Intramuscular adipose tissue of the quadriceps is more strongly related to recovery of swallowing ability than is muscle mass in older inpatients: A prospective study
This study aimed to examine whether intramuscular adipose tissue of the quadriceps at admission is related to the recovery of swallowing ability during a hospital stay in older inpatients. This prospective study included 344 inpatients ages ≥ 65 y. Those who had stroke that was the obvious cause of...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2021-11, Vol.91-92, p.111364-111364, Article 111364 |
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| container_title | Nutrition (Burbank, Los Angeles County, Calif.) |
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| creator | Akazawa, Naoki Kishi, Masaki Hino, Toshikazu Tsuji, Ryota Tamura, Kimiyuki Hioka, Akemi Moriyama, Hideki |
| description | This study aimed to examine whether intramuscular adipose tissue of the quadriceps at admission is related to the recovery of swallowing ability during a hospital stay in older inpatients.
This prospective study included 344 inpatients ages ≥ 65 y. Those who had stroke that was the obvious cause of dysphagia were excluded. Recovery of swallowing ability was assessed using Food Intake Level Scale (FILS) score at discharge and FILS change. Ultrasound images were acquired at admission. Intramuscular adipose tissue and muscle mass of the quadriceps were assessed based on echo intensity and muscle thickness, respectively. Multiple regression analysis was performed to examine whether quadriceps echo intensity is independently associated with FILS score at discharge and FILS change. The independent variables were quadriceps echo intensity and thickness, subcutaneous fat thickness of the thigh, Barthel Index score at admission, age, sex, number of medications, C-reactive protein, updated Charlson Comorbidity Index, FILS score at admission, Geriatric Nutritional Risk Index, days from disease onset, length of hospital stay, and units of rehabilitation therapy.
Quadriceps echo intensity was independently and significantly associated with FILS score at discharge (β = −0.15, P < 0.01) and FILS change (β = −0.19, P < 0.01). Quadriceps thickness was not independently and significantly associated with FILS score at discharge or FILS change.
The present study revealed that intramuscular adipose tissue of the quadriceps in older inpatients is more strongly related to recovery of swallowing ability than is muscle mass.
•We examined the relationship between intramuscular adipose tissue of the quadriceps at admission and recovery of swallowing ability in older inpatients.•Increased intramuscular adipose tissue was more strongly related to worse recovery of swallowing ability than was loss of muscle mass.•Assessing intramuscular adipose tissue of the quadriceps is important for predicting recovery of swallowing ability.•Intervention for intramuscular adipose tissue may be important for improving swallowing ability in older inpatients. |
| doi_str_mv | 10.1016/j.nut.2021.111364 |
| format | Article |
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This prospective study included 344 inpatients ages ≥ 65 y. Those who had stroke that was the obvious cause of dysphagia were excluded. Recovery of swallowing ability was assessed using Food Intake Level Scale (FILS) score at discharge and FILS change. Ultrasound images were acquired at admission. Intramuscular adipose tissue and muscle mass of the quadriceps were assessed based on echo intensity and muscle thickness, respectively. Multiple regression analysis was performed to examine whether quadriceps echo intensity is independently associated with FILS score at discharge and FILS change. The independent variables were quadriceps echo intensity and thickness, subcutaneous fat thickness of the thigh, Barthel Index score at admission, age, sex, number of medications, C-reactive protein, updated Charlson Comorbidity Index, FILS score at admission, Geriatric Nutritional Risk Index, days from disease onset, length of hospital stay, and units of rehabilitation therapy.
Quadriceps echo intensity was independently and significantly associated with FILS score at discharge (β = −0.15, P < 0.01) and FILS change (β = −0.19, P < 0.01). Quadriceps thickness was not independently and significantly associated with FILS score at discharge or FILS change.
The present study revealed that intramuscular adipose tissue of the quadriceps in older inpatients is more strongly related to recovery of swallowing ability than is muscle mass.
•We examined the relationship between intramuscular adipose tissue of the quadriceps at admission and recovery of swallowing ability in older inpatients.•Increased intramuscular adipose tissue was more strongly related to worse recovery of swallowing ability than was loss of muscle mass.•Assessing intramuscular adipose tissue of the quadriceps is important for predicting recovery of swallowing ability.•Intervention for intramuscular adipose tissue may be important for improving swallowing ability in older inpatients.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2021.111364</identifier><identifier>PMID: 34246889</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of daily living ; Adipose tissue ; Adipose Tissue - diagnostic imaging ; Aged ; Body fat ; Body mass index ; C-reactive protein ; comorbidity ; Deglutition ; Discharge ; Dysphagia ; fat thickness ; Food intake ; hospitals ; Humans ; Image acquisition ; Independent variables ; Inpatients ; Intramuscular adipose tissue ; Length of stay ; Malnutrition ; Multiple regression analysis ; Muscle mass ; muscle tissues ; Muscles ; Nutrition ; nutrition risk assessment ; Occupational therapy ; Older inpatients ; Physical therapy ; Prospective Studies ; Quadriceps ; Quadriceps muscle ; Quadriceps Muscle - diagnostic imaging ; Recovery ; Recovery (Medical) ; regression analysis ; Rehabilitation ; Strength training ; stroke ; subcutaneous fat ; Swallowing ; Swallowing ability ; therapeutics ; Thickness ; Thigh ; Ultrasonic imaging ; ultrasonics</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2021-11, Vol.91-92, p.111364-111364, Article 111364</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-aa9d939e70c3417e0b4ffdcc334b6c6c9f5ed4848f967b08f945835ab637a9ee3</citedby><cites>FETCH-LOGICAL-c480t-aa9d939e70c3417e0b4ffdcc334b6c6c9f5ed4848f967b08f945835ab637a9ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0899900721002264$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34246889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akazawa, Naoki</creatorcontrib><creatorcontrib>Kishi, Masaki</creatorcontrib><creatorcontrib>Hino, Toshikazu</creatorcontrib><creatorcontrib>Tsuji, Ryota</creatorcontrib><creatorcontrib>Tamura, Kimiyuki</creatorcontrib><creatorcontrib>Hioka, Akemi</creatorcontrib><creatorcontrib>Moriyama, Hideki</creatorcontrib><title>Intramuscular adipose tissue of the quadriceps is more strongly related to recovery of swallowing ability than is muscle mass in older inpatients: A prospective study</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>This study aimed to examine whether intramuscular adipose tissue of the quadriceps at admission is related to the recovery of swallowing ability during a hospital stay in older inpatients.
This prospective study included 344 inpatients ages ≥ 65 y. Those who had stroke that was the obvious cause of dysphagia were excluded. Recovery of swallowing ability was assessed using Food Intake Level Scale (FILS) score at discharge and FILS change. Ultrasound images were acquired at admission. Intramuscular adipose tissue and muscle mass of the quadriceps were assessed based on echo intensity and muscle thickness, respectively. Multiple regression analysis was performed to examine whether quadriceps echo intensity is independently associated with FILS score at discharge and FILS change. The independent variables were quadriceps echo intensity and thickness, subcutaneous fat thickness of the thigh, Barthel Index score at admission, age, sex, number of medications, C-reactive protein, updated Charlson Comorbidity Index, FILS score at admission, Geriatric Nutritional Risk Index, days from disease onset, length of hospital stay, and units of rehabilitation therapy.
Quadriceps echo intensity was independently and significantly associated with FILS score at discharge (β = −0.15, P < 0.01) and FILS change (β = −0.19, P < 0.01). Quadriceps thickness was not independently and significantly associated with FILS score at discharge or FILS change.
The present study revealed that intramuscular adipose tissue of the quadriceps in older inpatients is more strongly related to recovery of swallowing ability than is muscle mass.
•We examined the relationship between intramuscular adipose tissue of the quadriceps at admission and recovery of swallowing ability in older inpatients.•Increased intramuscular adipose tissue was more strongly related to worse recovery of swallowing ability than was loss of muscle mass.•Assessing intramuscular adipose tissue of the quadriceps is important for predicting recovery of swallowing ability.•Intervention for intramuscular adipose tissue may be important for improving swallowing ability in older inpatients.</description><subject>Activities of daily living</subject><subject>Adipose tissue</subject><subject>Adipose Tissue - diagnostic imaging</subject><subject>Aged</subject><subject>Body fat</subject><subject>Body mass index</subject><subject>C-reactive protein</subject><subject>comorbidity</subject><subject>Deglutition</subject><subject>Discharge</subject><subject>Dysphagia</subject><subject>fat thickness</subject><subject>Food intake</subject><subject>hospitals</subject><subject>Humans</subject><subject>Image acquisition</subject><subject>Independent variables</subject><subject>Inpatients</subject><subject>Intramuscular adipose tissue</subject><subject>Length of stay</subject><subject>Malnutrition</subject><subject>Multiple regression analysis</subject><subject>Muscle mass</subject><subject>muscle tissues</subject><subject>Muscles</subject><subject>Nutrition</subject><subject>nutrition risk assessment</subject><subject>Occupational therapy</subject><subject>Older inpatients</subject><subject>Physical therapy</subject><subject>Prospective Studies</subject><subject>Quadriceps</subject><subject>Quadriceps muscle</subject><subject>Quadriceps Muscle - diagnostic imaging</subject><subject>Recovery</subject><subject>Recovery (Medical)</subject><subject>regression analysis</subject><subject>Rehabilitation</subject><subject>Strength training</subject><subject>stroke</subject><subject>subcutaneous fat</subject><subject>Swallowing</subject><subject>Swallowing ability</subject><subject>therapeutics</subject><subject>Thickness</subject><subject>Thigh</subject><subject>Ultrasonic imaging</subject><subject>ultrasonics</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkc1u1DAUhS0EokPhAdggS2zYzGDHjhPDqqqgVKrEBtaWY98Uj5w49c9UeSGeEw9TumCBWN27-M65Pweh15TsKKHi_X43l7xrSEN3lFIm-BO0oX3HtrTh_CnakF7KrSSkO0MvUtoTQqgU8jk6Y7zhou_lBv28nnPUU0mmeB2xtm4JCXB2KRXAYcT5B-C7om10BpaEXcJTiIBTjmG-9SuO4HUGi3OorQkHiOtRlu619-HezbdYD867vFYnPf_W12Ee8KRTtZtx8BZibRadHcw5fcAXeIkhLWCyOxwnFbu-RM9G7RO8eqjn6PvnT98uv2xvvl5dX17cbA3vSd5qLa1kEjpiGKcdkIGPozWGMT4II4wcW7C85_0oRTeQWnjbs1YPgnVaArBz9O7kWze4K5Cymlwy4L2eIZSkmralkrJGiP9BiWgkl21F3_6F7kOJcz2kUlIQwiSVlaInytTrU4RRLdFNOq6KEnXMW-1VzVsd81anvKvmzYNzGSawj4o_AVfg4wmA-rWDg6iSqW82YF2NKysb3D_sfwEr0b6q</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Akazawa, Naoki</creator><creator>Kishi, Masaki</creator><creator>Hino, Toshikazu</creator><creator>Tsuji, Ryota</creator><creator>Tamura, Kimiyuki</creator><creator>Hioka, Akemi</creator><creator>Moriyama, Hideki</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope></search><sort><creationdate>202111</creationdate><title>Intramuscular adipose tissue of the quadriceps is more strongly related to recovery of swallowing ability than is muscle mass in older inpatients: A prospective study</title><author>Akazawa, Naoki ; Kishi, Masaki ; Hino, Toshikazu ; Tsuji, Ryota ; Tamura, Kimiyuki ; Hioka, Akemi ; Moriyama, Hideki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-aa9d939e70c3417e0b4ffdcc334b6c6c9f5ed4848f967b08f945835ab637a9ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of daily living</topic><topic>Adipose tissue</topic><topic>Adipose Tissue - diagnostic imaging</topic><topic>Aged</topic><topic>Body fat</topic><topic>Body mass index</topic><topic>C-reactive protein</topic><topic>comorbidity</topic><topic>Deglutition</topic><topic>Discharge</topic><topic>Dysphagia</topic><topic>fat thickness</topic><topic>Food intake</topic><topic>hospitals</topic><topic>Humans</topic><topic>Image acquisition</topic><topic>Independent variables</topic><topic>Inpatients</topic><topic>Intramuscular adipose tissue</topic><topic>Length of stay</topic><topic>Malnutrition</topic><topic>Multiple regression analysis</topic><topic>Muscle mass</topic><topic>muscle tissues</topic><topic>Muscles</topic><topic>Nutrition</topic><topic>nutrition risk assessment</topic><topic>Occupational therapy</topic><topic>Older inpatients</topic><topic>Physical therapy</topic><topic>Prospective Studies</topic><topic>Quadriceps</topic><topic>Quadriceps muscle</topic><topic>Quadriceps Muscle - diagnostic imaging</topic><topic>Recovery</topic><topic>Recovery (Medical)</topic><topic>regression analysis</topic><topic>Rehabilitation</topic><topic>Strength training</topic><topic>stroke</topic><topic>subcutaneous fat</topic><topic>Swallowing</topic><topic>Swallowing ability</topic><topic>therapeutics</topic><topic>Thickness</topic><topic>Thigh</topic><topic>Ultrasonic imaging</topic><topic>ultrasonics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akazawa, Naoki</creatorcontrib><creatorcontrib>Kishi, Masaki</creatorcontrib><creatorcontrib>Hino, Toshikazu</creatorcontrib><creatorcontrib>Tsuji, Ryota</creatorcontrib><creatorcontrib>Tamura, Kimiyuki</creatorcontrib><creatorcontrib>Hioka, Akemi</creatorcontrib><creatorcontrib>Moriyama, Hideki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akazawa, Naoki</au><au>Kishi, Masaki</au><au>Hino, Toshikazu</au><au>Tsuji, Ryota</au><au>Tamura, Kimiyuki</au><au>Hioka, Akemi</au><au>Moriyama, Hideki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intramuscular adipose tissue of the quadriceps is more strongly related to recovery of swallowing ability than is muscle mass in older inpatients: A prospective study</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2021-11</date><risdate>2021</risdate><volume>91-92</volume><spage>111364</spage><epage>111364</epage><pages>111364-111364</pages><artnum>111364</artnum><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>This study aimed to examine whether intramuscular adipose tissue of the quadriceps at admission is related to the recovery of swallowing ability during a hospital stay in older inpatients.
This prospective study included 344 inpatients ages ≥ 65 y. Those who had stroke that was the obvious cause of dysphagia were excluded. Recovery of swallowing ability was assessed using Food Intake Level Scale (FILS) score at discharge and FILS change. Ultrasound images were acquired at admission. Intramuscular adipose tissue and muscle mass of the quadriceps were assessed based on echo intensity and muscle thickness, respectively. Multiple regression analysis was performed to examine whether quadriceps echo intensity is independently associated with FILS score at discharge and FILS change. The independent variables were quadriceps echo intensity and thickness, subcutaneous fat thickness of the thigh, Barthel Index score at admission, age, sex, number of medications, C-reactive protein, updated Charlson Comorbidity Index, FILS score at admission, Geriatric Nutritional Risk Index, days from disease onset, length of hospital stay, and units of rehabilitation therapy.
Quadriceps echo intensity was independently and significantly associated with FILS score at discharge (β = −0.15, P < 0.01) and FILS change (β = −0.19, P < 0.01). Quadriceps thickness was not independently and significantly associated with FILS score at discharge or FILS change.
The present study revealed that intramuscular adipose tissue of the quadriceps in older inpatients is more strongly related to recovery of swallowing ability than is muscle mass.
•We examined the relationship between intramuscular adipose tissue of the quadriceps at admission and recovery of swallowing ability in older inpatients.•Increased intramuscular adipose tissue was more strongly related to worse recovery of swallowing ability than was loss of muscle mass.•Assessing intramuscular adipose tissue of the quadriceps is important for predicting recovery of swallowing ability.•Intervention for intramuscular adipose tissue may be important for improving swallowing ability in older inpatients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34246889</pmid><doi>10.1016/j.nut.2021.111364</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 2021-11, Vol.91-92, p.111364-111364, Article 111364 |
| issn | 0899-9007 1873-1244 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2551913266 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Activities of daily living Adipose tissue Adipose Tissue - diagnostic imaging Aged Body fat Body mass index C-reactive protein comorbidity Deglutition Discharge Dysphagia fat thickness Food intake hospitals Humans Image acquisition Independent variables Inpatients Intramuscular adipose tissue Length of stay Malnutrition Multiple regression analysis Muscle mass muscle tissues Muscles Nutrition nutrition risk assessment Occupational therapy Older inpatients Physical therapy Prospective Studies Quadriceps Quadriceps muscle Quadriceps Muscle - diagnostic imaging Recovery Recovery (Medical) regression analysis Rehabilitation Strength training stroke subcutaneous fat Swallowing Swallowing ability therapeutics Thickness Thigh Ultrasonic imaging ultrasonics |
| title | Intramuscular adipose tissue of the quadriceps is more strongly related to recovery of swallowing ability than is muscle mass in older inpatients: A prospective study |
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