Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study

Abstract Background In chronic musculoskeletal pain patients, detection of sarcopenia is of significant clinical interest. Phase angle, which can be measured through bioelectrical impedance analysis (BIA), can detect sarcopenia; however, the evidence in chronic musculoskeletal pain patients is limit...

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Main Authors: Hironori Tsuji, Tomoko Tetsunaga, Haruo Misawa, Keiichiro Nishida, Toshifumi Ozaki
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-03567-1
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author Hironori Tsuji
Tomoko Tetsunaga
Haruo Misawa
Keiichiro Nishida
Toshifumi Ozaki
author_facet Hironori Tsuji
Tomoko Tetsunaga
Haruo Misawa
Keiichiro Nishida
Toshifumi Ozaki
author_sort Hironori Tsuji
collection DOAJ
description Abstract Background In chronic musculoskeletal pain patients, detection of sarcopenia is of significant clinical interest. Phase angle, which can be measured through bioelectrical impedance analysis (BIA), can detect sarcopenia; however, the evidence in chronic musculoskeletal pain patients is limited. This study aimed to assess the relationship between phase angle and sarcopenia in patients with chronic musculoskeletal pain. Our hypothesis was that phase angle would be a useful indicator to identify sarcopenia in patients with chronic musculoskeletal pain. Methods A total of 190 patients (51 men and 139 women) with chronic musculoskeletal pain were included in this retrospective cross-sectional study. Patient data of backgrounds, numeric rating scale score for pain, skeletal muscle index, and phase angle assessed using BIA were retrospectively reviewed. Sarcopenia was diagnosed using the Asian Working Group for Sarcopenia criteria 2019. Results A total of 51 patients (26.7%), including 10 men (19.6%) and 41 women (29.5%), were diagnosed with sarcopenia. Phase angle, sarcopenia-related factors, age, and body mass index (BMI) differed significantly in patients with and without sarcopenia. On multiple logistic regression analysis, the prevalence of sarcopenia was significantly correlated with phase angle and BMI. The areas under the curve exhibited high accuracy in discriminating sarcopenia in men and moderate accuracy in both sexes and in women. Conclusions Phase angle may be a valid discriminator of sarcopenia in patients with chronic musculoskeletal pain.
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spelling doaj.art-d8d678bdfa014b6ea996da01cb5a850d2023-02-05T12:19:03ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-02-011811710.1186/s13018-023-03567-1Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective studyHironori Tsuji0Tomoko Tetsunaga1Haruo Misawa2Keiichiro Nishida3Toshifumi Ozaki4Department of Orthopedic Surgery, Okayama Red Cross HospitalDepartment of Orthopedic Surgery, Okayama University HospitalDepartment of Orthopedic Surgery, Okayama University HospitalDepartment of Orthopedic Surgery, Okayama University HospitalDepartment of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesAbstract Background In chronic musculoskeletal pain patients, detection of sarcopenia is of significant clinical interest. Phase angle, which can be measured through bioelectrical impedance analysis (BIA), can detect sarcopenia; however, the evidence in chronic musculoskeletal pain patients is limited. This study aimed to assess the relationship between phase angle and sarcopenia in patients with chronic musculoskeletal pain. Our hypothesis was that phase angle would be a useful indicator to identify sarcopenia in patients with chronic musculoskeletal pain. Methods A total of 190 patients (51 men and 139 women) with chronic musculoskeletal pain were included in this retrospective cross-sectional study. Patient data of backgrounds, numeric rating scale score for pain, skeletal muscle index, and phase angle assessed using BIA were retrospectively reviewed. Sarcopenia was diagnosed using the Asian Working Group for Sarcopenia criteria 2019. Results A total of 51 patients (26.7%), including 10 men (19.6%) and 41 women (29.5%), were diagnosed with sarcopenia. Phase angle, sarcopenia-related factors, age, and body mass index (BMI) differed significantly in patients with and without sarcopenia. On multiple logistic regression analysis, the prevalence of sarcopenia was significantly correlated with phase angle and BMI. The areas under the curve exhibited high accuracy in discriminating sarcopenia in men and moderate accuracy in both sexes and in women. Conclusions Phase angle may be a valid discriminator of sarcopenia in patients with chronic musculoskeletal pain.https://doi.org/10.1186/s13018-023-03567-1SarcopeniaChronic musculoskeletal painPhase angleBioimpedance analysisDetection
spellingShingle Hironori Tsuji
Tomoko Tetsunaga
Haruo Misawa
Keiichiro Nishida
Toshifumi Ozaki
Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
Journal of Orthopaedic Surgery and Research
Sarcopenia
Chronic musculoskeletal pain
Phase angle
Bioimpedance analysis
Detection
title Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
title_full Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
title_fullStr Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
title_full_unstemmed Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
title_short Association of phase angle with sarcopenia in chronic musculoskeletal pain patients: a retrospective study
title_sort association of phase angle with sarcopenia in chronic musculoskeletal pain patients a retrospective study
topic Sarcopenia
Chronic musculoskeletal pain
Phase angle
Bioimpedance analysis
Detection
url https://doi.org/10.1186/s13018-023-03567-1
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