sarcopenia and frailty are critical factors linked with poor clinical outcomes among elderly individuals. This study aims to investigate the association between nutritional assessment tests and frailty with muscle thickness measured by ultrasound and their relationship with weaning among crtically ill elderly patients. Materials and Methods Patients who were over 65 years old and required invasive ventilation were assessed for nutritional status and clinical frailty scale upon admission to the intensive care unit. Additionally, the thickness of their rectus femoris and vastus intermedius muscles were measured by ultrasound within 48 hours of intubation. Correlation analysis was conducted to examine the relationship between screening tests, frailty, and ultrasound results. The association between these parameters and weaning success was also evaluated. Results Between May and August 2022, 32 consecutive patients were enrolled in the study. The mean age was 79.3 ∓ 7.9, and 18 (56.3%) of them were female. Median APACHE-II- and first-day SOFA scores were 22.5 (16.2-29.7) and 7 (5-10.75), respectively. There was a moderate negative correlation between the thickness of the rectus femoris and frailty (r= -0.41, p= 0.036), and there was a moderate positive correlation between the rectus femoris and geriatric nutritional risk index (r= 0.45, p= 0.017). Of them, 18 (56.3%) patients were classified as weaning failure in which the mean frailty score was higher (7.6 ∓ 0.9 vs 6.5 ∓ 1.7, p= 0.035), sepsis (18 vs 7, p< 0.001) and use of vasopressor (17 vs 6, p= 0.004) more common, and in-hospital mortality were higher (18 vs 5, p< 0.001). Conclusion Bedside ultrasound could be beneficial for detecting nutritional high-risk patients. Frailty was associated with muscle thickness, and it was also associated with weaning failure.

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Section: Introductionmentioning

confidence: 99%

Association of nutritional status, frailty, and rectus femoris muscle thickness measured by ultrasound and weaning in critically ill elderly patients

Mızrak

Aydemir

et al. 2023

Tuberk Toraks

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“…More studies that use the same methods of measurement need to be done with a larger sample of T2DM patients. Gastrocnemius muscle thickness, rectus femoris muscle thickness, rectus femoris cross-sectional area, and rectus abdominis are known to have shown close correlations with several parameters related to nutritional status and function and can successfully predict sarcopenic diagnosis [36]. However, the adverse consequences of sarcopenia, such as falls, fractures, and death, are still most reliably predicted by BMI-adjusted muscle mass [37].…”

Section: Discussionmentioning

confidence: 99%

Psoas major muscle mass and upper limb muscle strength are the main factors influencing the rate of HDL-cholesterol within the target in T2DM patients

Guo,

Han,

Cheng

et al. 2023

Preprint

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Background Achieving lipid control standards is one of the most important measures to slow down the development of diabetic complications. Clinically, effective drugs have been widely used to reduce low-density lipoprotein cholesterol (LDL-c) and triglycerides (TG). However, there are no effective drugs to increase high-density lipoprotein cholesterol (HDL-c). Studies have shown that exercise can improve HDL-c, so this study intends to investigate the association between muscle mass/muscle strength at different sites and HDL-c to provide clinical evidence to develop precise exercise therapy in the future. Methods We included 2 populations to analyze the relationship between muscle and HDL-c in two aspects: muscle mass and muscle strength. The first study population, including 218 participants, was recruited from inpatients with T2DM in the Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University between February 2017 and December 2020. The second study population, including 138 participants, was recruited from patients with T2DM in Shanghai Yangpu District Central Hospital from June to December 2021. Both groups were analyzed to determine the relationship between psoas major muscle (PMM) mass and muscle strength at different sites and HDL-c. Results The results showed that PMM mass and HDL-c were independently associated and that lower limb muscle strength was not associated with HDL-c. In addition, the odds of achieving the HDL-c target increased with the increase in biceps, triceps and deltoids after adjustment by weight. Furthermore, there were no significant interactions in the trend test for the correlation between PMM mass or upper limb muscle strength and HDL-c between age, sex, and BMI after stratification in the subgroup analysis. Conclusion Our study demonstrates that greater PMM mass and upper limb muscle strength are beneficial for reaching HDL-c targets in certain T2DM patients. This suggests that in clinical practice, specific training of PMM mass and upper limb muscle strength can improve HDL-c in those patients.

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“…Die altersabhängige Reduktion der Muskelmasse lässt sich im Ultraschall detektieren [24]. Hierzu wird in der Regel die Muskeldicke oder die CSA gemessen [25]. Der Muskelultraschall ist ein zuverlässiges und valides Instrument zur Beurteilung der Muskelgröße bei älteren Erwachsenen [26,27].…”

Section: Im Erwachsenenalterunclassified

Einfluss des Patientenalters auf die Befunde im Nerven- und Muskelultraschall

Fisse,

Michail,

Schäfer

et al. 2024

Klinische Neurophysiologie

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ZusammenfassungDie Ultraschall-Bildgebung hat sich als wichtige Ergänzung zu elektrophysiologischen Verfahren bei Beurteilung neuromuskulärer Erkrankungen etabliert. Im Kindes- und Jugendalter kann mittels Ultraschalls das Wachstum von Nerven und Muskeln dargestellt werden, während altersbedingte Veränderungen der Nervenstruktur und Muskelechogenität minimal sind. Ab dem Erwachsenenalter sind die altersabhängigen Veränderungen der Nervengröße und Nervenstruktur gering. Der altersbedingte Verlust an Muskelmasse wird als Sarkopenie bezeichnet und kann als Abnahme der Muskeldicke im Ultraschall dargestellt werden, während die Muskelechogenität im höheren Alter zunimmt und Faszikulationen zunehmen. Das Lebensalter sollte daher bei der Interpretation von Nerven- und Muskelultraschallbefunden im klinischen Kontext unbedingt berücksichtigt werden.

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The role of muscle ultrasound to predict sarcopenia

Cited by 23 publications

References 26 publications

Association of nutritional status, frailty, and rectus femoris muscle thickness measured by ultrasound and weaning in critically ill elderly patients

Association of nutritional status, frailty, and rectus femoris muscle thickness measured by ultrasound and weaning in critically ill elderly patients

Psoas major muscle mass and upper limb muscle strength are the main factors influencing the rate of HDL-cholesterol within the target in T2DM patients

Einfluss des Patientenalters auf die Befunde im Nerven- und Muskelultraschall

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