scholarly journals The product of trunk muscle area and density on the CT image is a good indicator of energy expenditure in patients with or at risk for COPD

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Toru Shirahata ◽  
Hideaki Sato ◽  
Sanehiro Yogi ◽  
Kaiji Inoue ◽  
Mamoru Niitsu ◽  
...  

Abstract Background Physical inactivity due to cachexia and muscle wasting is well recognized as a sign of poor prognosis in chronic obstructive pulmonary disease (COPD). However, there have been no reports on the relationship between trunk muscle measurements and energy expenditure parameters, such as the total energy expenditure (TEE) and physical activity level (PAL), in COPD. In this study, we investigated the associations of computed tomography (CT)-derived muscle area and density measurements with clinical parameters, including TEE and PAL, in patients with or at risk for COPD, and examined whether these muscle measurements serve as an indicator of TEE and PAL. Methods The study population consisted of 36 male patients with (n = 28, stage 1–4) and at risk for (n = 8) COPD aged over 50 years. TEE was measured by the doubly labeled water method, and PAL was calculated as the TEE/basal metabolic rate estimated by the indirect method. The cross-sectional areas and densities of the pectoralis muscles, rectus abdominis muscles, and erector spinae muscles were measured. We evaluated the relationship between these muscle measurements and clinical outcomes, including body composition, lung function, muscle strength, TEE, and PAL. Results All the muscle areas were significantly associated with TEE, severity of emphysema, and body composition indices such as body mass index, fat-free mass, and trunk muscle mass. All trunk muscle densities were correlated with PAL. The product of the rectus abdominis muscle area and density showed the highest association with TEE (r = 0.732) and PAL (r = 0.578). Several trunk muscle measurements showed significant correlations with maximal inspiratory and expiratory pressures, indicating their roles in respiration. Conclusions CT-derived measurements for trunk muscles are helpful in evaluating physical status and function in patients with or at risk for COPD. Particularly, trunk muscle evaluation may be a useful marker reflecting TEE and PAL.

2020 ◽  
Vol 28 (2) ◽  
pp. 269-275
Author(s):  
Ece Acar ◽  
Tamer Çankaya ◽  
Serkan Öner

Trunk muscles are required for safety of movement in aging. The authors aimed to investigate the relationship between trunk muscle thickness and the static postural balance in older adults. A total of 31 females and 23 males with a mean age of 73.39 ± 6.09 completed the study. The thickness of the trunk muscles was determined with ultrasound imaging. Postural balance was assessed with force plate. There was a positive weak correlation between right and left upper rectus abdominis muscle thickness and anterior stability area (p < .05, r > .3). The negative and moderate correlation was determined between the left lower rectus abdominis and the perturbated stability sway value (p < .01, r > .5). The increase in trunk muscle thickness in older adults increases the postural stability area and decreases the postural sway especially in the mediolateral direction.


2019 ◽  
Vol 28 (7) ◽  
pp. 682-691 ◽  
Author(s):  
Kunal Bhanot ◽  
Navpreet Kaur ◽  
Lori Thein Brody ◽  
Jennifer Bridges ◽  
David C. Berry ◽  
...  

Context:Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.Objective:To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.Design:Descriptive.Setting:University campus.Participants:Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).Intervention:Surface electromyographic data were collected on 22 healthy adults of the erector spinae, external oblique, and rectus abdominis bilaterally, and gluteus medius and gluteus maximus muscle of the stance leg. A 2-way repeated measures analysis of variance was used to determine the interaction between the percentage maximal voluntary isometric contraction (%MVIC) and the reach directions. The %MVIC for each muscle was compared across the 8 reach directions using the Sidak post hoc test withαat .05.Main Outcome Measures:%MVIC.Results:Significant differences were observed for all the 8 muscles. Highest electromyographic activity was found for the tested muscles in the following reach directions—ipsilateral external oblique (44.5% [38.4%]): anterolateral; contralateral external oblique (52.3% [40.8%]): medial; ipsilateral rectus abdominis (8% [6.6%]): anterior; contralateral rectus abdominis (8% [5.3%]): anteromedial; ipsilateral erector spinae (46.4% [20.2%]): posterolateral; contralateral erector spinae (33.5% [11.3%]): posteromedial; gluteus maximus (27.4% [11.7%]): posterior; and gluteus medius (54.6% [26.1%]): medial direction.Conclusions:Trunk and hip muscle activation was direction dependent during the SEBT. This information can be used during rehabilitation of the hip and the trunk muscles.


Author(s):  
Yuki Kurokawa ◽  
Satoshi Kato ◽  
Satoru Demura ◽  
Kazuya Shinmura ◽  
Noriaki Yokogawa ◽  
...  

BACKGROUND: Abdominal bracing is effective in strengthening the trunk muscles; however, assessing performance can be challenging. We created a device for performing abdominal trunk muscle exercises. The effectiveness of this device has not yet been evaluated or compared OBJECTIVE: We aimed to quantify muscle activity levels during exercise using our innovative device and to compare them with muscle activation during abdominal bracing maneuvers. METHODS: This study included 10 men who performed abdominal bracing exercises and exercises using our device. We measured surface electromyogram (EMG) activities of the rectus abdominis (RA), external oblique, internal oblique (IO), and erector spinae (ES) muscles in each of the exercises. The EMG data were normalized to those recorded during maximal voluntary contraction (%EMGmax). RESULTS: During the bracing exercise, the %EMGmax of IO was significantly higher than that of RA and ES (p< 0.05), whereas during the exercises using the device, the %EMGmax of IO was significantly higher than that of ES (p< 0.05). No significant difference was observed in the %EMGmax of any muscle between bracing exercises and the exercises using the device (p= 0.13–0.95). CONCLUSIONS: The use of our innovative device results in comparable activation to that observed during abdominal bracing.


2002 ◽  
Vol 20 (2) ◽  
pp. 371-378 ◽  
Author(s):  
Hendrik J. Agteresch ◽  
Trinet Rietveld ◽  
Leon G.M. Kerkhofs ◽  
J. Willem O. van den Berg ◽  
J. H. Paul Wilson ◽  
...  

PURPOSE: In a randomized clinical trial in patients with advanced non–small-cell lung cancer (NSCLC), infusion with adenosine 5′-triphosphate (ATP) inhibited loss of body weight and quality of life. In the present article, the effects of ATP on body composition, energy intake, and energy expenditure as secondary outcome measures in the same patients are reported. PATIENTS AND METHODS: Patients with NSCLC, stage IIIB or IV, were randomized to receive either 10 intravenous, 30-hour ATP infusions every 2 to 4 weeks or no ATP. Fat mass (FM), fat-free mass (FFM), and arm muscle area were assessed at 4-week intervals for 28 weeks. Food intake, body cell mass (BCM), and resting energy expenditure (REE) were assessed at 8-week intervals for 16 weeks. Between-group differences were tested for statistical significance by repeated-measures analysis of covariance. RESULTS: Fifty-eight patients were randomized (28 ATP, 30 control). No change in body composition over the 28-week follow-up period was found in the ATP group, whereas, per 4 weeks, the control group lost 0.6 kg of FM (P = .004), 0.5 kg of FFM (P = .02), 1.8% of arm muscle area (P = .02), and 0.6% of BCM/kg body weight (P = .054) and decreased 568 KJ/d in energy intake (P = .0001). Appetite also remained stable in the ATP group but decreased significantly in the control group (P = .0004). No significant differences in REE between the ATP and control groups were observed. CONCLUSION: The inhibition of weight loss by ATP infusions in patients with advanced NSCLC is attributed to counteracting the loss of both metabolically active and inactive tissues. These effects are partly ascribed to maintenance of energy intake.


1996 ◽  
Vol 8 (1) ◽  
pp. 15-26 ◽  
Author(s):  
Robert H. DuRant ◽  
William O. Thompson ◽  
Maribeth Johnson ◽  
Tom Baranowski

This follow-up investigation examined the relationship among observed time of television watching, physical activity, and body composition in 5- to 6-year-old children previously studied 2 years ago. Activity level on school and nonschool days was measured with the Children’s Activity Rating Scale. Television watching time was assessed by direct observation, and body composition was measured with the body mass index, skinfold thicknesses, and waist/hip ratio. Television watching behavior, which increased from the earlier study, was not associated with body composition. Physical activity was lower during television watching than nontelevision watching time.


2019 ◽  
Vol 03 (01) ◽  
pp. E12-E18
Author(s):  
Vidar Andersen ◽  
Marius Fimland ◽  
Atle Saeterbakken

AbstractThe aim of the study was to compare the one-armed vs. two-armed American kettlebell swing on trunk muscle activation. Fifteen resistance-trained men performed ten repetitions of both exercises using a 14-kg kettlebell. Surface EMG from the erector spinae, rectus abdominis and external oblique muscles were collected on both sides of the trunk. The erector spinae activation during the one-armed swing was 14–25% higher on the contralateral compared to the ipsilateral side in both exercises (Cohen’s d effect size [ES]=0.41–0.71, p ˂ 0.001–0.034). Further, the contralateral side was 14% more activated during the two-armed swing compared to the ipsilateral side during the one-armed swing (ES=0.43, p=0.009). For the rectus abdominis muscle, the two-armed swing induced higher activation of the rectus abdominis compared to the one-armed swing on both the contralateral (40%, ES=0.48, p=0.040) and ipsilateral side (59%, ES=0.83, p=0.002). There were no differences for the external oblique muscle (p=0.495–0.662). In conclusion, the trunk activation patterns of the two exercises were different, which could be explained by different biomechanics in the two exercises, and could thus have complimentary effects. We recommend that both unilateral and bilateral execution of the American kettlebell swing is included over time.


2018 ◽  
Vol 73 (8) ◽  
pp. 1149-1154 ◽  
Author(s):  
Taishi Midorikawa ◽  
Yuki Hikihara ◽  
Megumi Ohta ◽  
Takafumi Ando ◽  
Suguru Torii ◽  
...  

2009 ◽  
Vol 13 (4) ◽  
pp. 224-230
Author(s):  
Anna Czajkowska ◽  
Grażyna Lutosławska ◽  
Krzysztof Mazurek ◽  
Jadwiga Ambroszkiewicz ◽  
Anna Kęska ◽  
...  

2008 ◽  
Vol 295 (5) ◽  
pp. E1126-E1131 ◽  
Author(s):  
Kelly B. Scribner ◽  
Dorota B. Pawlak ◽  
Cristin M. Aubin ◽  
Joseph A. Majzoub ◽  
David S. Ludwig

A high-glycemic index (GI) diet has been shown to increase adiposity in rodents; however, the long-term metabolic effects of a low- and high-GI diet have not been examined. In this study, a total of 48 male 129SvPas mice were fed diets high in either rapidly absorbed carbohydrate (RAC; high GI) or slowly absorbed carbohydrate (SAC; low GI) for up to 40 wk. Diets were controlled for macronutrient and micronutrient content, differing only in starch type. Body composition and insulin sensitivity were measured longitudinally by DEXA scan and oral glucose tolerance test, respectively. Food intake, respiratory quotient, physical activity, and energy expenditure were assessed using metabolic cages. Despite having similar mean body weights, mice fed the RAC diet had 40% greater body fat by the end of the study and a mean 2.2-fold greater insulin resistance compared with mice fed the SAC diet. Respiratory quotient was higher in the RAC group, indicating comparatively less fat oxidation. Although no differences in energy expenditure were observed throughout the study, total physical activity was 45% higher for the SAC-fed mice after 38 wk of feeding. We conclude that, in this animal model, 1) the effect of GI on body composition is mediated by changes in substrate oxidation, not energy intake; 2) a high-GI diet causes insulin resistance; and 3) dietary composition can affect physical activity level.


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