Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages

OBJECTIVES: We evaluated the validity and reliability of ultrasonography measurement of rectus femoris cross-sectional area compared to computed tomography in patients in pre-dialysis chronic kidney disease and analyzed the association between these measurements and the diagnosis of sarcopenia. MET...

Full description

Bibliographic Details
Main Authors: Viviane Angelina de Souza, Dílmerson Oliveira, Eduardo Neumann Cupolilo, Carolina Souza Miranda, Fernando Antônio Basile Colugnati, Henrique Novais Mansur, Natália Maria da Silva Fernandes, Marcus Gomes Bastos
Format: Article
Language:English
Published: Elsevier España 2018-10-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322018000100280&lng=en&tlng=en
_version_ 1818112743158317056
author Viviane Angelina de Souza
Dílmerson Oliveira
Eduardo Neumann Cupolilo
Carolina Souza Miranda
Fernando Antônio Basile Colugnati
Henrique Novais Mansur
Natália Maria da Silva Fernandes
Marcus Gomes Bastos
author_facet Viviane Angelina de Souza
Dílmerson Oliveira
Eduardo Neumann Cupolilo
Carolina Souza Miranda
Fernando Antônio Basile Colugnati
Henrique Novais Mansur
Natália Maria da Silva Fernandes
Marcus Gomes Bastos
author_sort Viviane Angelina de Souza
collection DOAJ
description OBJECTIVES: We evaluated the validity and reliability of ultrasonography measurement of rectus femoris cross-sectional area compared to computed tomography in patients in pre-dialysis chronic kidney disease and analyzed the association between these measurements and the diagnosis of sarcopenia. METHODS: One hundred patients with nondialysis chronic kidney disease were evaluated. Sarcopenia was defined using the criteria of the Foundation for the National Institutes of Health Sarcopenia Project (FNIH). The rectus femoris cross-sectional area was evaluated using ultrasonography and computed tomography. RESULTS: The prevalence of sarcopenia was 29% according to the FNIH criteria. The difference in mean rectus femoris cross-sectional area by ultrasonography and computed tomography was 3.97 mm, with a strong correlation between the two methods (p<0.001). Bland-Altman plot analysis showed good agreement between computed tomography and ultrasonography. Rectus femoris cross-sectional area was significantly correlated with muscle strength (r=0.300, p=0.002), lean body mass in the upper limbs (r=0.286, p=0.004), and lean body mass in the lower limbs (r=0.271, p=0.006). The prevalence of sarcopenia was 12% (n=12) based on the definition of low muscle mass according to ultrasonography of the rectus femoris cross-sectional area. CONCLUSION: Ultrasonography was demonstrated to be a valid and reliable method for evaluating the rectus femoris cross-sectional area in patients in pre-dialysis chronic kidney disease.
first_indexed 2024-12-11T03:23:47Z
format Article
id doaj.art-37000551cd1a4098ba0078cc0f08f4dc
institution Directory Open Access Journal
issn 1980-5322
language English
last_indexed 2024-12-11T03:23:47Z
publishDate 2018-10-01
publisher Elsevier España
record_format Article
series Clinics
spelling doaj.art-37000551cd1a4098ba0078cc0f08f4dc2022-12-22T01:22:33ZengElsevier EspañaClinics1980-53222018-10-0173010.6061/clinics/2018/e392S1807-59322018000100280Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stagesViviane Angelina de SouzaDílmerson OliveiraEduardo Neumann CupoliloCarolina Souza MirandaFernando Antônio Basile ColugnatiHenrique Novais MansurNatália Maria da Silva FernandesMarcus Gomes BastosOBJECTIVES: We evaluated the validity and reliability of ultrasonography measurement of rectus femoris cross-sectional area compared to computed tomography in patients in pre-dialysis chronic kidney disease and analyzed the association between these measurements and the diagnosis of sarcopenia. METHODS: One hundred patients with nondialysis chronic kidney disease were evaluated. Sarcopenia was defined using the criteria of the Foundation for the National Institutes of Health Sarcopenia Project (FNIH). The rectus femoris cross-sectional area was evaluated using ultrasonography and computed tomography. RESULTS: The prevalence of sarcopenia was 29% according to the FNIH criteria. The difference in mean rectus femoris cross-sectional area by ultrasonography and computed tomography was 3.97 mm, with a strong correlation between the two methods (p<0.001). Bland-Altman plot analysis showed good agreement between computed tomography and ultrasonography. Rectus femoris cross-sectional area was significantly correlated with muscle strength (r=0.300, p=0.002), lean body mass in the upper limbs (r=0.286, p=0.004), and lean body mass in the lower limbs (r=0.271, p=0.006). The prevalence of sarcopenia was 12% (n=12) based on the definition of low muscle mass according to ultrasonography of the rectus femoris cross-sectional area. CONCLUSION: Ultrasonography was demonstrated to be a valid and reliable method for evaluating the rectus femoris cross-sectional area in patients in pre-dialysis chronic kidney disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322018000100280&lng=en&tlng=enSarcopeniaUltrasoundTomographyRenal InsufficiencyChronic
spellingShingle Viviane Angelina de Souza
Dílmerson Oliveira
Eduardo Neumann Cupolilo
Carolina Souza Miranda
Fernando Antônio Basile Colugnati
Henrique Novais Mansur
Natália Maria da Silva Fernandes
Marcus Gomes Bastos
Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
Clinics
Sarcopenia
Ultrasound
Tomography
Renal Insufficiency
Chronic
title Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
title_full Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
title_fullStr Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
title_full_unstemmed Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
title_short Rectus femoris muscle mass evaluation by ultrasound: facilitating sarcopenia diagnosis in pre-dialysis chronic kidney disease stages
title_sort rectus femoris muscle mass evaluation by ultrasound facilitating sarcopenia diagnosis in pre dialysis chronic kidney disease stages
topic Sarcopenia
Ultrasound
Tomography
Renal Insufficiency
Chronic
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322018000100280&lng=en&tlng=en
work_keys_str_mv AT vivianeangelinadesouza rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT dilmersonoliveira rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT eduardoneumanncupolilo rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT carolinasouzamiranda rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT fernandoantoniobasilecolugnati rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT henriquenovaismansur rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT nataliamariadasilvafernandes rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages
AT marcusgomesbastos rectusfemorismusclemassevaluationbyultrasoundfacilitatingsarcopeniadiagnosisinpredialysischronickidneydiseasestages