scholarly journals Gender-specific analysis for the association between trunk muscle mass and spinal pathologies

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yusuke Hori ◽  
Masatoshi Hoshino ◽  
Kazuhide Inage ◽  
Masayuki Miyagi ◽  
Shinji Takahashi ◽  
...  

AbstractWe investigated the relationship between trunk muscle mass and spinal pathologies by gender. This multicenter cross-sectional study included patients aged ≥ 30 years who visited a spinal outpatient clinic. Trunk and appendicular muscle mass were measured using bioelectrical impedance analysis. The Oswestry Disability Index (ODI), visual analog scale (VAS) score for low back pain, sagittal vertical axis (SVA), and EuroQol 5 Dimension (EQ5D) score were investigated to evaluate spinal pathology. The association between trunk muscle mass and these parameters was analyzed by gender using a non-linear regression model adjusted for patients’ demographics. We investigated the association between age and trunk muscle mass. We included 781 men and 957 women. Trunk muscle mass differed significantly between men and women, although it decreased with age after age 70 in both genders. Lower trunk muscle mass was significantly associated with ODI, SVA, and EQ5D score deterioration in both genders; its association with VAS was significant only in men. Most parameters deteriorated when trunk muscle mass was < 26 kg in men and < 19 kg in women. Lower trunk muscle mass was associated with lumbar disability, spinal imbalance, and poor quality of life in both genders, with significant difference in muscle mass.

2021 ◽  
Vol 10 (6) ◽  
pp. 1187
Author(s):  
Hamidullah Salimi ◽  
Shoichiro Ohyama ◽  
Hidetomi Terai ◽  
Yusuke Hori ◽  
Shinji Takahashi ◽  
...  

Trunk muscles play an important role in supporting the spinal column. A decline in trunk muscle mass, as measured by bioelectrical impedance analysis (TMM–BIA), is associated with low back pain and poor quality of life. The purpose of this study was to determine whether TMM–BIA correlates with quantitative and functional assessments traditionally used for the trunk muscles. We included 380 participants (aged ≥ 65 years; 152 males, 228 females) from the Shiraniwa Elderly Cohort (Shiraniwa) study, for whom the following data were available: TMM–BIA, lumbar magnetic resonance imaging (MRI), and back muscle strength (BMS). We measured the cross-sectional area (CSA) and fat-free CSA of the paravertebral muscles (PVM), including the erector spinae (ES), multifidus (MF), and psoas major (PM), on an axial lumbar MRI at L3/4. The correlation between TMM–BIA and the CSA of PVM, fat-free CSA of PVM, and BMS was investigated. TMM–BIA correlated with the CSA of total PVM and each individual PVM. A stronger correlation between TMM–BIA and fat-free CSA of PVM was observed. The TMM–BIA also strongly correlated with BMS. TMM–BIA is an easy and reliable way to evaluate the trunk muscle mass in a clinical setting.


2021 ◽  
pp. 1-10
Author(s):  
Ryo Miyachi ◽  
Nana Koike ◽  
Suzu Kodama ◽  
Junya Miyazaki

BACKGROUND: Although trunk muscles are involved in many important functions, evaluating trunk muscle strength is not an easy task. If trunk muscle mass and thickness could be used as indicators of trunk muscle strength, the burden of measurement would be reduced, but the relationship between trunk muscle strength and trunk muscle mass and thickness has not been clarified. OBJECTIVE: The purpose of this study was to clarify the relationship between trunk muscle strength and trunk muscle mass by bioelectrical impedance analysis and trunk muscle thickness by ultrasound imaging in healthy adults. METHODS: One hundred and twenty-one healthy university students were included in this study. Trunk flexion/extension muscle strength and trunk muscle mass by bioelectrical impedance analysis, and trunk muscle thickness by ultrasound imaging were measured. RESULTS: Both trunk flexion strength and trunk extension strength were significantly correlated with trunk muscle mass and oblique and rectus abdominis muscle thickness. Multiple regression analysis showed that trunk extension muscle strength had an independent relationship with trunk muscle mass. CONCLUSIONS: This study demonstrated that trunk muscle mass or trunk muscle thickness can be used as an alternative means for evaluating trunk muscle strength, making the evaluation of trunk muscles less burdensome.


2021 ◽  
pp. 1-7
Author(s):  
A.K. Stuck ◽  
A. Weber ◽  
R. Wittwer ◽  
A. Limacher ◽  
R.W. Kressig

Objectives: To investigate practicality and repeatability of a handheld compared to a state-of-the-art multisegmental bioelectrical impedance analysis (BIA) device to facilitate screening of sarcopenia in older inpatients. Design and setting: Cross-sectional study in a geriatric rehabilitation hospital. Participants: 207 inpatients aged 70+. Measurements: In a first phase, appendicular skeletal muscle mass index (ASMI) was measured using the handheld Biody xpertZm II BIA device (n=100). In a second phase, ASMI was obtained using the multisegmental Biacorpus RX 4004M device (n=107). Repeatability of BIA devices was compared in subgroups of patients (handheld BIA device: n=36, multisegmental BIA device: n=46) by intra-class correlation (ICC) and Bland-Altman plots. Results: Overall, measurement failure was seen in 31 patients (31%) tested with the handheld BIA device compared to one patient (0.9%) using the multisegmental BIA device (p<0.001). Main reasons for measurement failure were inability of patients to adopt the position necessary to use the handheld BIA device and device failure. The mean difference of two ASMI measurements in the same patient was 0.32 (sd 0.85) using the handheld BIA device compared to 0.02 kg/m2 (sd 0.07) using the multisegmental device (adjusted mean difference between both groups -0.35, 95% confidence interval (CI) -0.61 to -0.09 kg/m2). Congruently, Bland-Altman plots showed poor agreement with the handheld compared to the multisegmental BIA device. Conclusion: The handheld BIA device is neither a practical nor reliable device for assessing muscle mass in older rehabilitation inpatients.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Nandita Nury Latifah ◽  
Ani Margawati ◽  
Ayu Rahadiyanti

Komposisi tubuh yang tidak optimal dapat menurunkan kesegaran jasmani atlet sehingga dapat terjadi penurunan performa ketika bertanding. Tujuan dari penelitian ini adalah mengetahui hubungan persen lemak tubuh, persen massa otot, dan somatotype dengan kesegaran jasmani pada atlet hockey. Desain penelitian yaitu cross-sectional dengan jumlah subjek 35 atlet di Pelatihan Hockey Universitas Negeri Semarang dan Universitas Negeri Yogyakarta yang dipilih dengan purposive sampling. Data persen lemak tubuh dan persen massa otot diukur menggunakan bioelectrical impedence analysis (BIA). Data somatotype menggunakan metode antropometri Heath-Carter dan data kesegaran jasmani berupa nilai VO2max diambil menggunakan metode Balke. Analisis data menggunakan uji Pearson, Rank Spearman dan uji regresi linier. Sebagian besar atlet hockey (54,3%) memiliki nilai VO2max dengan kategori baik. Nilai persen lemak tubuh terendah 6,8% dan nilai tertinggi 35%. Nilai persen massa otot terendah 23,9% dan nilai tertinggi 40,9%. Nilai rata-rata dari nilai endomorph, mesomorph, dan ectomorph adalah (-0,04)±0,3; 4,2±0,9; dan 2,3±1,2. Ada hubungan yang signifikan antara persen lemak tubuh (p<0,001), persen massa otot (p<0,001), nilai endomorph (p<0,001), dan nilai ectomorph (p=0,016) dengan nilai VO2max. Variabel yang paling berkaitan dengan nilai VO2max adalah persen lemak (p<0,001). Correlation of body composition with physical fitness of hockey athletes AbstractSuboptimal body composition could reduce the physical fitness and performance of athletes. This study analyzed the relationship of percent body fat, percent muscle mass and somatotype on physical fitness in hockey athletes. This study was a cross-sectional study with 35 athletes in Pelatihan Hockey Universitas Negeri Semarang and Universitas Negeri Yogyakarta which selected by purposive sampling. Percent body fat and percent muscle mass were measured using bioelectrical impedance analysis (BIA). Somatotype measurement used the anthropometric Heath-Carter method and physical fitness (VO2max) measurement by the Balke method. Data were analyzed using the Pearson test, Rank-Spearman test, and Linear Regression test. Most hockey athletes (54.3%) had good VO2max value. The lowest percentage of body fat was 6.8%. The highest percentage of muscle mass was 40.9%. The average value of the endomorph, mesomorph, and ectomorph values were (-0.04) ± 0.3; 4.2 ± 0,9; and 2.3 ± 1.2.  There were a significant relationship between percent body fat (p <0.001), percent muscle mass (p <0.001), endomorph value (p <0.001), and ectomorph value (p = 0.016) with VO2max value. Percent of body fat was the most related variable to VO2max (p<0.001).


Author(s):  
S.G. Slezak ◽  
K.B Mahoney ◽  
E.N. Renna ◽  
I.E. Lofgren ◽  
F. Xu ◽  
...  

Objectives: To evaluate the prevalence of sarcopenia in a sample of older, sedentary women using criteria from the European Working Group on Sarcopenia in Older People (EWGSOP), the International Working Group (IWG), and the Foundation for the National Institutes of Health Sarcopenia Project (FNIHSP). Design: Cross-sectional analysis. Setting and Participants: Community-dwelling women (n = 61) aged 71.9 ± 4.6 years (mean±SD) with a BMI 27.3 ± 6.0 kg/m2 who by self-report were healthy and did not exercise were recruited and evaluated for sarcopenia. Measurements: Height, weight, grip strength, gait speed, and appendicular lean mass (via segmental multi-frequency bioelectrical impedance analysis: SMF-BIA) were measured. Prevalence was reported using descriptive statistics and a Fisher’s exact test was used to analyze the distribution frequency of sarcopenia classification by different criteria. Results: In this sample 14.8% met EWGSOP criteria, 6.6% met FNIHSP criteria, and 3.3% met IWG criteria. There was a borderline significant difference in distribution frequency between EWGSOP and IWG classification criteria (p=0.053). Conclusion: The variation in sarcopenia prevalence depending on the diagnostic criteria used is consistent with previous research and there are borderline significant differences between classification criteria in this population. These data suggest the need for additional examination to determine current cut points for ALM measured by SMF-BIA, as well as which established definition of sarcopenia is appropriate for this population.


2014 ◽  
Vol 116 (2) ◽  
pp. 176-182 ◽  
Author(s):  
Yosuke Yamada ◽  
Masahiro Ikenaga ◽  
Noriko Takeda ◽  
Kazuhiro Morimura ◽  
Nobuyuki Miyoshi ◽  
...  

Bioelectrical impedance analysis (BIA) has been used to estimate skeletal muscle mass, but its application in the elderly is not optimal. The accuracy of BIA may be influenced by the expansion of extracellular water (ECW) relative to muscle mass with aging. Multifrequency BIA (MFBIA) can evaluate the distribution between ECW and intracellular water (ICW), and thus may be superior to single-frequency BIA (SFBIA) to estimate muscle mass in the elderly. A total of 58 elderly participants aged 65–85 years were recruited. Muscle cross-sectional area (CSA) was obtained from computed tomography scans at the mid-thigh. Segmental SFBIA and MFBIA were measured for the upper legs. An index of the ratio of ECW and ICW was calculated using MFBIA. The correlation between muscle CSA and SFBIA was moderate ( r = 0.68), but strong between muscle CSA and MFBIA ( r = 0.85). ECW/ICW index was significantly and positively correlated with age ( P < 0.001). SFBIA tends to significantly overestimate muscle CSA in subjects who had relative expansion of ECW in the thigh segment ( P < 0.001). This trend was not observed for MFBIA ( P = 0.42). Relative expansion of ECW was observed in older participants. The relative expansion of ECW affects the validity of traditional SFBIA, which is lowered when estimating muscle CSA in the elderly. By contrast, MFBIA was not affected by water distribution in thigh segments, thus rendering the validity of MFBIA for estimating thigh muscle CSA higher than SFBIA in the elderly.


2019 ◽  
pp. 1-4
Author(s):  
B. Treesattayakul ◽  
T. Winuprasith ◽  
B. Theeranuluk ◽  
D. Trachootham

Contact between upper and lower posterior teeth is crucial for chewing. However, the influence of posterior occluding teeth loss on protein intake and muscle mass was unclear. This cross-sectional study compared consumption frequency of protein food, amount of protein and relevant micronutrient intakes and muscle mass indices among older adults with different Eichner indices (EI) of posterior occluding teeth loss. Ninety Thai healthy adults were divided into three groups (N=30 each) according EI with statistically comparable characters. Food frequency questionnaire, 4-days diet record, and bioelectrical impedance analysis were used for outcome measurement. Our findings suggested that loss of posterior occluding teeth on both sides was associated with less frequent consumption of meat, nut, egg, fish and dairy products, inadequate intakes of protein (< 0.8 g/kg body weight), iron and vitamin B12, and reduced muscle mass indices in older adults. Future large-scale cohort studies are warranted to confirm these findings.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tatsuya Ishige ◽  
Hiroshi Odaguchi ◽  
Toshihiko Hanawa

Shofuku-fujin is an abnormal physical finding in Kampo medical practice. It is assumed to be often found in the elderly and contributes to the selection of Kampo formulas used mainly in elderly patients. However, few objective reports about Shofuku-fujin have been published to date. The aim of this study was to clarify the clinical features of patients showing Shofuku-fujin by using bioelectrical impedance analysis (BIA) and to objectively assess the potential clinical implications of these findings. We conducted a cross-sectional study of 1330 patients who visited our institute to undergo a medical examination by using data collected from September 2010 to March 2016. We extracted data on patient sex and age, anthropometric data, and body composition data that could potentially affect the appearance of Shofuku-fujin. Logistic regression analyses were performed by sex to analyze the various factors related to the appearance of Shofuku-fujin. Of the 1330 patients, the data of 386 men and 942 women were used for analysis. Multivariate logistic regression analysis showed that Shofuku-fujin was associated with older age (odds ratio (OR), 1.07; 95% confidence interval (CI), 1.05–1.10; p  < 0.001), lower skeletal muscle mass index (SMI) (OR, 0.60; 95% CI, 0.43–0.85; p  = 0.004), and lower body fat percentage (OR, 0.89; 95% CI, 0.85–0.93; p  < 0.001) in men and older age (OR, 1.06; 95% CI, 1.04–1.07, p  < 0.001) and lower body fat percentage (OR, 0.94; 95% CI, 0.92–0.96; p  < 0.001) in women. On the basis of these results, the factors causing the appearance of Shofuku-fujin were aging, decreased muscle mass, and decreased body fat in men and aging and decreased body fat in women. Our results demonstrated that it may be better to consider a loss of muscle mass when examining a male patient with Shofuku-fujin.


Author(s):  
Alireza Shahab Jahanlou ◽  
Parsa Jahanlou

Background: Bioelectrical impedance analysis (BIA) is a new and rapid technique to validate body composition. Several studies have used this technique to evaluate body compositions, such as muscle mass, in diabetic patients, but the results are very different. This may due the differences between diabetic patients and control group. Therefore, this study aimed to compare the muscle mass of diabetic patients with healthy matched adults using the BIA method. Methods: This descriptive cross-sectional study was conducted on 928 diabetic patients and 928 healthy individuals selected based on gender, age, height, weight, and closeness to demographic conditions. Body composition was measured by the BIA technique. Total body water, muscle mass in the trunk, legs, hands, and total body protein were measured by this method. The data were analyzed using t-test, paired t-test, and one-way ANOVA methods. Results: Diabetic women aged 50-60 years showed that their body weight, total protein, total muscle, right-hand muscle mass, left-hand muscle mass, right foot muscle mass, left foot muscle mass, and trunk muscle mass were higher than healthy matched women, and the differences were significant. Conclusion: Diabetic women aged 50-60 years showed the most significant difference compared to other age groups. It seems that diabetes along with the changes in humeral status in this age group due to menopause affected their body weight, total muscle mass, hand and leg muscles, and trunk muscles mass, and total body protein compared to healthy matched women. However, diabetic men showed no significant difference in the studied variables compared to healthy male subjects.


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