Using Ultrasound in the Assessment of Muscle

Perkisas, Stany; Brockhattingen, Kristoffer Kittelmann; Welch, Carly; Bahat, Gülistan

doi:10.4274/ejgg.galenos.2021.2-1

Cited by 4 publications

(6 citation statements)

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“…Muscle strength and physical functional performance are easily measurable in primary care settings [13]. On the other hand, the US has all the advantages of being used in primary care to assess muscle quantity and quality [15][16][17]. Therefore, it is important to collect the US outcomes assessed in our study in different age cohorts and populations, such as older adults with HF [17].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the US has all the advantages of being used in primary care to assess muscle quantity and quality [15][16][17]. Therefore, it is important to collect the US outcomes assessed in our study in different age cohorts and populations, such as older adults with HF [17]. This way, pathological values can be distilled, cut-off points can be established, and correlations with the other aspects of sarcopenia-strength and function [17].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is important to collect the US outcomes assessed in our study in different age cohorts and populations, such as older adults with HF [ 17 ]. This way, pathological values can be distilled, cut-off points can be established, and correlations with the other aspects of sarcopenia-strength and function [ 17 ]. Many different mechanisms related to HF potentially lead to sarcopenia, such as hyper-activation of the sympathetic system, systemic inflammation, elevated oxidative processes, higher apoptotic activity or reduced release of the skeletal muscle [ 9 , 10 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound (US) assessment has shown validity in estimating muscle quantity compared to DXA, MRI and CT [ 15 ]. The US is a portable, cheap, simple, easy-to-use, and widely available clinical practice technique that can be performed bedside and enables the physician to visualize the muscle quantity and quality with high resolution within a relatively short period [ 16 , 17 ]. Thus, the US has all the advantages to be used in clinical practice and has become the standard tool for sarcopenia screening [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…The US is a portable, cheap, simple, easy-to-use, and widely available clinical practice technique that can be performed bedside and enables the physician to visualize the muscle quantity and quality with high resolution within a relatively short period [ 16 , 17 ]. Thus, the US has all the advantages to be used in clinical practice and has become the standard tool for sarcopenia screening [ 16 , 17 ]. US assessment has also been a reliable and valid tool to assess the muscle quantity of pennate muscles, such as the quadriceps femoris, in older adults [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Biomarkers and the quadriceps femoris muscle architecture assessed by ultrasound in older adults with heart failure with preserved ejection fraction: a cross-sectional study

et al. 2022

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Background Sarcopenia is an important comorbidity in patients with heart failure with preserved ejection fraction (HFpEF). The ultrasound (US) assessment has all the advantages of being used in primary care to assess muscle quantity and quality. Some biomarkers could be indicative of muscle mass loss. Aims To describe the quantitative and qualitative characteristics of the quadriceps femoris assessed by US in older adults with HFpEF and to assess the relationship of the blood and urinary biomarkers, the polypharmacy and comorbidities with US outcomes in older adults with HFpEF. Methods A cross-sectional study was conducted. 76 older adults with HFpEF were included. The quadriceps femoris muscle thickness (MT, cm), the subcutaneous fat tissue thickness (FT, cm), the muscle echo intensity (MEI) and the subcutaneous fat tissue echo intensity (FEI) were assessed by US in a non-contraction (non-con) and contraction (con) situations. Polypharmacy, comorbidities, blood and urine biomarkers were also collected. Results The carbohydrate antigen 125 (CA-125), the folic acid and the urine creatinine shared the 86.6% variance in the non-con MT, adjusted by age, sex and body mass index (BMI). The folic acid shared the 38.5% of the variance in the con MT, adjusted by age, sex and BMI. The glycosylated haemoglobin explained the 39.6% variance in the non-con MEI, adjusted by age, sex and BMI. The chlorine (Cl−) explained the 40.2% of the variance in the non-con FT, adjusted by age, sex and BMI. The polypharmacy and the folic acid explained the 37.9% of variance in the non-con FEI, while the polypharmacy and the thyrotropin (TSH) shared the 44.4% of variance in the con FEI, both adjusted by age, sex and BMI. No comorbidities, polypharmacy, or blood and urinary biomarkers could explain the con MEI and the con FT variance. Conclusions Blood and urinary biomarkers obtained in routine analyses could help clinicians detect US outcome changes in older adults with HFpEF and identify a worsening of sarcopenia. Trial registration NCT03909919. April 10, 2019. Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biomarkers and the quadriceps femoris muscle architecture assessed by ultrasound in older adults with heart failure with preserved ejection fraction: a cross-sectional study

et al. 2022

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Relationship between quadriceps femoris echotexture biomarkers and muscle strength and physical function in older adults with heart failure with preserved ejection fraction

Fuentes-Abolafio,

Ricci,

Bernal-López

et al. 2024

Experimental Gerontology

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Relationship between quadriceps femoris muscle architecture and muscle strength and physical function in older adults with heart failure with preserved ejection fraction

Fuentes-Abolafio

Bernal-López

Gómez‐Huelgas

et al. 2022

Sci Rep

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Heart failure (HF)-related factors potentially lead to sarcopenia. Ultrasound (US) assessment has all the advantages of being used in clinical practice to assess muscle architecture. This study aimed to assess the relationship between the quadriceps femoris (QF) muscle architecture with the gender, age, body mass index (BMI), muscle strength and physical function in older adults with HF with preserved ejection fraction (HFpEF) as well as to assess the difference in these relationships between the two genders. Patients 70 years and older with HFpEF were included. The gender, age and BMI were collected. The QF muscle thickness, the QF muscle echo-intensity, the subcutaneous fat tissue thickness (FT) and the subcutaneous fat tissue echo-intensity were assessed by the US. The six-minute walk test, the short physical performance battery (SPPB), the timed up and go test (TUG), and the gait speed test (UGS) were used to assess physical function. The five-repetitions sit-to-stand test (5-STS) was performed to assess muscle strength. Bivariant Pearson correlations and subsequent multivariate linear regression analysis were conducted. Seventy older adults with HFpEF [81.00 (5.97) years] were recruited. The FT showed a correlation between poor and moderate muscle strength and physical function in women with HFpEF. The FT explained 24.5% of the 5-STS variance, 32.4% of the SPPB variance, 31.5% of the TUG variance, 28.6% of the UGS variance, and 21.4% of the FGS variance in women. The US assessment could allow clinicians to assess muscle architecture biomarkers related to muscle strength and physical function in older adults with HFpEF.Trial registration NCT03909919. April 10, 2019. Retrospectively registered.

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Using Ultrasound in the Assessment of Muscle

Cited by 4 publications

References 0 publications

Biomarkers and the quadriceps femoris muscle architecture assessed by ultrasound in older adults with heart failure with preserved ejection fraction: a cross-sectional study

Biomarkers and the quadriceps femoris muscle architecture assessed by ultrasound in older adults with heart failure with preserved ejection fraction: a cross-sectional study

Relationship between quadriceps femoris echotexture biomarkers and muscle strength and physical function in older adults with heart failure with preserved ejection fraction

Relationship between quadriceps femoris muscle architecture and muscle strength and physical function in older adults with heart failure with preserved ejection fraction

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