Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients
Aim. To study the advantages of ultrasound versus anthropometric assessment of muscle mass for early diagnosis of sarcopenia in patients >45 years of age.Material and methods. The study included 79 patients aged 4589 years with coronary artery disease (CAD), hypertension, type 2 diabetes, hea...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2021-05-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2699 |
| _version_ | 1827063738625163264 |
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| author | A. S. Erokhina E. D. Golovanova M. A. Miloserdov |
| author_facet | A. S. Erokhina E. D. Golovanova M. A. Miloserdov |
| author_sort | A. S. Erokhina |
| collection | DOAJ |
| description | Aim. To study the advantages of ultrasound versus anthropometric assessment of muscle mass for early diagnosis of sarcopenia in patients >45 years of age.Material and methods. The study included 79 patients aged 4589 years with coronary artery disease (CAD), hypertension, type 2 diabetes, heart failure, class 1-3 obesity. Diagnosis of hypertension was carried out according to the European (2018) and Russian (2019) guidelines; CAD — according to Russian Society of Cardiology (2020) guidelines. Sarcopenia was diagnosed according to 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria and 2018 EWGSOP2 guidelines. Muscle mass (MM) was determined by two methods: 1 — by measuring the rectus abdominis muscle (RAM) thickness using the ultrasound; 2 — by measuring the arm and lower leg circumference. Muscle strength was determined by wrist dynamometer. Muscle function was assessed using the 4-m gait speed test.Results. The study showed that in patients aged >45 years admitted to the emergency cardiology department, the body mass index exceeded 25 kg/m2 in 88,6% of cases. The incidence of sarcopenia of varying severity was 55,7% (n=44). The differences in RAM thickness, arm and lower leg circumference between the groups of patients with/without sarcopenia were significant (p<0,001), but were less than the threshold only for RAM thickness. RAM thickness levels progressively decreased with increasing severity of sarcopenia and significantly differed at all stages compared to patients without sarcopenia (p<0,001), regardless of body mass index. A decrease in lower leg circumference below the threshold values determining a MM decrease was observed only in severe sarcopenia, and arm circumference — in both men and women only in severe sarcopenia. There were no significant differences for arm and lower leg circumference depending on sarcopenia stages in overweight and obese patients.Conclusion. MM assessment by measuring RAM thickness with ultrasound in comparison with the anthropometric method makes it possible to diagnose sarcopenia in patients >45 years of age with cardiovascular diseases and obesity at earlier stages and to promptly recommend preventive measures. |
| first_indexed | 2024-04-10T03:34:38Z |
| format | Article |
| id | doaj.art-eeb0288137b944bb89a6dd5aa1c42ea6 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2025-03-19T22:36:01Z |
| publishDate | 2021-05-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-eeb0288137b944bb89a6dd5aa1c42ea62024-10-17T12:21:40Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-05-0120310.15829/1728-8800-2021-26992254Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patientsA. S. Erokhina0E. D. Golovanova1M. A. Miloserdov2Smolensk State Medical UniversitySmolensk State Medical UniversitySmolensk State Medical UniversityAim. To study the advantages of ultrasound versus anthropometric assessment of muscle mass for early diagnosis of sarcopenia in patients >45 years of age.Material and methods. The study included 79 patients aged 4589 years with coronary artery disease (CAD), hypertension, type 2 diabetes, heart failure, class 1-3 obesity. Diagnosis of hypertension was carried out according to the European (2018) and Russian (2019) guidelines; CAD — according to Russian Society of Cardiology (2020) guidelines. Sarcopenia was diagnosed according to 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria and 2018 EWGSOP2 guidelines. Muscle mass (MM) was determined by two methods: 1 — by measuring the rectus abdominis muscle (RAM) thickness using the ultrasound; 2 — by measuring the arm and lower leg circumference. Muscle strength was determined by wrist dynamometer. Muscle function was assessed using the 4-m gait speed test.Results. The study showed that in patients aged >45 years admitted to the emergency cardiology department, the body mass index exceeded 25 kg/m2 in 88,6% of cases. The incidence of sarcopenia of varying severity was 55,7% (n=44). The differences in RAM thickness, arm and lower leg circumference between the groups of patients with/without sarcopenia were significant (p<0,001), but were less than the threshold only for RAM thickness. RAM thickness levels progressively decreased with increasing severity of sarcopenia and significantly differed at all stages compared to patients without sarcopenia (p<0,001), regardless of body mass index. A decrease in lower leg circumference below the threshold values determining a MM decrease was observed only in severe sarcopenia, and arm circumference — in both men and women only in severe sarcopenia. There were no significant differences for arm and lower leg circumference depending on sarcopenia stages in overweight and obese patients.Conclusion. MM assessment by measuring RAM thickness with ultrasound in comparison with the anthropometric method makes it possible to diagnose sarcopenia in patients >45 years of age with cardiovascular diseases and obesity at earlier stages and to promptly recommend preventive measures.https://cardiovascular.elpub.ru/jour/article/view/2699sarcopeniaanthropometrymuscle mass ultrasound assessmentrectus abdominis muscle thickness |
| spellingShingle | A. S. Erokhina E. D. Golovanova M. A. Miloserdov Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients Кардиоваскулярная терапия и профилактика sarcopenia anthropometry muscle mass ultrasound assessment rectus abdominis muscle thickness |
| title | Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| title_full | Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| title_fullStr | Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| title_full_unstemmed | Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| title_short | Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| title_sort | ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients |
| topic | sarcopenia anthropometry muscle mass ultrasound assessment rectus abdominis muscle thickness |
| url | https://cardiovascular.elpub.ru/jour/article/view/2699 |
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