1
|
Li J, Wu Z, Lu B, Li C, Wang S, Zhang J, Shen X, Xiang R, Chen J, Jiang T, Zhao C, Liu W, Xu X. The Differences in Parameters in Ultrasound Imaging and Biomechanical Properties of the Quadriceps Femoris with Unilateral Knee Osteoarthritis in the Elderly: A Preliminary Observational Study. Clin Interv Aging 2024; 19:1479-1491. [PMID: 39220855 PMCID: PMC11363936 DOI: 10.2147/cia.s442610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 05/27/2024] [Indexed: 09/04/2024] Open
Abstract
Purpose Our study aims to evaluate differences in muscle parameters of the quadriceps muscles in patients with knee osteoarthritis (KOA) in older adults. Methods The study included 40 patients diagnosed with unilateral knee osteoarthritis in the KOA group (KG) and 40 asymptomatic elderly individuals in the control group (CG). Muscle ultrasonic mean echo intensity and shear modulus, as well as tone and stiffness of the rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) were analyzed. Additionally, clinical correlations were performed. Results In the KG group, there were significant differences in echo intensity, shear modulus, and tone between the affected and unaffected sides for RF (p=0.003, 0.019, 0.014), while VM showed significant differences in shear modulus and tone (p=0.006, 0.002). Additionally, VL exhibited significant differences in echo intensity, shear modulus, and stiffness (p=0.007, 0.006, 0.010). Compared to the CG group, the KG group showed significant differences in echo intensity of the affected side RF (p=0.001). VM exhibited statistically significant differences in echo intensity and shear modulus (p < 0.001, p=0.008), while VL showed statistically significant differences in echo intensity, tone, and stiffness (p < 0.001, p=0.028, p < 0.001). The correlation results showed that patients with unilateral KOA, VM, and VL echo intensity were correlated with K-L grade (r = 0.443, p=0.004; r = 0.469, p=0.002). The tone of VL was correlated with VAS and WOMAC (r = 0.327, p=0.039; r = 0.344, p=0.030). Conclusion The parameters of the quadriceps femoris muscle exhibit asymmetry between the affected and unaffected sides in patients with unilateral KOA, as well as a difference between the dominant side of healthy older individuals and the affected side of KOA.
Collapse
Affiliation(s)
- Junyi Li
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
- Department of Osteoarthropathy II, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang, People’s Republic of China
| | - Zugui Wu
- Department of Orthopedics and Traumatology, The Third Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming, People’s Republic of China
| | - Bin Lu
- Department of Osteoarthropathy II, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang, People’s Republic of China
| | - Congcong Li
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Shuai Wang
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Jiahao Zhang
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Xingxing Shen
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Ruian Xiang
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Jiahao Chen
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Tao Jiang
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Chuanxi Zhao
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Wengang Liu
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| | - Xuemeng Xu
- Department of Orthopedics and Traumatology, The Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Second Hospital of Traditional Chinese Medicine, Guangdong Provincial Key Laboratory of Research and Development in Traditional Chinese Medicine, Guangzhou, People’s Republic of China
| |
Collapse
|
2
|
Lateef S, Addison O, Zhang LQ, Gray V, Lanza MB. Exploring discrepancies in muscle analysis with ImageJ: understanding the impact of tool selection on echo intensity and muscle area measurements. J Ultrasound 2024:10.1007/s40477-024-00934-4. [PMID: 39060718 DOI: 10.1007/s40477-024-00934-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 06/06/2024] [Indexed: 07/28/2024] Open
Abstract
PURPOSE The aim was to compare the use of different tools within the ImageJ program (polygon vs. segmented line) and their impact on the calculation of muscle area and echo intensity (EI) values in ultrasound imaging of the vastus lateralis muscle. METHODS Thirteen volunteers participated in this study. Ultrasound images of the vastus lateralis muscle were acquired using 2D B-mode ultrasonography and analyzed using both the polygon and segmented line tools by the same evaluator. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) assessed the tools' reliability. Bland-Altman plots were employed to verify the agreement between measurements, and linear regression analysis determined proportional bias. A paired t-test was conducted to analyze differences between the tools. RESULTS The reliability between tools for muscle area calculation was weak (r = 0.000; CV = 138.03 ± 0.34%), while it was excellent for EI (r = 0.871; CV = 15.19 ± 2.96%). The Bland-Altman plots indicated a large bias for muscle area (d = 195.2%) with a proportional bias (p < 0.001). For EI, the bias was (d = 15.2) with proportional bias (p = 0.028). The paired t-test revealed significant differences between the tools for area (p < 0.001) but not for EI (p = 0.060). CONCLUSION The study found significant differences in measurements obtained with the polygon and segmented line tools in ImageJ, with the polygon tool showing higher values for muscle area and lower values for EI.
Collapse
Affiliation(s)
- Shabnam Lateef
- Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn Street, Baltimore, MD, 20201, USA
| | - Odessa Addison
- Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn Street, Baltimore, MD, 20201, USA
| | - Li-Qun Zhang
- Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn Street, Baltimore, MD, 20201, USA
| | - Vicki Gray
- Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn Street, Baltimore, MD, 20201, USA
| | - Marcel B Lanza
- Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, 100 Penn Street, Baltimore, MD, 20201, USA.
| |
Collapse
|
3
|
Martin-Rodriguez S, Gonzalez-Henriquez JJ, Bautista IJ, Calbet JAL, Sanchis-Moysi J. Interplay of Muscle Architecture, Morphology, and Quality in Influencing Human Sprint Cycling Performance: A Systematic Review. SPORTS MEDICINE - OPEN 2024; 10:81. [PMID: 39026135 PMCID: PMC11258115 DOI: 10.1186/s40798-024-00752-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 07/05/2024] [Indexed: 07/20/2024]
Abstract
BACKGROUND This systematic review aimed to discern the relationships between muscle morphology, architecture, and quality with sprint cycling performance while considering the multifaceted nature of these relationships across diverse studies. METHODS Employing the PRISMA guidelines, an exhaustive search was performed across four primary databases: MEDLINE/PubMed, Web of Science, CINAHL Complete, and SPORTDiscus. The Methodological Index For Non-Randomised Studies (MINORS) was used to assess the methodological quality of the included studies. Out of 3971 initially identified records, only 10 studies met the eligibility criteria. RESULTS These investigations underscored the robust relationship of quadriceps muscle volume with peak power output (R2 from 0.65 to 0.82), suggesting its pivotal role in force production. In muscle architecture, the pennation angle and fascicle length showed varied associations with performance. Furthermore, muscle quality, as denoted by echo intensity, showed preliminary evidence of a potential inverse relationship with performance. The methodological quality assessment revealed varied scores, with the most consistent reporting on the aim, endpoints, and inclusion of consecutive patients. However, limitations were observed in the prospective calculation of study size and unbiased assessment of study endpoints. CONCLUSION Our findings indicate that muscle volume is a major determinant of sprint cycling performance. Muscle architecture and quality also impact performance, although in a more intricate way. The review calls for standardised methodologies in future research for a more comprehensive understanding and comparability of results. PROSPERO REGISTRATION NUMBER CRD42023432824 ( https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=432824 ).
Collapse
Affiliation(s)
- Saul Martin-Rodriguez
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35017, Spain
- Research Institute of Biomedical and Health Sciences (IUIBS), Canary Islands, Las Palmas de Gran Canaria, 35017, Spain
| | - Juan J Gonzalez-Henriquez
- Department of Mathematics, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Iker J Bautista
- Institute of Sport, Nursing, and Allied Health, University of Chichester, Chichister, PO19 6PE, UK
| | - Jose A L Calbet
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35017, Spain
- Research Institute of Biomedical and Health Sciences (IUIBS), Canary Islands, Las Palmas de Gran Canaria, 35017, Spain
- Department of Physical Performance, The Norwegian School of Sport Sciences, Postboks, 4014 Ulleval Stadion, Oslo, 0806, Norway
| | - Joaquin Sanchis-Moysi
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35017, Spain.
- Research Institute of Biomedical and Health Sciences (IUIBS), Canary Islands, Las Palmas de Gran Canaria, 35017, Spain.
| |
Collapse
|
4
|
Kitagawa T, Nakamura M, Fukumoto Y. Usefulness of muscle echo intensity for evaluating functional performance in the older population: A scoping review. Exp Gerontol 2023; 182:112301. [PMID: 37776985 DOI: 10.1016/j.exger.2023.112301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 06/16/2023] [Accepted: 09/27/2023] [Indexed: 10/02/2023]
Abstract
Muscle echo intensity, as measured by ultrasonography, could be used as a new marker of functional performance in older populations. This scoping review aimed to present evidence on the utility of muscle echo intensity as determined by ultrasonography for assessing functional performance in older adults. The eligibility criterion included observational studies that investigated the associations between muscle echo intensity and functional performance in older adults. Terms, such as "echo intensity" and "older adults", were searched for in databases, such as PubMed, Web of Science, the Cochrane database of systematic reviews, and the Cumulative Index of Nursing and Allied Health Literature, in April 2021. Two independent reviewers screened and extracted the data; 46 papers, of which almost one-third were Japanese, were subsequently identified for inclusion. The representative functional performances included in this review were muscle strength, gait speed, sit-to-stand test results, and timed up-and-go test results. Poor to moderate associations were found between muscle echo intensity and functional performance; however, heterogeneities were observed in the characteristics of study participants. Moreover, the accurate effect size and causal inferences between muscle echo intensity and functional performance remained unclear. Further longitudinal studies are needed to determine these causal inferences.
Collapse
Affiliation(s)
- Takashi Kitagawa
- Department of Physical Therapy, School of Health Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto 390-8621, Japan.
| | - Masatoshi Nakamura
- Faculty of Rehabilitation Sciences, Nishi Kyushu University, 4490-9 Ozaki, Kanzaki 842-8585, Japan.
| | - Yoshihiro Fukumoto
- Department of Physical Therapy, Faculty of Rehabilitation, Kansai Medical University, 2-5-1 Shin-machi, Hirakata 573-1010, Japan.
| |
Collapse
|
5
|
Piponnier E, Ishikawa M, Kunimasa Y, Sano K, Jagot K, Boisseau N, Kurihara T, Martin V. Quantification of Extramyocellular Lipids and Intramuscular Fat from Muscle Echo Intensity in Lower Limb Muscles: A Comparison of Four Ultrasound Devices against Magnetic Resonance Spectroscopy. SENSORS (BASEL, SWITZERLAND) 2023; 23:s23115282. [PMID: 37300012 DOI: 10.3390/s23115282] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 05/22/2023] [Accepted: 05/25/2023] [Indexed: 06/12/2023]
Abstract
This study aimed to compare different ultrasound devices with magnetic resonance spectroscopy (MRS) to quantify muscle lipid content from echo intensity (EI). Four different ultrasound devices were used to measure muscle EI and subcutaneous fat thickness in four lower-limb muscles. Intramuscular fat (IMF), intramyocellular (IMCL) and extramyocellular lipids (EMCL) were measured using MRS. Linear regression was used to compare raw and subcutaneous fat thickness-corrected EI values to IMCL, EMCL and IMF. IMCL had a poor correlation with muscle EI (r = 0.17-0.32, NS), while EMCL (r = 0.41-0.84, p < 0.05-p < 0.001) and IMF (r = 0.49-0.84, p < 0.01-p < 0.001) had moderate to strong correlation with raw EI. All relationships were improved when considering the effect of subcutaneous fat thickness on muscle EI measurements. The slopes of the relationships were similar across devices, but there were some differences in the y-intercepts when raw EI values were used. These differences disappeared when subcutaneous fat thickness-corrected EI values were considered, allowing for the creation of generic prediction equations (r = 0.41-0.68, p < 0.001). These equations can be used to quantify IMF and EMCL within lower limb muscles from corrected-EI values in non-obese subjects, regardless of the ultrasound device used.
Collapse
Affiliation(s)
- Enzo Piponnier
- Université Clermont Auvergne, AME2P, F-63000 Clermont-Ferrand, France
- Laboratory of Human Motricity, Heath and Sport Expertise (LAMHESS), UPR 6312, University Côte d'Azur, 06108 Nice, France
| | - Masaki Ishikawa
- Graduate School of Sport and Exercise Sciences, Osaka University of Health and Sport Sciences, Osaka 590-0496, Japan
| | - Yoko Kunimasa
- Graduate School of Sport and Exercise Sciences, Osaka University of Health and Sport Sciences, Osaka 590-0496, Japan
- Faculty of Education, Niigata University, Niigata 950-2181, Japan
| | - Kanae Sano
- Graduate School of Sport and Exercise Sciences, Osaka University of Health and Sport Sciences, Osaka 590-0496, Japan
- Faculty of Health Sciences, Morinomiya University of Medical Sciences, Osaka 559-8611, Japan
| | - Kévin Jagot
- Université Clermont Auvergne, AME2P, F-63000 Clermont-Ferrand, France
| | - Nathalie Boisseau
- Université Clermont Auvergne, AME2P, F-63000 Clermont-Ferrand, France
| | - Toshiyuki Kurihara
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu 525-8577, Japan
- Faculty of Science and Engineering, Kokushikan University, Tokyo 154-8515, Japan
| | - Vincent Martin
- Université Clermont Auvergne, AME2P, F-63000 Clermont-Ferrand, France
- Institut Universitaire de France (IUF), F-75005 Paris, France
| |
Collapse
|
6
|
Muanjai P, Namsawang J, Satkunskienė D, Kamandulis S. Associations between Muscle-Tendon Morphology and Functional Movements Capacity, Flexibility, and Balance in Older Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16099. [PMID: 36498173 PMCID: PMC9738910 DOI: 10.3390/ijerph192316099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/24/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
Loss of functional movement capacity in older adults is related to adverse changes in musculotendinous morphology, but this relationship is poorly understood. This study examined the associations between musculotendinous morphology and functional movements, flexibility, and balance ability. Ninety-nine older women (66.6 ± 4.6 years, body mass index 23.5 ± 3.3 kg∙m−2) were recruited from Chonburi Province, Thailand. During one 90-min visit, muscle ultrasound imaging of vastus lateralis, biceps femoris, and medial gastrocnemius muscles, and tendon ultrasonography of the Achilles tendon and patellar tendon were performed. Measures were also obtained for the straight leg raise, passive dorsiflexion, balance, and functional tests (Five Times Sit to Stand (5TSTS), Timed Up and Go (TUG), 10-Meter Fast Walk Test (10-MFWT), and 6-Minute Walk Test (6-MWT)). The results specify that functional movement performance correlates most strongly with medial gastrocnemius muscle thickness (5TSTS (r = −0.26), TUG (r = −0.44), 10-MFWT (r = 0.41), and 6-MWT (r = 0.48) all p < 0.05) and that vastus lateralis muscle thickness and medial gastrocnemius muscle thickness correlate positively with balance ability (r = 0.24, 0.34; p < 0.05) and negatively with fear of falling. It appears that muscle mass, rather than other morphological parameters, such as muscle quality or fascicle length, is the main factor affecting the susceptibility of older women to frailty.
Collapse
Affiliation(s)
- Pornpimol Muanjai
- Department of Physical Therapy, Allied Health Sciences Faculty, Burapha University, Chonburi 20131, Thailand
- Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi 20131, Thailand
| | - Juntip Namsawang
- Department of Physical Therapy, Allied Health Sciences Faculty, Burapha University, Chonburi 20131, Thailand
- Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi 20131, Thailand
| | - Danguole Satkunskienė
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania
| | - Sigitas Kamandulis
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania
| |
Collapse
|
7
|
Factors of Muscle Quality and Determinants of Muscle Strength: A Systematic Literature Review. Healthcare (Basel) 2022; 10:healthcare10101937. [PMID: 36292384 PMCID: PMC9601777 DOI: 10.3390/healthcare10101937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/14/2022] [Accepted: 09/26/2022] [Indexed: 11/04/2022] Open
Abstract
Muscle quality defined as the ratio of muscle strength to muscle mass disregards underlying factors which influence muscle strength. The aim of this review was to investigate the relationship of phase angle (PhA), echo intensity (EI), muscular adipose tissue (MAT), muscle fiber type, fascicle pennation angle (θf), fascicle length (lf), muscle oxidative capacity, insulin sensitivity (IS), neuromuscular activation, and motor unit to muscle strength. PubMed search was performed in 2021. The inclusion criteria were: (i) original research, (ii) human participants, (iii) adults (≥18 years). Exclusion criteria were: (i) no full-text, (ii) non-English or -German language, (iii) pathologies. Forty-one studies were identified. Nine studies found a weak−moderate negative (range r: [−0.26]−[−0.656], p < 0.05) correlation between muscle strength and EI. Four studies found a weak−moderate positive correlation (range r: 0.177−0.696, p < 0.05) between muscle strength and PhA. Two studies found a moderate-strong negative correlation (range r: [−0.446]−[−0.87], p < 0.05) between muscle strength and MAT. Two studies found a weak-strong positive correlation (range r: 0.28−0.907, p < 0.05) between θf and muscle strength. Muscle oxidative capacity was found to be a predictor of muscle strength. This review highlights that the current definition of muscle quality should be expanded upon as to encompass all possible factors of muscle quality.
Collapse
|
8
|
Xue H, Du H, Xie Y, Zhai Y, Song S, Luo B, Qiu H, Wang K, Cui J, Song C, Xu H, Li W, Shi H, Li Z. Association Between Fat Mass to Lean Body Mass Ratio and All-Cause Mortality Among Middle-Aged and Elderly Cancer Patients Without Obesity: A Multi-Center Observational Study in China. Front Nutr 2022; 9:914020. [PMID: 35789967 PMCID: PMC9249599 DOI: 10.3389/fnut.2022.914020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 05/20/2022] [Indexed: 11/13/2022] Open
Abstract
Objective We aimed to investigate the association between fat mass to lean body mass ratio (RFL), percentage of body fat (PBF), and fat mass (FM) with mortality among middle-aged and elderly cancer patients without obesity. Methods This prospective hospital-based cohort study comprised 3,201 patients with stage I to IV cancer aged 40 years or above (mean age: 58 years for female patients and 61 years for male patients; mean length of follow-up was 1.67 years; the maximal follow-up length was 6.42 years). FM and PBF were measured by bioelectrical impedance analysis (BIA). Cox proportional hazard models were used, and adjusted hazard ratios (HRs) were estimated. Results We revealed a significant association between RFL and all-cause mortality among men aged ≥60 years after adjusting for confounders. Compared with those in the lowest tertile of RFL, elderly men in the medium and highest tertile had a 35 and 34% lower hazard of death from any cause, respectively. After additionally adjusted for C-reaction protein (CRP), HRs of medium and high tertile of RFL became short of statistical significance [medium tertile: adjusted HRs (95% CI) = 0.74 (0.46, 1.20); highest tertile: adjusted HRs (95% CI) = 0.84 (0.53, 1.33)]. Among elderly women, RFL was significantly related to all-cause mortality only when the additional adjustment for CRP [medium tertile: adjusted HRs (95% CI) = 2.08 (1.08, 4.01); highest tertile: adjusted HRs (95% CI) = 0.90 (0.45, 1.81)]. No significant association between RFL and all-cause mortality was observed among female participants or male participants aged less than 60 years. Conclusion Our findings showed a significant non-linear association between RFL and all-cause mortality, which was observed only in elderly men, and might be attenuated by their inflammation state.
Collapse
Affiliation(s)
- Hongmei Xue
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Hongzhen Du
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Ying Xie
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Yijing Zhai
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Shiming Song
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Bin Luo
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | - Hong Qiu
- Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Kunhua Wang
- Department of Gastrointestinal Surgery, Institute of Gastroenterology, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Jiuwei Cui
- Cancer Center, The First Hospital of Jilin University, Changchun, China
| | - Chunhua Song
- Department of Epidemiology, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Hongxia Xu
- Department of Nutrition, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, China
| | - Wei Li
- Cancer Center, The First Hospital of Jilin University, Changchun, China
| | - Hanping Shi
- Department of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.,Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Chinese Society of Nutritional Oncology, Beijing, China
| | - Zengning Li
- Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.,Hebei Province Key Laboratory of Nutrition and Health, Shijiazhuang, China
| | | |
Collapse
|
9
|
Zunarelli P, Lucenteforte G, Miceli M, Stride M, Nanni G, Della Villa F. The Use of Diagnostic Ultrasound in Sports Muscle Injuries in Football (Soccer) Players: State-of-the-art Review. CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS 2022. [DOI: 10.1007/s40141-022-00354-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
10
|
Hagoort I, Hortobágyi T, Vuillerme N, Lamoth CJC, Murgia A. Age- and muscle-specific reliability of muscle architecture measurements assessed by two-dimensional panoramic ultrasound. Biomed Eng Online 2022; 21:15. [PMID: 35152889 PMCID: PMC8842860 DOI: 10.1186/s12938-021-00967-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/29/2021] [Indexed: 12/25/2022] Open
Abstract
Abstract
Background
Age-related changes in muscle properties affect daily functioning, therefore a reliable assessment of such properties is required. We examined the effects of age on reliability, muscle quality and interrelation among muscle architecture (MA) parameters of the gastrocnemius medialis (GM), tibialis anterior (TA), and vastus lateralis (VL) muscles.
Methods
Three raters scored ultrasound (US) scans of 12 healthy younger and older adults, on fascicle length (FL), pennation angle (PA) and muscle thickness (MT). Intra- and inter-rater reliability of MA measures in rest and contraction was assessed by intraclass correlation coefficients (ICC) and standard error of measurements (SEM, SEM%). The relationship between MA parameters was examined using Pearson correlation coefficients. Muscle quality (MQ) was examined using mean pixel intensity.
Results
Reliability was moderate to excellent for TA in both groups (ICCs: 0.64–0.99, SEM% = 1.6–14.8%), and for VL in the younger group (ICCs: 0.67–0.98, SEM% = 2.0–18.3%). VL reliability was poor to excellent in older adults (ICCs: 0.22–0.99, SEM% = 2.7–36.0%). For GM, ICCs were good to excellent (ICCs: 0.76–0.99) in both groups, but GM SEM% were higher in older adults (SEM%Younger = 1.5–10.7%, SEM%Older = 1.6–28.1%). Muscle quality was on average 19.0% lower in older vs. younger adults. In both groups, moderate to strong correlations were found for VL FL and MT (r ≥ 0.54), and TA PA and MT (r ≥ 0.72), while TA FL correlated with MT (r ≥ 0.67) in younger adults only.
Conclusions
In conclusion, age- and muscle-specificities were present in the relationships between MT and PA, and MT and FL at rest. Furthermore, the reliability of MA parameters assessed with 2D panoramic US is acceptable. However, the level of reliability varies with age, muscle and MA measure. In older adults notably, the lowest reliability was observed in the VL muscle. Among the MA parameters, MT appears to be the simplest and most easily reproducible parameter in all muscles and age groups.
Collapse
|
11
|
Hosokawa M, Sudo D, Yamaguchi S, Itokazu M, Saito T, Suzuki K. Effects of lower leg muscle quality on gait variability in community-dwelling older and healthy young adults. J Phys Ther Sci 2022; 34:725-731. [PMID: 36337213 PMCID: PMC9622345 DOI: 10.1589/jpts.34.725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 08/05/2022] [Indexed: 11/07/2022] Open
Abstract
[Purpose] We aimed to determine whether lower leg muscle echo intensity, an indicator of
muscle quality, is a useful predictor of gait variability after examining the relationship
between physical activity and gait variability in community-dwelling older and healthy
young adults. [Participants and Methods] This study comprised two tasks. In the first
task, 18 older and 25 young adults were included as participants. We examined the
relationship between the amount of physical activity and gait variability in both groups.
In the second task, muscle echo intensity related to gait variability in each group was
measured using ultrasound echoes after identifying common factors related to gait
variability in 19 older and 19 younger adults, and trends were compared. [Results] In the
first task, gait variability was significantly higher in the younger group than in the
older group. A significant negative correlation was found between the amount of physical
activity and gait variability in both groups. In the second task, multiple regression
analysis was performed for gait variability, and lower leg muscle echo intensity was
identified as a significant factor. There was no difference in the correlation coefficient
between gait variability and lower leg muscle echo intensity between the two groups.
[Conclusion] Lower leg muscle quality was one of the causes of gait variability,
suggesting that it is a useful predictor of gait sway status.
Collapse
Affiliation(s)
- Masato Hosokawa
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare: 1-2-25 Shiroyama, Odawara-shi, Kanagawa 250-8588, Japan
| | - Daisuke Sudo
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare: 1-2-25 Shiroyama, Odawara-shi, Kanagawa 250-8588, Japan
| | - Shoki Yamaguchi
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare: 1-2-25 Shiroyama, Odawara-shi, Kanagawa 250-8588, Japan
| | - Masafumi Itokazu
- Department of Physical Therapy, School of Health Sciences at Ohtawara, International University of Health and Welfare, Japan
| | - Takayoshi Saito
- Department of Physical Therapy, School of Health Sciences at Odawara, International University of Health and Welfare: 1-2-25 Shiroyama, Odawara-shi, Kanagawa 250-8588, Japan
| | - Keisuke Suzuki
- Department of Physical Therapy, Faculty of Rehabilitation, Gifu University of Health Science, Japan
| |
Collapse
|
12
|
Rostron ZP, Green RA, Kingsley M, Zacharias A. Associations Between Measures of Physical Activity and Muscle Size and Strength: A Systematic Review. Arch Rehabil Res Clin Transl 2021; 3:100124. [PMID: 34179760 PMCID: PMC8211997 DOI: 10.1016/j.arrct.2021.100124] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Objective To determine whether physical activity is associated with lower limb muscle size and strength within the general population. Data Sources Six databases were systematically searched from inception using 3 main constructs: lower extremity, muscle volume, and muscle strength. Study Selection Studies that measured physical activity (using either objective or subjective measurements), lower limb muscle size, and strength were included. Available discrete group data were standardized using previously published age- and sex-specific normative values prior to analysis. Data Extraction The final analysis included 47 studies from an initial yield of 5402 studies. Standardized scores for outcome measures were calculated for 97 discrete groups. Data Synthesis As anticipated, lower limb muscle size was positively correlated with lower limb muscle strength (r=0.26, P<.01; n=4812). Objectively measured physical activity (ie, accelerometry, pedometry) (n=1944) was positively correlated with both lower limb muscle size (r=0.30, P<.01; n=1626) and lower limb strength (r=0.24, P<.01; n=1869). However, subjectively measured physical activity (ie, questionnaires) (n=3949) was negatively associated with lower limb muscle size (r=–0.59, P<.01; n=3243) and lower limb muscle strength (r=–0.48, P<. 01; n=3882). Conclusions This review identified that objective measures of physical activity are moderately associated with lower limb muscle size and muscle strength and can, therefore, be used to predict muscle changes within the lower limbs associated with exercise-based rehabilitation programs.
Collapse
Affiliation(s)
- Zachary P. Rostron
- Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Bendigo, Victoria, Australia
- Corresponding author Zachary P. Rostron, MExPhys, Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, PO Box 199, Edwards Rd, Flora Hill, Bendigo, VIC 3552, Australia.
| | - Rodney A. Green
- Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Bendigo, Victoria, Australia
| | - Michael Kingsley
- Department of Exercise Sciences, Faculty of Science, University of Auckland, Auckland, New Zealand
- Holsworth Research Initiative, College of Science, Health and Engineering, La Trobe University, Bendigo, Victoria, Australia
| | - Anita Zacharias
- Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Bendigo, Victoria, Australia
| |
Collapse
|
13
|
Minetto MA, Busso C, Gamerro G, Lalli P, Massazza G, Invernizzi M. Quantitative assessment of volumetric muscle loss: Dual-energy X-ray absorptiometry and ultrasonography. Curr Opin Pharmacol 2021; 57:148-156. [PMID: 33735662 DOI: 10.1016/j.coph.2021.02.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 02/04/2021] [Accepted: 02/09/2021] [Indexed: 12/14/2022]
Abstract
The generalized skeletal muscle disorder that involves (in elderly subjects) the progressive loss of muscle mass and function has been defined sarcopenia, whereas the rapid-onset (traumatic or surgical) and focal (unilateral) loss of skeletal muscle with resultant functional impairment has been defined volumetric muscle loss. Different tools and approaches are commonly used in the clinical settings to quantify the loss of muscle or lean mass and to assess the consequent motor impairment. This review describes the technical principles and provides a summary of the main parameters that can be obtained to assess lean mass (and its distribution) or muscle size (and its structure) through the two imaging techniques most easily accessible and therefore frequently adopted in the clinical practice: dual-energy X-ray absorptiometry and muscle ultrasonography.
Collapse
Affiliation(s)
- Marco Alessandro Minetto
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy.
| | - Chiara Busso
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Giulia Gamerro
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Piera Lalli
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Giuseppe Massazza
- Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Marco Invernizzi
- Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, Novara, Italy
| |
Collapse
|
14
|
Chopp-Hurley JN, Wiebenga EG, Bulbrook BD, Keir PJ, Maly MR. Evaluating the relationship between quadriceps muscle quality captured using ultrasound with clinical severity in women with knee osteoarthritis. Clin Biomech (Bristol, Avon) 2020; 80:105165. [PMID: 32906002 DOI: 10.1016/j.clinbiomech.2020.105165] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 04/21/2020] [Accepted: 08/25/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Infiltration of muscle with non-lean tissue, such as fat, reduces muscle quality. Ultrasound captures muscle quality through measurement of echogenicity. Given the potential implications of quadriceps muscle quality on physical function, particularly in knee osteoarthritis, the purpose of this study was to investigate the relationship between echogenicity, muscle thickness and subcutaneous fat thickness with the clinical severity of osteoarthritis. METHODS Thirty-one women with clinical knee osteoarthritis participated. Rectus femoris and vastus lateralis echogenicity, muscle thickness and subcutaneous fat thickness were measured from ultrasound images of the most symptomatic knee. Clinical severity of osteoarthritis was characterized with pain, self-reported function, six-minute walk test, and knee extensor strength. Correlation coefficients were calculated between muscle and fat architecture outcomes (muscle quality, muscle and fat thicknesses) and osteoarthritis clinical severity outcomes. FINDINGS Data from 25 women were of sufficient quality for analysis. Echogenicity (muscle quality) related to the six-minute walk test for both rectus femoris (r = -0.52, p = 0.02) and vastus lateralis (r = -0.74, p = 0.004), with poorer muscle quality related to lower mobility. Subcutaneous fat thickness was related to the six-minute walk test (rectus femoris, r = -0.61, p = 0.0012; vastus lateralis, r = -0.73, p = 0.003) and strength (rectus femoris, r = -0.46, p = 0.02; vastus lateralis, r = -0.59, p = 0.03). Muscle thickness was not related to any severity outcomes. INTERPRETATION Muscle quality, rather than thickness, is associated with mobility performance in women with knee osteoarthritis. Thus, interventions for osteoarthritis that specifically target muscle quality, rather than size, should be explored.
Collapse
Affiliation(s)
- Jaclyn N Chopp-Hurley
- School of Kinesiology and Health Science, York University, Toronto, ON, Canada; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | - Emily G Wiebenga
- Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
| | | | - Peter J Keir
- Department of Kinesiology, McMaster University, Hamilton, ON, Canada
| | - Monica R Maly
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada; Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada; Department of Kinesiology, McMaster University, Hamilton, ON, Canada.
| |
Collapse
|
15
|
Stock MS, Thompson BJ. Echo intensity as an indicator of skeletal muscle quality: applications, methodology, and future directions. Eur J Appl Physiol 2020; 121:369-380. [PMID: 33221942 DOI: 10.1007/s00421-020-04556-6] [Citation(s) in RCA: 80] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 11/07/2020] [Indexed: 12/14/2022]
Abstract
PURPOSE This narrative review provides an overview of the current knowledge of B-mode ultrasound-derived echo intensity (EI) as an indicator of skeletal muscle quality. METHOD PubMed and Google Scholar were used to search the literature. Advanced search functions were used to find original studies with the terms 'echo intensity' and/or 'muscle quality' in the title and/or abstract. Publications that conceptually described muscle quality but did not include measurement of EI were not a focus of the review. RESULT Importantly, the foundational premise of EI remains unclear. While it is likely that EI reflects intramuscular adiposity, data suggesting that these measurements are influenced by fibrous tissue is limited to diseased muscle and animal models. EI appears to show particular promise in studying muscular aging. Studies have consistently reported an association between EI and muscle function, though not all chronic interventions have demonstrated improvements. Based on the existing literature, it is unclear if EI can be used as a marker of muscle glycogen following exercise and nutritional interventions, or if EI is influenced by hydration status. Inconsistent methodological approaches used across laboratories have made comparing EI studies challenging. Image depth, rest duration, participant positioning, probe tilt, and the decision to correct for subcutaneous adipose tissue thickness are all critical considerations when interpreting the literature and planning studies. CONCLUSION While some areas show conflicting evidence, EI shows promise as a novel tool for studying muscle quality. Collaborative efforts focused on methodology are necessary to enhance the consistency and quality of the EI literature.
Collapse
Affiliation(s)
- Matt S Stock
- School of Kinesiology and Physical Therapy, University of Central Florida, 12805 Pegasus Drive, HPA 1, Room 258, Orlando, FL, 32816-2205, USA. .,Neuromuscular Plasticity Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA.
| | - Brennan J Thompson
- Department of Kinesiology and Health Science, Utah State University, Logan, UT, USA.,Sorenson Legacy Foundation Center for Clinical Excellence, Movement Research Clinic, Utah State University, Logan, UT, USA
| |
Collapse
|
16
|
Nikolaidis PT, Rosemann T, Knechtle B. Skinfold Thickness Distribution in Recreational Marathon Runners. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17092978. [PMID: 32344832 PMCID: PMC7246775 DOI: 10.3390/ijerph17092978] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/22/2020] [Accepted: 04/23/2020] [Indexed: 11/24/2022]
Abstract
The relationship of body fat (BF) percentage with performance of elite marathon runners has been well studied; however, less information is available about the variation of skinfold thickness by sex and performance in non-elite marathon runners. The aim of the present study was to examine the variation of skinfold thickness by sex and performance in recreational marathon runners. Participants included 32 female (age 40.1 ± 9.0 years, BF 19.6 ± 4.7%, and training volume 47.7 ± 22.6 km) and 134 male marathon runners (44.3 ± 8.8 years, 17.6 ± 4.0%, and 53.0 ± 21.2 km, respectively). The largest skinfold thickness was the abdomen in both sexes, whereas the smallest was biceps in men, and chins in women (p < 0.001). The largest sex difference in skinfold thickness was observed in triceps being the fattest in women (p < 0.001). The largest difference in skinfold thickness among men’s performance groups was observed in the iliac crest, and the smallest in the patella and proximal calf (p < 0.001). In summary, skinfold measurements indicated that women had more fat in both their upper and lower limbs, while men had more fat in their trunk. With regards to the role of performance level, the slowest runners presented relatively more fat in the upper limbs and trunk anatomical sites, i.e., away from the active muscles of legs.
Collapse
Affiliation(s)
- Pantelis Theodoros Nikolaidis
- School of Health and Caring Sciences, University of West Attica, 12241 Egaleo, Greece;
- Exercise Physiology Laboratory, 18450 Nikaia, Greece
| | - Thomas Rosemann
- Medbase St. Gallen Am Vadianplatz, 9001 St. Gallen, Switzerland;
| | - Beat Knechtle
- Medbase St. Gallen Am Vadianplatz, 9001 St. Gallen, Switzerland;
- Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland
- Correspondence: ; Tel.: +41-(0)-71-226-93-00
| |
Collapse
|
17
|
Hioki M, Kanehira N, Koike T, Saito A, Shimaoka K, Sakakibara H, Oshida Y, Akima H. Age-related changes in muscle volume and intramuscular fat content in quadriceps femoris and hamstrings. Exp Gerontol 2020; 132:110834. [PMID: 31926218 DOI: 10.1016/j.exger.2020.110834] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 01/03/2020] [Accepted: 01/06/2020] [Indexed: 12/14/2022]
Abstract
Whether age-related changes in muscle components differ between the quadriceps femoris and hamstrings has remained unclear. This study aimed to compare the muscle volume and echo intensity-estimated intramuscular adipose tissue content of the vastus lateralis (VL) and long head of biceps femoris (BF) muscles between young and older adults. Thirty young adults (n = 15; mean age, 21 years) and older adults (n = 15; mean age, 71 years) participated in this study. Magnetic resonance imaging was performed to determine muscle volumes of the VL and BF, and muscle volume normalized to body weight (muscle volume/weight). Mean gray-scale echo intensity was calculated as the intramuscular adipose tissue index. Muscle volume/weight and echo intensity were normalized using Z-scores in young and older adults. Muscle volume/weight was lower in older adults than in young adults, and lower in overall women than in men for VL (both p < 0.001) and BF (p < 0.01 and p < 0.05). Echo intensity was higher in older adults than in young adults for VL and BF (both p < 0.001), but did not differ between men and women. Z-score of muscle volume/weight was lower in older adults than in young adults for VL (-2.41 ± 1.22; p < 0.05), and Z-score of echo intensity was higher in older adults than in young adults for BF (2.00 ± 0.68; p < 0.05). These results suggest that muscle volume of quadriceps femoris was lower in older adults than in young adults, whereas intramuscular adipose tissue content of hamstrings was greater in older adults than in young adults.
Collapse
Affiliation(s)
- Maya Hioki
- Graduate School of Medicine, Nagoya University, 65 Tsurumai, Showa-ku, Nagoya, Aichi 466-8550, Japan.
| | - Nana Kanehira
- Department of Health and Nutrition, Tokaigakuen University, 2-901 Nakahira, Tenpaku, Nagoya, Aichi 468-8514, Japan
| | - Teruhiko Koike
- Research Center of Health, Physical Fitness & Sports, Nagoya University, 1 Furo, Chikusa-ku, Nagoya, Aichi 464-8601, Japan
| | - Akira Saito
- Graduate School of Arts and Sciences, College of Arts and Sciences, University of Tokyo, Komaba 3-8-1 Meguro-ku, Tokyo 153-8092, Japan; Japan Society for the Promotion of Science, Kojimachi, Chiyoda-ku, Tokyo 102-0083, Japan
| | - Kiyoshi Shimaoka
- Department of Human Wellness, Tokaigakuen University, 21-233 Nishinohora, Ukigai, Miyoshi, Aichi 470-0207, Japan
| | - Hisataka Sakakibara
- Graduate School of Medicine, Nagoya University, 65 Tsurumai, Showa-ku, Nagoya, Aichi 466-8550, Japan
| | - Yoshiharu Oshida
- Research Center of Health, Physical Fitness & Sports, Nagoya University, 1 Furo, Chikusa-ku, Nagoya, Aichi 464-8601, Japan
| | - Hiroshi Akima
- Research Center of Health, Physical Fitness & Sports, Nagoya University, 1 Furo, Chikusa-ku, Nagoya, Aichi 464-8601, Japan
| |
Collapse
|
18
|
The Usefulness of an Alternative Diagnostic Method for Sarcopenia Using Thickness and Echo Intensity of Lower Leg Muscles in Older Males. J Am Med Dir Assoc 2019; 20:1185.e1-1185.e8. [DOI: 10.1016/j.jamda.2019.01.152] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Revised: 01/26/2019] [Accepted: 01/28/2019] [Indexed: 01/03/2023]
|
19
|
Minetto MA, Caresio C, D'Angelo V, Lanfranco F, Ghizzoni L, Roatta S, Arvat E, Kesari S. Diagnostic evaluation in steroid-induced myopathy: case report suggesting clinical utility of quantitative muscle ultrasonography. Endocr Res 2018; 43:235-245. [PMID: 29648902 DOI: 10.1080/07435800.2018.1461904] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
PURPOSE We present a patient with adrenal Cushing's syndrome causing steroid myopathy. The purpose of the case report is to illustrate the clinical usefulness of quantitative muscle ultrasonography for the assessment of glucocorticoid-induced changes in muscle mass (MM) and structure. METHODS Assessments of physical performance, muscle strength, MM (i.e., total body skeletal MM, appendicular skeletal MM, and thickness of lower limb muscles), and muscle structure (i.e., echo intensity of lower limb muscles) were performed in the patient both in the active phase of the disease (preoperatively) and 6 months after surgical intervention (postoperatively). RESULTS Muscle strength, physical performance, and MM were low both preoperatively and postoperatively. We also found preoperatively an increased echo intensity that normalized postoperatively. CONCLUSIONS Clinical implications of these findings are double-fold. First, although the muscle structure can recover quickly in steroid myopathy patients, the recovery of MM may take months to years. Second, we show that muscle echo intensity can be useful to track the progression of steroid myopathy overtime and may help to indicate early response to therapeutic interventions. Further prospective studies are needed to confirm the value of muscle echo intensity in patients with endogenous or exogenous Cushing's syndrome presenting with steroid myopathy.
Collapse
Affiliation(s)
- Marco Alessandro Minetto
- a Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences , University of Turin , Turin , Italy
- b Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences , University of Turin , Turin , Italy
| | - Cristina Caresio
- c Biolab, Department of Electronics and Telecommunications , Politecnico di Torino , Turin , Italy
| | - Valentina D'Angelo
- d Oncological Endocrinology Unit, Department of Medical Sciences , University of Turin , Turin , Italy
| | - Fabio Lanfranco
- a Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences , University of Turin , Turin , Italy
| | - Lucia Ghizzoni
- a Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences , University of Turin , Turin , Italy
| | - Silvestro Roatta
- e Department of Neuroscience , University of Turin , Turin , Italy
| | - Emanuela Arvat
- d Oncological Endocrinology Unit, Department of Medical Sciences , University of Turin , Turin , Italy
| | - Santosh Kesari
- f Department of Translational Neurosciences and Neurotherapeutics , John Wayne Cancer Institute and Pacific Neuroscience Institute , Santa Monica , CA , USA
| |
Collapse
|
20
|
Lin TC, Cheng CC, Cai ZY. Effects of local vibration with blood flow restriction on muscle activation. ISOKINET EXERC SCI 2018. [DOI: 10.3233/ies-171174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Tsong-Cheng Lin
- Division of Physical and Health Education, Center for General Education, National Sun Yat-sen University, Kaohsiung City, Taiwan
| | - Chi-Cheng Cheng
- Department of Mechanical and Electro-Mechanical Engineering, National Sun Yat-sen University, Kaohsiung City, Taiwan
| | - Zong-Yan Cai
- Division of Physical and Health Education, Center for General Education, National Sun Yat-sen University, Kaohsiung City, Taiwan
| |
Collapse
|