Academic Journal

Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk

التفاصيل البيبلوغرافية
العنوان: Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk
المؤلفون: de Luis, Daniel, GARCÍA-ALMEIDA, JOSE MANUEL, Guzman-Rolo, German, Martín Aguilar, Andrea, Primo Martin, David, Palmas Candia, Fiorella Ximena, Bellido Guerrero, Diego
المساهمون: Institut Català de la Salut, de Luis Roman D, Primo Martín D Endocrinology and Nutrition Department, Clinical Universitary Hospital of Valladolid, Valladolid, Spain. Investigation Centre Endocrinology and Nutrition, Faculty of Medicine, University of Valladolid, Valladolid, Spain. García Almeida JM Department of Endocrinology and Nutrition, Hospital Universitario Virgen de la Victoria, Málaga, Spain. Bellido Guerrero D Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario de Ferrol (CHUF), Ferrol, A Coruña, Spain. Guzmán Rolo G, Martín A Medical Department, Abbott Laboratories, Madrid, Spain. Palmas F Servei d’Endocrinologia i Nutrició, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus
المصدر: Scientia
بيانات النشر: MDPI
سنة النشر: 2024
مصطلحات موضوعية: Ecografia, Cuixa, Desnutrició, Atròfia muscular, DISEASES::Nervous System Diseases::Neurologic Manifestations::Neuromuscular Manifestations::Muscular Atrophy::Sarcopenia, DISEASES::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition, ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Ultrasonography, ANATOMY::Musculoskeletal System::Muscles::Muscle, Skeletal::Quadriceps Muscle, ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::manifestaciones neuromusculares::atrofia muscular::sarcopenia, ENFERMEDADES::enfermedades nutricionales y metabólicas::trastornos nutricionales::desnutrición, TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::ecografía, ANATOMÍA::sistema musculoesquelético::músculos::músculo esquelético::músculo cuádriceps
الوصف: Nutritional risk; Nutritional ultrasound; Sarcopenia ; Risc nutricional; Ecografia nutricional; Sarcopènia ; Riesgo nutricional; Ecografía nutricional; Sarcopenia ; Background: A nationwide, prospective, multicenter, cohort study (the Disease-Related caloric-protein malnutrition EChOgraphy (DRECO) study) was designed to assess the usefulness of ultrasound of the rectus femoris for detecting sarcopenia in hospitalized patients at risk of malnutrition and to define cut-off values of ultrasound measures. Methods: Patients at risk of malnutrition according to the Malnutrition Universal Screening Tool (MUST) underwent handgrip dynamometry, bioelectrical impedance analysis (BIA), a Timed Up and Go (TUG) test, and rectus femoris ultrasound studies. European Working Group on Sarcopenia in Older People (EWGSOP2) criteria were used to define categories of sarcopenia (at risk, probable, confirmed, severe). Receiver operating characteristic (ROC) and area under the curve (AUC) analyses were used to determine the optimal diagnostic sensitivity, specificity, and predictive values of cut-off points of the ultrasound measures for the detection of risk of sarcopenia and probable, confirmed, and severe sarcopenia. Results: A total of 1000 subjects were included and 991 of them (58.9% men, mean age 58.5 years) were evaluated. Risk of sarcopenia was detected in 9.6% patients, probable sarcopenia in 14%, confirmed sarcopenia in 9.7%, and severe sarcopenia in 3.9%, with significant differences in the distribution of groups between men and women (p < 0.0001). The cross-sectional area (CSA) of the rectus femoris showed a significantly positive correlation with body cell mass of BIA and handgrip strength, and a significant negative correlation with TUG. Cut-off values were similar within each category of sarcopenia, ranging between 2.40 cm2 and 3.66 cm2 for CSA, 32.57 mm and 40.21 mm for the X-axis, and 7.85 mm and 10.4 mm for the Y-axis. In general, these cut-off values showed high sensitivities, particularly for the categories of ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 2072-6643
Relation: Nutrients;16(11); https://doi.org/10.3390/nu16111552; Roman D de L, Almeida JMG, Guerrero DB, Rolo GG, Martín A, Martín DP, et al. Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk. Nutrients. 2024 May 21;16(11):1552.; https://hdl.handle.net/11351/11632
DOI: 10.3390/nu16111552
الاتاحة: https://hdl.handle.net/11351/11632
https://doi.org/10.3390/nu16111552
Rights: Attribution 4.0 International ; http://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.F4C2FE61
قاعدة البيانات: BASE
الوصف
تدمد:20726643
DOI:10.3390/nu16111552