Background and aims. There is a scarcity of research investigating the relationship between thoracic muscles and bioelectrical impedance analysis BIA -measured muscle mass specifically in older adults. Thus, the objective of this study is to assess the association between muscle measurements obtained from chest computed tomography CT scans and BIA in older adults. The retrospective study included outpatients who previously applied to the geriatrics outpatient clinic of a university hospital, who were evaluated with BIA and who had a chest CT for any reason within 3 months before or after the BIA. Cross-sectional muscle area at Th10 and Th12 was obtained from chest CT images. The median age of the 83 patients was At both thoracic vertebrae levels, muscle masses were correlated with muscle mass obtained by BIA in all participants, those with normal handgrip strength, those who were obese and non-obese, and those with normal SMI. It should be noticed that the thoracic muscles will also diminish if muscle mass measured by BIA decreases in older adults. Since BIA offers significant advantages in terms of non-invasiveness, portability, cost, time efficiency, ease of use and safety profile it can be a valid alternative to CT scans for thoracic muscle mass measurement. Sarcopenia refers to a syndrome characterized by progressive and widespread loss of muscle mass and strength, leading to various negative health outcomes such as physical impairment, reduced quality of life, and increased mortality 1. The diagnosis of sarcopenia takes into account three key factors: muscle strength, muscle mass and quality, and physical performance. Two techniques commonly used for assessing muscle mass are bioelectrical impedance analysis BIA and computed tomography CT 2. BIA estimates muscle mass indirectly by measuring the electrical conductivity of the entire body, while also providing How To Become An Escort Wakefield on fat-free mass, How To Become An Escort Wakefield body fluid, and other variables, particularly in individuals How To Become An Escort Wakefield significant fluid and electrolyte disorders 3. CT, considered as the most reliable among non-invasive methods along with magnetic resonance imaging MRIdirectly measures muscle mass and is a reliable assessment tool 4. CT measurements of muscle mass mostly focus on the third lumbar vertebra level 5. However, during the pandemic period, there has been an expanded use of thoracic muscle measurements 6. These measurements encompass all the muscles at the level of the thoracic vertebrae 7. Decreased thoracic muscle mass has been associated with negative health outcomes in individuals with malignancies and those undergoing surgical procedures 89. Previous studies have shown a correlation between thoracic muscle mass, as measured by CT, and whole-body muscle mass determined through BIA 10 However, there is a scarcity of research investigating the relationship between thoracic muscles and BIA-measured muscle mass specifically in older adults. Thus, the objective of this study is to assess the correlation between muscle measurements obtained from chest CT scans and BIA in older adults. The study was conducted retrospectively with outpatients who met the inclusion criteria in a university hospital geriatrics outpatient clinic. The inclusion-exclusion process was represented in Figure 1. Computed tomographies were acquired based on clinical indication, not for the purpose of the present study. Age, sex, education, marital status, chronic diseases, medications, neurocognitive and mood disorders, falls, incontinence, activities of daily living, nutritional status, frailty status, handgrip strength, 4-meter gait speed, anthropometric measurements, BIA and computed tomography measurements, and laboratory examinations of the patients were noted. Comprehensive geriatric assessment and anthropometric measurements were performed on the same day as BIA. The coexistence of two or more chronic diseases is known as multimorbidity Weight and height were recorded without shoes and in light clothing. With the use of a tape, the circumferences of the waist and hips were measured at the level of the umbilicus and the broadest region of the buttocks, respectively. When the arm was 90 degrees bent from the elbow, the mid-arm circumference was measured from the midpoint of the acromial and olecranon protrusions. Calf circumference was measured with the foot pushing against a hard surface, from the broadest section of the calf. Handgrip strength was measured with a calibrated hand-held dynamometer T. The highest of these three values was accepted as handgrip strength. Cut-off levels for handgrip strength were defined as 16 kg for females and 27 kg for males To measure walking speed using a digital watch, we asked the patients to walk four meters at their normal pace. Gait speed less than 0. The measures were performed with the patients lying in the supine position; all metal necklaces, rings, watches, etc.
Handgrip strength was measured with a calibrated hand-held dynamometer T. Previous studies have shown a correlation between thoracic muscle mass, as measured by CT, and whole-body muscle mass determined through BIA 10 , The mean±SD for age at diagnosis and current age was 9. Finally, 4 7. The retrospective study included outpatients who previously applied to the geriatrics outpatient clinic of a university hospital, who were evaluated with BIA and who had a chest CT for any reason within 3 months before or after the BIA.
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Correlation between muscle masses measured by chest computed tomography and bioelectrical impedance analysis in older adults. The HUDOC database provides access to the case-law of the Court (Grand Chamber, Chamber and Committee judgments and decisions, communicated cases. Öz. In this paper we question the validity of factitious disorder as a meaningful psychiatric diagnosis. When the diagnosis is used there is often. This is a case study of a policy initiative that was proposed as a bill to the state of Illinois of the United States of America concerning the banning.Evaluating Pso patients periodically for MSK complaints by dermatologists is an important first step for the early recognition of PsA. Decreased thoracic muscle mass has been associated with negative health outcomes in individuals with malignancies and those undergoing surgical procedures 8 , 9. However, these screening tools were developed for adult patients and there are no recommended and validated tools for early detection of PsA in pediatric Pso patients. M Alper Sözer. About this article. Mossberger, K. Early referral to pediatric rheumatologists of suspicious patients is critical to prevent joint deformity by starting treatment immediately. Conflict of interest statement The authors declare no conflict of interest. Including thoracic muscles in the evaluation allows for a more comprehensive assessment of muscle mass throughout the body. Thompson, K. Multicentric longitudinal studies with large number of patients are required for estimating incidence of PsA in Pso. Comparison of median Achilles tendon thickness of patients and healthy controls. Share sensitive information only on official, secure websites. PDF Kütüphaneme Ekle ×. In the light of this idea, there are some reports concerning the evaluation of adult Pso patients for detecting PsA beforehand [ 12 — 18 ]. In this study, all patients were questioned with the same form by the same dermatologist to standardize the evaluation. With the use of a tape, the circumferences of the waist and hips were measured at the level of the umbilicus and the broadest region of the buttocks, respectively. Thoracic sarcopenia has been linked to a worsening clinical state and a lower quality of life for COPD patients 7. Sosyal Bilimler Araştırmaları Dergisi, 6 2 , When evaluated ultrasonographically, median Achilles tendon thickness of Pso patients was significantly greater than of HCs Table 2. Cook et al. New York:Russel Sage Foundation. Clinical Geriatrics - Short Communications. Furthermore, it is important to note that CT and BIA were not consistently performed on the same day for many participants. Search in Google Scholar 54 Şahin, S. In the recent years, due to having various superiorities, MSK US has become a more important tool than other imaging techniques in pediatric rheumatology practice. Cut-off levels for handgrip strength were defined as 16 kg for females and 27 kg for males Reson, Global Health, 6 11 , ee Setia Științe Economice, 32 2 , Muscle masses were measured using the two different methods correlated in the present study. Kaynakça Absoluteastronomy. However, these new classification criteria could not achieve a consensus to define pediatric PsA patients [ 34 ]. Bio of Governor. Stolz, B.
