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Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study
Backgrounds: Recently, the association between sarcopenia and various musculoskeletal disorders, such as lumbar spine stenosis and fibromyalgia, has been highlighted. However, the relationship between sarcopenia and rotator cuff tendon diseases has rarely been investigated. This study aimed to evalu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131871/ https://www.ncbi.nlm.nih.gov/pubmed/34026779 http://dx.doi.org/10.3389/fmed.2021.630009 |
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author | Han, Der-Sheng Wu, Wei-Ting Hsu, Po-Cheng Chang, Hsiang-Chi Huang, Kuo-Chin Chang, Ke-Vin |
author_facet | Han, Der-Sheng Wu, Wei-Ting Hsu, Po-Cheng Chang, Hsiang-Chi Huang, Kuo-Chin Chang, Ke-Vin |
author_sort | Han, Der-Sheng |
collection | PubMed |
description | Backgrounds: Recently, the association between sarcopenia and various musculoskeletal disorders, such as lumbar spine stenosis and fibromyalgia, has been highlighted. However, the relationship between sarcopenia and rotator cuff tendon diseases has rarely been investigated. This study aimed to evaluate whether sarcopenia was associated with shoulder pain and to determine whether rotator cuff tendons differed in echotexture between the sarcopenic and non-sarcopenic populations. Methods: The thickness and echogenicity ratio of the tendon vs. the overlying muscle (ER(TM)) or subcutaneous tissue (ER(TT)) were measured using high-resolution ultrasonography in 56 sarcopenic patients and 56 sex- and age- matched controls. The association between ultrasound measurements of the rotator cuff tendon complex and sarcopenia was investigated using the generalized estimating equation (GEE). Results: The sarcopenic group had an increased prevalence of shoulder pain. Based on the GEE analysis, sarcopenia was significantly associated with an increase in supraspinatus tendon thickness (β coefficient = 0.447, p < 0.001) and a decrease in the ER(TM) for the biceps long head and rotator cuff tendons. A negative trend of association was observed between sarcopenia and ER(TT) in the supraspinatus tendons (β coefficient = −0.097, p = 0.070). Nevertheless, sarcopenia was not associated with an increased risk of rotator cuff tendon tears. Conclusions: Patients with sarcopenia have a higher risk of shoulder pain. A consistent tendinopathic change develops in the supraspinatus tendons in sarcopenic patients. However, sarcopenia is less likely to be associated with serious rotator cuff pathology, such as tendon tears. Prospective cohort studies are warranted to explore the causal relationship between sarcopenia and shoulder disorders. |
format | Online Article Text |
id | pubmed-8131871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81318712021-05-20 Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study Han, Der-Sheng Wu, Wei-Ting Hsu, Po-Cheng Chang, Hsiang-Chi Huang, Kuo-Chin Chang, Ke-Vin Front Med (Lausanne) Medicine Backgrounds: Recently, the association between sarcopenia and various musculoskeletal disorders, such as lumbar spine stenosis and fibromyalgia, has been highlighted. However, the relationship between sarcopenia and rotator cuff tendon diseases has rarely been investigated. This study aimed to evaluate whether sarcopenia was associated with shoulder pain and to determine whether rotator cuff tendons differed in echotexture between the sarcopenic and non-sarcopenic populations. Methods: The thickness and echogenicity ratio of the tendon vs. the overlying muscle (ER(TM)) or subcutaneous tissue (ER(TT)) were measured using high-resolution ultrasonography in 56 sarcopenic patients and 56 sex- and age- matched controls. The association between ultrasound measurements of the rotator cuff tendon complex and sarcopenia was investigated using the generalized estimating equation (GEE). Results: The sarcopenic group had an increased prevalence of shoulder pain. Based on the GEE analysis, sarcopenia was significantly associated with an increase in supraspinatus tendon thickness (β coefficient = 0.447, p < 0.001) and a decrease in the ER(TM) for the biceps long head and rotator cuff tendons. A negative trend of association was observed between sarcopenia and ER(TT) in the supraspinatus tendons (β coefficient = −0.097, p = 0.070). Nevertheless, sarcopenia was not associated with an increased risk of rotator cuff tendon tears. Conclusions: Patients with sarcopenia have a higher risk of shoulder pain. A consistent tendinopathic change develops in the supraspinatus tendons in sarcopenic patients. However, sarcopenia is less likely to be associated with serious rotator cuff pathology, such as tendon tears. Prospective cohort studies are warranted to explore the causal relationship between sarcopenia and shoulder disorders. Frontiers Media S.A. 2021-05-05 /pmc/articles/PMC8131871/ /pubmed/34026779 http://dx.doi.org/10.3389/fmed.2021.630009 Text en Copyright © 2021 Han, Wu, Hsu, Chang, Huang and Chang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Han, Der-Sheng Wu, Wei-Ting Hsu, Po-Cheng Chang, Hsiang-Chi Huang, Kuo-Chin Chang, Ke-Vin Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title | Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title_full | Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title_fullStr | Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title_full_unstemmed | Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title_short | Sarcopenia Is Associated With Increased Risks of Rotator Cuff Tendon Diseases Among Community-Dwelling Elders: A Cross-Sectional Quantitative Ultrasound Study |
title_sort | sarcopenia is associated with increased risks of rotator cuff tendon diseases among community-dwelling elders: a cross-sectional quantitative ultrasound study |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131871/ https://www.ncbi.nlm.nih.gov/pubmed/34026779 http://dx.doi.org/10.3389/fmed.2021.630009 |
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