Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke
We investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, fu...
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MDPI AG
2021-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/14/3010 |
| _version_ | 1797526858482319360 |
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| author | Yongmin Choi Sun Im Geun-Young Park |
| author_facet | Yongmin Choi Sun Im Geun-Young Park |
| author_sort | Yongmin Choi |
| collection | DOAJ |
| description | We investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, functional ambulation categories, and mini-mental state examination in Korean) were measured. The thickness of the fat layer, the thickness of the rectus femoris (TRF), echo intensity (EI), EI to TRF ratio, and strain ratio of elastography (SRE) were measured by ultrasound in 30 patients with first-ever stroke (male: <i>n</i> = 20). Appendicular lean body mass was measured by DEXA. Sarcopenia was defined according to the Foundation for the National Institutes of Health Sarcopenia Project. In total, 14 patients were in the sarcopenia group, and 16 were in the non-sarcopenia group. Clinical characteristics were similar between the two groups. In the sarcopenia group, TRF was significantly decreased in the paretic (<i>p</i> < 0.026) and non-paretic sides (<i>p</i> < 0.01), and the EI to TRF ratio on the paretic side was significantly increased (<i>p</i> < 0.049). Multivariate binary logistic regression showed that TRF on the non-paretic side was independently and significantly associated with sarcopenia (OR = 0.616, 95% CI: 0.381–0.996). The EI and SRE were not significant between the two groups. In the early subacute stroke phase, TRF on the non-paretic side is a key factor for quantitative evaluation of sarcopenia, and the EI to TRF ratio on the paretic side is also a meaningful qualitative evaluation of sarcopenia. |
| first_indexed | 2024-03-10T09:36:16Z |
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| id | doaj.art-67999e43d677492c809bc03cbd260adb |
| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-10T09:36:16Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-67999e43d677492c809bc03cbd260adb2023-11-22T04:05:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-07-011014301010.3390/jcm10143010Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute StrokeYongmin Choi0Sun Im1Geun-Young Park2Department of Rehabilitation Medicine, Dongsan Hospital, School of Medicine, Keimyung University, Daegu 42601, KoreaDepartment of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 14647, KoreaDepartment of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 14647, KoreaWe investigated the ultrasound characteristics of the rectus femoris for sarcopenia detected by dual-energy X-ray absorptiometry (DEXA) in the early subacute stroke phase. Physical features (age, sex, body mass index, and circumference of thigh) and performances (modified Barthel index in Korean, functional ambulation categories, and mini-mental state examination in Korean) were measured. The thickness of the fat layer, the thickness of the rectus femoris (TRF), echo intensity (EI), EI to TRF ratio, and strain ratio of elastography (SRE) were measured by ultrasound in 30 patients with first-ever stroke (male: <i>n</i> = 20). Appendicular lean body mass was measured by DEXA. Sarcopenia was defined according to the Foundation for the National Institutes of Health Sarcopenia Project. In total, 14 patients were in the sarcopenia group, and 16 were in the non-sarcopenia group. Clinical characteristics were similar between the two groups. In the sarcopenia group, TRF was significantly decreased in the paretic (<i>p</i> < 0.026) and non-paretic sides (<i>p</i> < 0.01), and the EI to TRF ratio on the paretic side was significantly increased (<i>p</i> < 0.049). Multivariate binary logistic regression showed that TRF on the non-paretic side was independently and significantly associated with sarcopenia (OR = 0.616, 95% CI: 0.381–0.996). The EI and SRE were not significant between the two groups. In the early subacute stroke phase, TRF on the non-paretic side is a key factor for quantitative evaluation of sarcopenia, and the EI to TRF ratio on the paretic side is also a meaningful qualitative evaluation of sarcopenia.https://www.mdpi.com/2077-0383/10/14/3010stokesarcopeniarectus femorisappendicular lean muscleecho intensityultrasound |
| spellingShingle | Yongmin Choi Sun Im Geun-Young Park Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke Journal of Clinical Medicine stoke sarcopenia rectus femoris appendicular lean muscle echo intensity ultrasound |
| title | Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke |
| title_full | Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke |
| title_fullStr | Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke |
| title_full_unstemmed | Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke |
| title_short | Ultrasound Evaluation of the Rectus Femoris for Sarcopenia in Patients with Early Subacute Stroke |
| title_sort | ultrasound evaluation of the rectus femoris for sarcopenia in patients with early subacute stroke |
| topic | stoke sarcopenia rectus femoris appendicular lean muscle echo intensity ultrasound |
| url | https://www.mdpi.com/2077-0383/10/14/3010 |
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