Background and aims. There is a scarcity of research investigating the relationship between thoracic muscles and bioelectrical impedance analysis BIA -measured muscle mass specifically in older adults. Thus, the objective of this study is to assess the association between muscle measurements obtained from chest computed tomography CT scans and BIA in older adults. How To Become An Escort Wakefield retrospective study included outpatients who previously applied to the geriatrics outpatient clinic of a university hospital, who were evaluated with BIA and who had a chest CT for any reason within 3 months before or after the BIA. Cross-sectional muscle area at Th10 and Th12 was obtained from chest CT images. The median age of the 83 patients was At both thoracic vertebrae levels, muscle masses were correlated with muscle mass obtained by BIA in all participants, those with normal handgrip strength, How To Become An Escort Wakefield who were obese and non-obese, and those with normal SMI. It should be noticed that the thoracic muscles will also diminish if muscle mass measured by BIA decreases in older adults. Since BIA offers significant advantages in terms of non-invasiveness, portability, cost, time efficiency, ease of use and safety profile it can be a valid alternative to CT scans for thoracic muscle mass measurement. Sarcopenia refers to a syndrome characterized by progressive and widespread loss of muscle mass and strength, leading to various negative health outcomes such as physical impairment, reduced quality of life, and increased mortality 1. The diagnosis of sarcopenia takes into account three key factors: muscle strength, muscle mass and quality, and physical performance. Two techniques commonly used for assessing muscle mass are bioelectrical impedance analysis BIA and computed tomography CT 2. BIA estimates muscle mass indirectly by measuring the electrical conductivity of the entire body, while also providing information on fat-free mass, total body fluid, and other variables, particularly in individuals without significant fluid and electrolyte disorders 3. CT, considered as the most reliable among non-invasive methods along with magnetic resonance imaging MRIdirectly measures muscle mass and is a reliable assessment tool 4. CT measurements of muscle mass mostly focus on the third lumbar vertebra level 5. However, during the pandemic period, there has been an expanded use of thoracic muscle measurements 6. These measurements encompass all the muscles at the level of the thoracic vertebrae 7. Decreased thoracic muscle mass has been associated with negative health outcomes in individuals with malignancies and those undergoing surgical procedures 89. Previous studies have shown a correlation between thoracic muscle mass, as measured by CT, and whole-body muscle mass determined through BIA 10 However, there is a scarcity of research investigating the relationship between thoracic muscles and BIA-measured muscle mass specifically in older adults. Thus, the objective of this study is to assess the correlation between muscle measurements obtained from chest CT scans and BIA in older adults. The study was conducted retrospectively with outpatients who met the inclusion criteria in a university hospital geriatrics outpatient clinic. The inclusion-exclusion process was represented in Figure 1. Computed tomographies were acquired based on clinical indication, not for the purpose of the present study. Age, sex, education, marital status, chronic diseases, medications, neurocognitive and mood disorders, falls, incontinence, activities of daily living, nutritional status, frailty status, handgrip strength, 4-meter gait speed, anthropometric measurements, BIA and computed tomography measurements, and laboratory examinations of the patients were noted. Comprehensive geriatric assessment and anthropometric measurements were performed on the same day as BIA. The coexistence of two or more chronic diseases is known as multimorbidity Weight and height were recorded without shoes and in light clothing. With the use of a tape, the circumferences of the waist and hips were measured at the level of the umbilicus and the broadest region of the buttocks, respectively. When the arm was 90 degrees bent from the elbow, the mid-arm circumference was measured from the midpoint of the acromial and olecranon protrusions. Calf circumference was measured with the foot pushing against a hard surface, from the broadest section of the calf. Handgrip strength was measured with a calibrated hand-held dynamometer T. The highest of these three values was accepted as handgrip strength. Cut-off levels for handgrip strength were defined as 16 kg for females and 27 kg for males To measure walking speed using a digital watch, we asked the patients to walk four meters at their normal pace. Gait speed less than 0. The measures were performed with the patients lying in the supine position; all metal necklaces, rings, watches, etc. Patients were fasting and had an empty bladder. It is derived from the relationship between resistance R and reactance Xc in an electrical circuit that passes a small, safe electric current through the body. Arctan represents the arctangent function 3. The cut-off points for low SMI were taken at Computed tomography scans were acquired on a third-generation dual-source CT scanner Somatom Force, Siemens Healthineers. Scanning parameters were as follows: tube current 50— mAs, tube voltage 70— kV, pitch 3, matrix ×, field of view × mm and slice thickness 3 mm. Reconstruction was performed with a slice thickness of 1 mm. A soft tissue kernel of reconstruction was used on all CT datasets.
Ennett, S. Bio of Governor. Body weight or any other parameter was not measured during both measurements to evaluate body composition. At both thoracic vertebrae levels, Muscle mass from both measurement methods was correlated in entire cohort, in the subgroup of non-obese patients, patients with low and normal handgrip strength, and low and normal SMI groups Tab. Sosyal Bilimler Araştırmaları Dergisi 6, sy.
Daha fazla sonuç
In this paper we question the validity of factitious disorder as a meaningful psychiatric diagnosis. Correlation between muscle masses measured by chest computed tomography and bioelectrical impedance analysis in older adults. Öz. When the diagnosis is used there is often. This is a case study of a policy initiative that was proposed as a bill to the state of Illinois of the United States of America concerning the banning. The HUDOC database provides access to the case-law of the Court (Grand Chamber, Chamber and Committee judgments and decisions, communicated cases.This is important because low muscle mass can affect various muscle groups differently, and focusing solely on limbs or specific areas may miss important indicators of overall muscle health The highest of these three values was accepted as handgrip strength. It can also inform the development of novel treatments or interventions targeting thoracic muscles to improve respiratory function and overall well-being. The politics of ideas. Search in Google Scholar 54 Şahin, S. However, during the pandemic period, there has been an expanded use of thoracic muscle measurements 6. Ash et al. Search in Google Scholar 2 Ak, B. In Leal Filho, W. Add to an existing collection. Playing violent video games, desensitization, and moral evaluation in children. It was designed in accordance with the principles of the Declaration of Helsinki. The first stage is preclinical phase which is characterized by aberrant activation of the immune system. Ozan Düz. North Clin Istanb. Reson, Buker, H. Muscle masses were measured using the two different methods correlated in the present study. The strengths of the present study are it specifically examines the relationship between thorax CT and BIA measurements in older adults, and that measurements were performed at two different thoracic levels. Computed tomographies were acquired based on clinical indication, not for the purpose of the present study. Pso is classified according to the pattern of distribution inverse, flexor, and seborrheic , morphology plaque, guttat, erythrodermic, pustular, rupioid, and elephantine and anatomic site scalp, palmoplantar, genital, nail and, anal Pso [ 9 ]. Journal of Experimental Social Psychology, 38, — Aytaç, Ayhan. The relationship between muscle parameters measured with thorax CT and BIA was investigated by the present study. Find articles by Ayse Tanatar. Calf circumference was measured with the foot pushing against a hard surface, from the broadest section of the calf. Semianutomatic segmentation was performed under the Hounsfield Unit HU thresholds of to Continuous data were described as mean and standard deviation SD or median and minimum—maximum where appropriate. Lower pectoral muscle volume was related to longer mechanical ventilation duration, greater SOFA scores, and increased in-hospital mortality in ICU patients As a library, NLM provides access to scientific literature. Search in Google Scholar 47 Rauniyar, G. Thompson, K. American Journal of Public Health, 84, Search in Google Scholar 21 Doğan, H.
