Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes
Sarcopenia is a progressive and generalized loss of skeletal muscle mass and strength. It is frequently associated with malnutrition and dependence in nursing homes. Masticatory muscle strength could be the link between sarcopenia, malnutrition and dependence. We aimed to study the relation between...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/9/1587 |
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| author | Mikel González-Fernández Javier Perez-Nogueras Antonio Serrano-Oliver Elena Torres-Anoro Alejandro Sanz-Arque Jose M. Arbones-Mainar Alejandro Sanz-Paris |
| author_facet | Mikel González-Fernández Javier Perez-Nogueras Antonio Serrano-Oliver Elena Torres-Anoro Alejandro Sanz-Arque Jose M. Arbones-Mainar Alejandro Sanz-Paris |
| author_sort | Mikel González-Fernández |
| collection | DOAJ |
| description | Sarcopenia is a progressive and generalized loss of skeletal muscle mass and strength. It is frequently associated with malnutrition and dependence in nursing homes. Masticatory muscle strength could be the link between sarcopenia, malnutrition and dependence. We aimed to study the relation between sarcopenia, malnutrition and dependence with masseter muscle thickness measured by ultrasound. A cross-sectional study was realized, with 464 patients from 3 public nursing homes in Zaragoza (Spain). The diagnosis of sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People 2 criteria, malnutrition by the Mini Nutritional Assessment (MNA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria and functional capacity by the Barhel Index and the texture diet. Masseter muscle thickness (MMT) was measured by ultrasound. The median age was 84.7 years, and 70% of the participants were women. Sarcopenia was confirmed in 39.2% of patients, malnutrition in 26.5% (risk 47.8%), total dependence in 37.9% and diet texture was modified in 44.6%. By logistic regression, once the model was adjusted for age, sex, Barthel index and texture diet, our analyses indicated that each 1 mm decrease in MMT increased the risk of sarcopenia by ~57% (OR: 0.43), the risk of malnutrition by MNA by ~63% (OR: 0.37) and the risk of malnutrition by GLIM by ~34% (OR: 0.66). We found that MMT was reduced in sarcopenic, malnourished and dependent patients, and it could be the common point of a vicious cycle between sarcopenia and malnutrition. Further studies are needed to establish causality. |
| first_indexed | 2024-03-10T07:46:14Z |
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| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T07:46:14Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-3568fdd9450049b2862edbd5c2da924c2023-11-22T12:39:15ZengMDPI AGDiagnostics2075-44182021-08-01119158710.3390/diagnostics11091587Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing HomesMikel González-Fernández0Javier Perez-Nogueras1Antonio Serrano-Oliver2Elena Torres-Anoro3Alejandro Sanz-Arque4Jose M. Arbones-Mainar5Alejandro Sanz-Paris6Nutrition Department, University Hospital Miguel Servet, 50007 Zaragoza, SpainGeriatric Unit, Elias Martinez Nursing Home, 50007 Zaragoza, SpainGeriatric Unit, Casa Amparo Nursing Home, 50007 Zaragoza, SpainGeriatric Unit, Romareda Nursing Home, 50007 Zaragoza, SpainSanta Ana Outpatient Center, 50007 Tudela, SpainInstituto de Investigación Sanitaria Aragon (IIS-Aragon), 50007 Zaragoza, SpainNutrition Department, University Hospital Miguel Servet, 50007 Zaragoza, SpainSarcopenia is a progressive and generalized loss of skeletal muscle mass and strength. It is frequently associated with malnutrition and dependence in nursing homes. Masticatory muscle strength could be the link between sarcopenia, malnutrition and dependence. We aimed to study the relation between sarcopenia, malnutrition and dependence with masseter muscle thickness measured by ultrasound. A cross-sectional study was realized, with 464 patients from 3 public nursing homes in Zaragoza (Spain). The diagnosis of sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People 2 criteria, malnutrition by the Mini Nutritional Assessment (MNA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria and functional capacity by the Barhel Index and the texture diet. Masseter muscle thickness (MMT) was measured by ultrasound. The median age was 84.7 years, and 70% of the participants were women. Sarcopenia was confirmed in 39.2% of patients, malnutrition in 26.5% (risk 47.8%), total dependence in 37.9% and diet texture was modified in 44.6%. By logistic regression, once the model was adjusted for age, sex, Barthel index and texture diet, our analyses indicated that each 1 mm decrease in MMT increased the risk of sarcopenia by ~57% (OR: 0.43), the risk of malnutrition by MNA by ~63% (OR: 0.37) and the risk of malnutrition by GLIM by ~34% (OR: 0.66). We found that MMT was reduced in sarcopenic, malnourished and dependent patients, and it could be the common point of a vicious cycle between sarcopenia and malnutrition. Further studies are needed to establish causality.https://www.mdpi.com/2075-4418/11/9/1587ultrasoundmasseter muscle thicknesssarcopeniamalnutritiondependence |
| spellingShingle | Mikel González-Fernández Javier Perez-Nogueras Antonio Serrano-Oliver Elena Torres-Anoro Alejandro Sanz-Arque Jose M. Arbones-Mainar Alejandro Sanz-Paris Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes Diagnostics ultrasound masseter muscle thickness sarcopenia malnutrition dependence |
| title | Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes |
| title_full | Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes |
| title_fullStr | Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes |
| title_full_unstemmed | Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes |
| title_short | Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes |
| title_sort | masseter muscle thickness measured by ultrasound as a possible link with sarcopenia malnutrition and dependence in nursing homes |
| topic | ultrasound masseter muscle thickness sarcopenia malnutrition dependence |
| url | https://www.mdpi.com/2075-4418/11/9/1587 |
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