Suitable ultrasound screening method for older adults with disability to identify low muscle mass
ObjectiveThis study aimed to investigate the accuracy and consistency of different ultrasound protocols for the measurement of gastrocnemius muscle (GM) thickness and to identify a suitable ultrasound scheme that can be used to detect the low muscle mass in older with disability.Materials and method...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1270176/full |
| _version_ | 1797665809915445248 |
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| author | Huaying Ding Xia Lin Sha Huang Jie Liao Zhouyu Li Lanlan Chen Li Zhu Yukuan Xie Qian Nie Xiaoyan Chen |
| author_facet | Huaying Ding Xia Lin Sha Huang Jie Liao Zhouyu Li Lanlan Chen Li Zhu Yukuan Xie Qian Nie Xiaoyan Chen |
| author_sort | Huaying Ding |
| collection | DOAJ |
| description | ObjectiveThis study aimed to investigate the accuracy and consistency of different ultrasound protocols for the measurement of gastrocnemius muscle (GM) thickness and to identify a suitable ultrasound scheme that can be used to detect the low muscle mass in older with disability.Materials and methodsIn this cross-sectional study, each participant underwent three different ultrasound protocols for the measurement of the GM thickness, and each measurement was repeated three times. The three measurement schemes were as follows: method A, lying on the examination bed in a prone position with legs stretched and relaxed and feet hanging outside the examination bed; method B, lateral right side lying position with legs separated (left leg flexed and right leg in a relaxed state); and method C, right side lying position with legs together and lower limb muscles in a relaxed state. The low muscle mass was determined by averaging two or three measurements of the GM thickness determined using different sonographic protocols.ResultsThe study included 489 participants. The difference in the prevalence of low muscle mass identified between two and three replicates of the same measurement protocol ranged from 0 to 1.3%. Considering the three repeated measurements of the method A as the reference, the area under the curve (AUC) in different measurement schemes were 0.977-1 and 0.973-1 in males and females, respectively. Furthermore, male and female Kappa values from low to high were 0.773, 0.801, 0.829, 0.839, and 0.967 and 0.786, 0.794, 0.804, 0.819, and 0.984, respectively.ConclusionDifferent ultrasound measurement protocols showed high accuracy and consistency in identifying low muscle mass. Repeating the measurements two or three times was found to be feasible. |
| first_indexed | 2024-03-11T19:49:24Z |
| format | Article |
| id | doaj.art-667ca8758d6649509da988343e2b924f |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-11T19:49:24Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-667ca8758d6649509da988343e2b924f2023-10-05T12:02:06ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-10-011010.3389/fmed.2023.12701761270176Suitable ultrasound screening method for older adults with disability to identify low muscle massHuaying DingXia LinSha HuangJie LiaoZhouyu LiLanlan ChenLi ZhuYukuan XieQian NieXiaoyan ChenObjectiveThis study aimed to investigate the accuracy and consistency of different ultrasound protocols for the measurement of gastrocnemius muscle (GM) thickness and to identify a suitable ultrasound scheme that can be used to detect the low muscle mass in older with disability.Materials and methodsIn this cross-sectional study, each participant underwent three different ultrasound protocols for the measurement of the GM thickness, and each measurement was repeated three times. The three measurement schemes were as follows: method A, lying on the examination bed in a prone position with legs stretched and relaxed and feet hanging outside the examination bed; method B, lateral right side lying position with legs separated (left leg flexed and right leg in a relaxed state); and method C, right side lying position with legs together and lower limb muscles in a relaxed state. The low muscle mass was determined by averaging two or three measurements of the GM thickness determined using different sonographic protocols.ResultsThe study included 489 participants. The difference in the prevalence of low muscle mass identified between two and three replicates of the same measurement protocol ranged from 0 to 1.3%. Considering the three repeated measurements of the method A as the reference, the area under the curve (AUC) in different measurement schemes were 0.977-1 and 0.973-1 in males and females, respectively. Furthermore, male and female Kappa values from low to high were 0.773, 0.801, 0.829, 0.839, and 0.967 and 0.786, 0.794, 0.804, 0.819, and 0.984, respectively.ConclusionDifferent ultrasound measurement protocols showed high accuracy and consistency in identifying low muscle mass. Repeating the measurements two or three times was found to be feasible.https://www.frontiersin.org/articles/10.3389/fmed.2023.1270176/fullultrasoundlow muscle massmeasurement schemeolderaccuracyconsistency |
| spellingShingle | Huaying Ding Xia Lin Sha Huang Jie Liao Zhouyu Li Lanlan Chen Li Zhu Yukuan Xie Qian Nie Xiaoyan Chen Suitable ultrasound screening method for older adults with disability to identify low muscle mass Frontiers in Medicine ultrasound low muscle mass measurement scheme older accuracy consistency |
| title | Suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| title_full | Suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| title_fullStr | Suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| title_full_unstemmed | Suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| title_short | Suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| title_sort | suitable ultrasound screening method for older adults with disability to identify low muscle mass |
| topic | ultrasound low muscle mass measurement scheme older accuracy consistency |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1270176/full |
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