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Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke

We investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, fu...

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Autores principales: Choi, Yongmin, Im, Sun, Park, Geun-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303354/
https://www.ncbi.nlm.nih.gov/pubmed/34300174
http://dx.doi.org/10.3390/jcm10143010
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author Choi, Yongmin
Im, Sun
Park, Geun-Young
author_facet Choi, Yongmin
Im, Sun
Park, Geun-Young
author_sort Choi, Yongmin
collection PubMed
description We investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, functional ambulation categories, and mini-mental state examination in Korean) were measured. The thickness of the fat layer, the thickness of the rectus femoris (TRF), echo intensity (EI), EI to TRF ratio, and strain ratio of elastography (SRE) were measured by ultrasound in 30 patients with first-ever stroke (male: n = 20). Appendicular lean body mass was measured by DEXA. Sarcopenia was defined according to the Foundation for the National Institutes of Health Sarcopenia Project. In total, 14 patients were in the sarcopenia group, and 16 were in the non-sarcopenia group. Clinical characteristics were similar between the two groups. In the sarcopenia group, TRF was significantly decreased in the paretic (p < 0.026) and non-paretic sides (p < 0.01), and the EI to TRF ratio on the paretic side was significantly increased (p < 0.049). Multivariate binary logistic regression showed that TRF on the non-paretic side was independently and significantly associated with sarcopenia (OR = 0.616, 95% CI: 0.381–0.996). The EI and SRE were not significant between the two groups. In the early subacute stroke phase, TRF on the non-paretic side is a key factor for quantitative evaluation of sarcopenia, and the EI to TRF ratio on the paretic side is also a meaningful qualitative evaluation of sarcopenia.
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spelling pubmed-83033542021-07-25 Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke Choi, Yongmin Im, Sun Park, Geun-Young J Clin Med Article We investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, functional ambulation categories, and mini-mental state examination in Korean) were measured. The thickness of the fat layer, the thickness of the rectus femoris (TRF), echo intensity (EI), EI to TRF ratio, and strain ratio of elastography (SRE) were measured by ultrasound in 30 patients with first-ever stroke (male: n = 20). Appendicular lean body mass was measured by DEXA. Sarcopenia was defined according to the Foundation for the National Institutes of Health Sarcopenia Project. In total, 14 patients were in the sarcopenia group, and 16 were in the non-sarcopenia group. Clinical characteristics were similar between the two groups. In the sarcopenia group, TRF was significantly decreased in the paretic (p < 0.026) and non-paretic sides (p < 0.01), and the EI to TRF ratio on the paretic side was significantly increased (p < 0.049). Multivariate binary logistic regression showed that TRF on the non-paretic side was independently and significantly associated with sarcopenia (OR = 0.616, 95% CI: 0.381–0.996). The EI and SRE were not significant between the two groups. In the early subacute stroke phase, TRF on the non-paretic side is a key factor for quantitative evaluation of sarcopenia, and the EI to TRF ratio on the paretic side is also a meaningful qualitative evaluation of sarcopenia. MDPI 2021-07-06 /pmc/articles/PMC8303354/ /pubmed/34300174 http://dx.doi.org/10.3390/jcm10143010 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Choi, Yongmin
Im, Sun
Park, Geun-Young
Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title_full Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title_fullStr Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title_full_unstemmed Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title_short Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
title_sort ultrasound evaluation of the rectus femoris for sarcopenia in patients with early subacute stroke
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303354/
https://www.ncbi.nlm.nih.gov/pubmed/34300174
http://dx.doi.org/10.3390/jcm10143010
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