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Ultrasonography versus bioelectrical impedance analysis: which predicts muscle strength better?
Acta Clin Belg. 2019 Dec 17 [Online ahead of print]AC

Abstract

Background &

Aim:

Muscle strength seems to be more relevant to the functionality than muscle mass in sarcopenia. Different diagnostic techniques are available for the evaluation of muscle mass. Ultrasonography (USG) seems to have some advantages compared to other techniques especially bioelectrical impedance analysis (BIA) including being not affected of the results by the factors like extreme body mass indexes (BMI) or hypervolemia. The aim of the study is to determine and compare the muscle strength prediction value of muscle mass measured by using USG or BIA and determine the cut-off values for the Turkish population.

Methods:

One hundred and thirty six patients admitted to geriatrics outpatient clinic for comprehensive geriatric assessment were included in the study. Body composition was determined by BIA and skeletal muscle mass ındex (SMI) was measured. Thickness of the gastrocnemius muscle was measured via USG. Diagnosis of sarcopenia was made according to the EWSGOP 2 diagnostic criteria.

Results:

The best cut-off value for gastrocnemius muscle thickness to predict low HGS was ≤13.8 mm (AUC:0.690,p <0.001). SMI was not found to predict low HGS (AUC:0.573,p >0.05). Comparison of AUCs for gastrocnemius muscle thickness and SMI showed that gastrocnemius muscle thickness had higher AUC (p=0.008). For predicting sarcopenia, the best cut-off value of gastrocnemius muscle thickness was found to be ≤12.3 mm in women (AUC: 0.862,p <0.001) and ≤12.3 mm in men (AUC:0.900, p < 0.001).

Conclusions:

In this study, we found that gastrocnemius thickness measured by USG seems to predict low HGS better than SMI measured by BIA.

Authors+Show Affiliations

Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Konya Education and Research Hospital, Palliative Care Center and Geriatrics, University of Health Sciences, Konya, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Internal Medicine, Division of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31847723

Citation

Sengul Aycicek, Gozde, et al. "Ultrasonography Versus Bioelectrical Impedance Analysis: Which Predicts Muscle Strength Better?" Acta Clinica Belgica, 2019, pp. 1-5.
Sengul Aycicek G, Ozsurekci C, Caliskan H, et al. Ultrasonography versus bioelectrical impedance analysis: which predicts muscle strength better? Acta Clin Belg. 2019.
Sengul Aycicek, G., Ozsurekci, C., Caliskan, H., Kizilarslanoglu, M. C., Tuna Dogrul, R., Balci, C., Unsal, P., Esme, M., Yavuz, B. B., Cankurtaran, M., & Halil, M. G. (2019). Ultrasonography versus bioelectrical impedance analysis: which predicts muscle strength better? Acta Clinica Belgica, 1-5. https://doi.org/10.1080/17843286.2019.1704989
Sengul Aycicek G, et al. Ultrasonography Versus Bioelectrical Impedance Analysis: Which Predicts Muscle Strength Better. Acta Clin Belg. 2019 Dec 17;1-5. PubMed PMID: 31847723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasonography versus bioelectrical impedance analysis: which predicts muscle strength better? AU - Sengul Aycicek,Gozde, AU - Ozsurekci,Cemile, AU - Caliskan,Hatice, AU - Kizilarslanoglu,Muhammet Cemal, AU - Tuna Dogrul,Rana, AU - Balci,Cafer, AU - Unsal,Pelin, AU - Esme,Mert, AU - Yavuz,Burcu Balam, AU - Cankurtaran,Mustafa, AU - Halil,Meltem Gulhan, Y1 - 2019/12/17/ PY - 2019/12/19/entrez KW - Muscle strength KW - older adults KW - sarcopenia KW - ultrasonography (USG) SP - 1 EP - 5 JF - Acta clinica Belgica JO - Acta Clin Belg N2 - Background & Aim: Muscle strength seems to be more relevant to the functionality than muscle mass in sarcopenia. Different diagnostic techniques are available for the evaluation of muscle mass. Ultrasonography (USG) seems to have some advantages compared to other techniques especially bioelectrical impedance analysis (BIA) including being not affected of the results by the factors like extreme body mass indexes (BMI) or hypervolemia. The aim of the study is to determine and compare the muscle strength prediction value of muscle mass measured by using USG or BIA and determine the cut-off values for the Turkish population.Methods: One hundred and thirty six patients admitted to geriatrics outpatient clinic for comprehensive geriatric assessment were included in the study. Body composition was determined by BIA and skeletal muscle mass ındex (SMI) was measured. Thickness of the gastrocnemius muscle was measured via USG. Diagnosis of sarcopenia was made according to the EWSGOP 2 diagnostic criteria.Results: The best cut-off value for gastrocnemius muscle thickness to predict low HGS was ≤13.8 mm (AUC:0.690,p <0.001). SMI was not found to predict low HGS (AUC:0.573,p >0.05). Comparison of AUCs for gastrocnemius muscle thickness and SMI showed that gastrocnemius muscle thickness had higher AUC (p=0.008). For predicting sarcopenia, the best cut-off value of gastrocnemius muscle thickness was found to be ≤12.3 mm in women (AUC: 0.862,p <0.001) and ≤12.3 mm in men (AUC:0.900, p < 0.001).Conclusions: In this study, we found that gastrocnemius thickness measured by USG seems to predict low HGS better than SMI measured by BIA. SN - 2295-3337 UR - https://www.unboundmedicine.com/medline/citation/31847723/Ultrasonography_versus_bioelectrical_impedance_analysis:_which_predicts_muscle_strength_better L2 - http://www.tandfonline.com/doi/full/10.1080/17843286.2019.1704989 DB - PRIME DP - Unbound Medicine ER -
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