RT info:eu-repo/semantics/article
T1 Nutritional ultrasonography, a method to evaluate muscle mass and quality in morphofunctional assessment of disease related malnutrition
A1 López Gómez, Juan José
A1 García Benéitez, David
A1 Jiménez Sahagún, Rebeca
A1 Izaola Jauregui, Olatz
A1 Primo Martín, David
A1 Ramos Bachiller, Beatriz
A1 Gómez Hoyos, Emilia
A1 Delgado García, Esther
A1 Pérez López, Paloma
A1 Luis Román, Daniel Antonio de
K1 Ultrasonography
K1 Ultrasonografía
K1 Ultrasonic imaging
K1 Malnutrition
K1 Desnutrición
K1 Disease-related malnutrition
K1 Echogenicity
K1 Ecografía
K1 Medicine
K1 Food science
K1 Nutrition
K1 Dietetics
K1 Dietética
K1 3206 Ciencias de la Nutrición
K1 3206.10 Enfermedades de la Nutrición
K1 32 Ciencias Médicas
AB Nutritional ultrasonography is an emerging technique for measuring muscle mass and quality. The study aimed to evaluate the relationship between the parameters of body mass and quality of ultrasonography with other parameters of morphofunctional assessment in patients with disease-related malnutrition (DRM). Methods: A cross-sectional study was developed on 144 patients diagnosed with DRM according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. Morphofunctional evaluation was assessed with anthropometric variables, handgrip strength and bioelectrical impedanciometry (BIA). Nutritional ultrasonography of quadriceps rectus femoris (QRF) was made (muscle mass (Muscle Area of Rectus Femoris index (MARFI)), Y axis and muscle quality (X-Y index and echogenicity). Results: The mean age of patients was 61.4 (17.34) years. The prevalence of sarcopenia in the sample was 33.3%. Patients with sarcopenia (S) had lower values of MARFI [(S: 1.09 (0.39) cm2/m2; NoS: 1.27 (0.45); p = 0.02), Y axis (S: 0.88 (0.27); NoS: 1.19 (0.60); p < 0.01) and X-Y index (S: 1.52 (0.61); NoS: 1.30 (0.53); p < 0.01)]. There was a correlation between BIA parameters (phase angle) and muscle mass ultrasonographic variables (MARFI) (r = 0.35; p < 0.01); there was an inverse correlation between muscle quality ultrasonographic variables (echogenicity) and handgrip strength (r = −0.36; p < 0.01). In the multivariate analysis adjusted by age, the highest quartile of the X-Y index had more risk of death OR: 4.54 CI95% (1.11–18.47). Conclusions: In patients with DRM and sarcopenia, standardized muscle mass and muscle quality parameters determined by ultrasonography of QRF are worse than in patients without sarcopenia. Muscle quality parameters had an inverse correlation with electric parameters from BIA and muscle strength. The highest quartile of the X-Y index determined by ultrasonography was associated with increased mortality risk.
PB MDPI
SN 2072-6643
YR 2023
FD 2023
LK https://uvadoc.uva.es/handle/10324/67757
UL https://uvadoc.uva.es/handle/10324/67757
LA eng
NO Nutrients, 2023, Vol. 15, Nº. 18, 3923
NO Producción Científica
DS UVaDOC
RD 30-jun-2024