RT info:eu-repo/semantics/article
T1 Ultrasound cut-off values for rectus femoris for detecting sarcopenia in patients with nutritional risk
A1 Luis Román, Daniel Antonio de
A1 García Almeida, José Manuel
A1 Bellido Guerrero, Diego
A1 Guzmán Rolo, Germán
A1 Martín, Andrea
A1 Primo Martín, David
A1 García Delgado, Yaiza
A1 Guirado Peláez, Patricia
A1 Palmas, Fiorella
A1 Tejera Pérez, Cristina
A1 García Olivares, María
A1 Maíz Jiménez, María
A1 Bretón Lesmes, Irene
A1 Alzás Teomiro, Carlos Manuel
A1 Guardia Baena, Juan Manuel
A1 Calles Romero, Laura A.
A1 Prior Sánchez, Inmaculada
A1 García Luna, Pedro Pablo
A1 González Pacheco, María
A1 Martínez Olmos, Miguel Ángel
A1 Alabadí, Blanca
A1 Alcántara Aragón, Valeria
A1 Palma Milla, Samara
A1 Martín Folgueras, Tomás
A1 Micó García, Andrea
A1 Molina Baena, Begoña
A1 Rendón Barragán, Henry
A1 Rodríguez de Vera Gómez, Pablo
A1 Riestra Fernández, María
A1 Jiménez Portilla, Ana
A1 López Gómez, Juan José
A1 Pérez Martín, Nuria
A1 Montero Madrid, Natalia
A1 Zabalegui Eguinoa, Alba
A1 Porca Fernández, Cristina
A1 Tapia Guerrero, María José
A1 Ruiz Aguado, Marta
A1 Velasco Gimeno, Cristina
A1 Herrera Martínez, Aura D
A1 Novo Rodríguez, María
A1 Iglesias Hernández, Natalia C.
A1 Damas Medina, María de
A1 González Navarro, Irene
A1 Vílchez López, Francisco Javier
A1 Fernández Pombo, Antía
A1 Olveira, Gabriel
K1 sarcopenia
K1 nutritional ultrasound
K1 ultrasound cut-off values
K1 rectus femoris
K1 malnutrition
K1 nutritional risk
AB Background: A nationwide, prospective, multicenter, cohort study (the Disease-Relatedcaloric-protein malnutrition EChOgraphy (DRECO) study) was designed to assess the usefulness ofultrasound of the rectus femoris for detecting sarcopenia in hospitalized patients at risk of malnutritionand to define cut-off values of ultrasound measures. Methods: Patients at risk of malnutritionaccording to the Malnutrition Universal Screening Tool (MUST) underwent handgrip dynamometry,bioelectrical impedance analysis (BIA), a Timed Up and Go (TUG) test, and rectus femoris ultrasoundstudies. European Working Group on Sarcopenia in Older People (EWGSOP2) criteriawere used to define categories of sarcopenia (at risk, probable, confirmed, severe). Receiver operatingcharacteristic (ROC) and area under the curve (AUC) analyses were used to determine the optimaldiagnostic sensitivity, specificity, and predictive values of cut-off points of the ultrasoundmeasures 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%, confirmedsarcopenia in 9.7%, and severe sarcopenia in 3.9%, with significant differences in the distributionof groups between men and women (p < 0.0001). The cross-sectional area (CSA) of the rectusfemoris showed a significantly positive correlation with body cell mass of BIA and handgripstrength, and a significant negative correlation with TUG. Cut-off values were similar within eachcategory of sarcopenia, ranging between 2.40 cm2 and 3.66 cm2 for CSA, 32.57 mm and 40.21 mm forthe X-axis, and 7.85 mm and 10.4 mm for the Y-axis. In general, these cut-off values showed high
PB MDPI
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/73692
UL https://uvadoc.uva.es/handle/10324/73692
LA eng
NO Nutrients, 2024, vol. 16, n. 11, 1552.
NO Producción Científica
DS UVaDOC
RD 25-abr-2025