Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients
Objectives This study aimed to examine whether the decrease in muscular echo-intensity of the quadriceps by ultrasound in older inpatients is related to the improvement of gait independence than the increase of muscle thickness. Design Longitudinal study Setting Hospital-based study Participants Thi...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2023-02, Vol.27 (2), p.103-110 |
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| creator | Akazawa, Naoki Kishi, M. Hino, T. Tsuji, R. Tamura, K. Hioka, A. Moriyama, H. |
| description | Objectives
This study aimed to examine whether the decrease in muscular echo-intensity of the quadriceps by ultrasound in older inpatients is related to the improvement of gait independence than the increase of muscle thickness.
Design
Longitudinal study
Setting
Hospital-based study
Participants
This study included 171 inpatients aged ≥ 65 years (median age: 84.0 [77.0–88.0], 56.1% female). Patients who were able to walk independently at hospital admission were excluded from the study.
Measurements
Improvement of gait independence during hospital stay was assessed using the change in Functional Independence Measure (FIM) gait score (i.e., FIM gait score at hospital discharge minus FIM gait score at hospital admission) and FIM gait score at hospital discharge. Muscular echo-intensity and muscle thickness of the quadriceps were assessed at hospital admission and discharge using ultrasound images, respectively. Muscular echo-intensity has been shown to be mainly related to intramuscular adipose tissue. Multiple linear regression analysis was performed to identify the factors independently associated with the change in FIM gait score and FIM gait score at discharge.
Results
Change in quadriceps echo-intensity was independently and significantly associated with the change in FIM gait score (β = −0.22, p = 0.017) and FIM gait score at hospital discharge (β = −0.21, p = 0.017). In contrast, change in quadriceps thickness was not independently and significantly associated with the change in FIM gait score (β = 0.16, p = 0.050) and FIM gait score at hospital discharge (β = 0.15, p = 0.050).
Conclusions
Our study indicates that a decrease in muscular echo-intensity of the quadriceps by ultrasound is more related to the improvement of gait independence than an increase of muscle thickness in older inpatients. Intervention for intramuscular adipose tissue of the quadriceps may be important for improving gait independence in older inpatients. |
| doi_str_mv | 10.1007/s12603-023-1880-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2778979245</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2778979245</sourcerecordid><originalsourceid>FETCH-LOGICAL-c481t-ed42449f203bf3701d0364a1f879b9689ab3ec2a0b5395a97f9731ecad75185e3</originalsourceid><addsrcrecordid>eNp1kV9r1jAUh4M43Jx-AG8k4I03dUnT5s-ljDkLG2Njuw5peurb2aY1Jx28H8Tva8o7FQRvkkCe3-8ceAh5x9knzpg6Q15KJgpWioJrzQr5gpxwJVlRKa1f5nepTKEUU8fkNeIjY1VttHxFjoXUTGpZn5Cf1yv6dXSRXvjdXDQhQcAh7enc07QDeru6Lg4eFqTtnj6MKTqc19DRBun1HIHewegSdDTNtJmWOD_BBCFt8Us3JNqEDhbIR_CQC12g28AR6P1u8N8DINIh0Juxg5jZxaUhp_ENOerdiPD2-T4lD18u7s-_Flc3l83556vCV5qnArqqrCrTl0y0vVCMd0zIyvFeK9MaqY1rBfjSsbYWpnZG9UYJDt51qua6BnFKPh568-I_VsBkpwE9jKMLMK9oS6W0Uaas6ox--Ad9nNcY8nYbpUzFjBaZ4gfKxxkxQm-XOEwu7i1ndnNmD85sdmY3Z1bmzPvn5rWdoPuT-C0pA-UBwPwVvkH8O_r_rb8AV06ikQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2777940983</pqid></control><display><type>article</type><title>Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Alma/SFX Local Collection</source><creator>Akazawa, Naoki ; Kishi, M. ; Hino, T. ; Tsuji, R. ; Tamura, K. ; Hioka, A. ; Moriyama, H.</creator><creatorcontrib>Akazawa, Naoki ; Kishi, M. ; Hino, T. ; Tsuji, R. ; Tamura, K. ; Hioka, A. ; Moriyama, H.</creatorcontrib><description>Objectives
This study aimed to examine whether the decrease in muscular echo-intensity of the quadriceps by ultrasound in older inpatients is related to the improvement of gait independence than the increase of muscle thickness.
Design
Longitudinal study
Setting
Hospital-based study
Participants
This study included 171 inpatients aged ≥ 65 years (median age: 84.0 [77.0–88.0], 56.1% female). Patients who were able to walk independently at hospital admission were excluded from the study.
Measurements
Improvement of gait independence during hospital stay was assessed using the change in Functional Independence Measure (FIM) gait score (i.e., FIM gait score at hospital discharge minus FIM gait score at hospital admission) and FIM gait score at hospital discharge. Muscular echo-intensity and muscle thickness of the quadriceps were assessed at hospital admission and discharge using ultrasound images, respectively. Muscular echo-intensity has been shown to be mainly related to intramuscular adipose tissue. Multiple linear regression analysis was performed to identify the factors independently associated with the change in FIM gait score and FIM gait score at discharge.
Results
Change in quadriceps echo-intensity was independently and significantly associated with the change in FIM gait score (β = −0.22, p = 0.017) and FIM gait score at hospital discharge (β = −0.21, p = 0.017). In contrast, change in quadriceps thickness was not independently and significantly associated with the change in FIM gait score (β = 0.16, p = 0.050) and FIM gait score at hospital discharge (β = 0.15, p = 0.050).
Conclusions
Our study indicates that a decrease in muscular echo-intensity of the quadriceps by ultrasound is more related to the improvement of gait independence than an increase of muscle thickness in older inpatients. Intervention for intramuscular adipose tissue of the quadriceps may be important for improving gait independence in older inpatients.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-023-1880-6</identifier><identifier>PMID: 36806865</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Adipose Tissue ; Aged ; Aged, 80 and over ; Aging ; Body fat ; Female ; Gait ; Geriatrics/Gerontology ; Humans ; Inpatient care ; Inpatients ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Muscle strength ; Neurosciences ; Nutrition ; Older people ; Original Research ; Primary Care Medicine ; Quadriceps Muscle ; Quality of Life Research ; Rehabilitation ; Ultrasonic imaging ; Walking</subject><ispartof>The Journal of nutrition, health & aging, 2023-02, Vol.27 (2), p.103-110</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2023</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2023.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-ed42449f203bf3701d0364a1f879b9689ab3ec2a0b5395a97f9731ecad75185e3</citedby><cites>FETCH-LOGICAL-c481t-ed42449f203bf3701d0364a1f879b9689ab3ec2a0b5395a97f9731ecad75185e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-023-1880-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-023-1880-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36806865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akazawa, Naoki</creatorcontrib><creatorcontrib>Kishi, M.</creatorcontrib><creatorcontrib>Hino, T.</creatorcontrib><creatorcontrib>Tsuji, R.</creatorcontrib><creatorcontrib>Tamura, K.</creatorcontrib><creatorcontrib>Hioka, A.</creatorcontrib><creatorcontrib>Moriyama, H.</creatorcontrib><title>Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
This study aimed to examine whether the decrease in muscular echo-intensity of the quadriceps by ultrasound in older inpatients is related to the improvement of gait independence than the increase of muscle thickness.
Design
Longitudinal study
Setting
Hospital-based study
Participants
This study included 171 inpatients aged ≥ 65 years (median age: 84.0 [77.0–88.0], 56.1% female). Patients who were able to walk independently at hospital admission were excluded from the study.
Measurements
Improvement of gait independence during hospital stay was assessed using the change in Functional Independence Measure (FIM) gait score (i.e., FIM gait score at hospital discharge minus FIM gait score at hospital admission) and FIM gait score at hospital discharge. Muscular echo-intensity and muscle thickness of the quadriceps were assessed at hospital admission and discharge using ultrasound images, respectively. Muscular echo-intensity has been shown to be mainly related to intramuscular adipose tissue. Multiple linear regression analysis was performed to identify the factors independently associated with the change in FIM gait score and FIM gait score at discharge.
Results
Change in quadriceps echo-intensity was independently and significantly associated with the change in FIM gait score (β = −0.22, p = 0.017) and FIM gait score at hospital discharge (β = −0.21, p = 0.017). In contrast, change in quadriceps thickness was not independently and significantly associated with the change in FIM gait score (β = 0.16, p = 0.050) and FIM gait score at hospital discharge (β = 0.15, p = 0.050).
Conclusions
Our study indicates that a decrease in muscular echo-intensity of the quadriceps by ultrasound is more related to the improvement of gait independence than an increase of muscle thickness in older inpatients. Intervention for intramuscular adipose tissue of the quadriceps may be important for improving gait independence in older inpatients.</description><subject>Adipose Tissue</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Body fat</subject><subject>Female</subject><subject>Gait</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Inpatients</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle strength</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Original Research</subject><subject>Primary Care Medicine</subject><subject>Quadriceps Muscle</subject><subject>Quality of Life Research</subject><subject>Rehabilitation</subject><subject>Ultrasonic imaging</subject><subject>Walking</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kV9r1jAUh4M43Jx-AG8k4I03dUnT5s-ljDkLG2Njuw5peurb2aY1Jx28H8Tva8o7FQRvkkCe3-8ceAh5x9knzpg6Q15KJgpWioJrzQr5gpxwJVlRKa1f5nepTKEUU8fkNeIjY1VttHxFjoXUTGpZn5Cf1yv6dXSRXvjdXDQhQcAh7enc07QDeru6Lg4eFqTtnj6MKTqc19DRBun1HIHewegSdDTNtJmWOD_BBCFt8Us3JNqEDhbIR_CQC12g28AR6P1u8N8DINIh0Juxg5jZxaUhp_ENOerdiPD2-T4lD18u7s-_Flc3l83556vCV5qnArqqrCrTl0y0vVCMd0zIyvFeK9MaqY1rBfjSsbYWpnZG9UYJDt51qua6BnFKPh568-I_VsBkpwE9jKMLMK9oS6W0Uaas6ox--Ad9nNcY8nYbpUzFjBaZ4gfKxxkxQm-XOEwu7i1ndnNmD85sdmY3Z1bmzPvn5rWdoPuT-C0pA-UBwPwVvkH8O_r_rb8AV06ikQ</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Akazawa, Naoki</creator><creator>Kishi, M.</creator><creator>Hino, T.</creator><creator>Tsuji, R.</creator><creator>Tamura, K.</creator><creator>Hioka, A.</creator><creator>Moriyama, H.</creator><general>Springer Paris</general><general>Springer Nature B.V</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20230201</creationdate><title>Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients</title><author>Akazawa, Naoki ; Kishi, M. ; Hino, T. ; Tsuji, R. ; Tamura, K. ; Hioka, A. ; Moriyama, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-ed42449f203bf3701d0364a1f879b9689ab3ec2a0b5395a97f9731ecad75185e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adipose Tissue</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Body fat</topic><topic>Female</topic><topic>Gait</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Inpatients</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle strength</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Original Research</topic><topic>Primary Care Medicine</topic><topic>Quadriceps Muscle</topic><topic>Quality of Life Research</topic><topic>Rehabilitation</topic><topic>Ultrasonic imaging</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akazawa, Naoki</creatorcontrib><creatorcontrib>Kishi, M.</creatorcontrib><creatorcontrib>Hino, T.</creatorcontrib><creatorcontrib>Tsuji, R.</creatorcontrib><creatorcontrib>Tamura, K.</creatorcontrib><creatorcontrib>Hioka, A.</creatorcontrib><creatorcontrib>Moriyama, H.</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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</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 China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akazawa, Naoki</au><au>Kishi, M.</au><au>Hino, T.</au><au>Tsuji, R.</au><au>Tamura, K.</au><au>Hioka, A.</au><au>Moriyama, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>27</volume><issue>2</issue><spage>103</spage><epage>110</epage><pages>103-110</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
This study aimed to examine whether the decrease in muscular echo-intensity of the quadriceps by ultrasound in older inpatients is related to the improvement of gait independence than the increase of muscle thickness.
Design
Longitudinal study
Setting
Hospital-based study
Participants
This study included 171 inpatients aged ≥ 65 years (median age: 84.0 [77.0–88.0], 56.1% female). Patients who were able to walk independently at hospital admission were excluded from the study.
Measurements
Improvement of gait independence during hospital stay was assessed using the change in Functional Independence Measure (FIM) gait score (i.e., FIM gait score at hospital discharge minus FIM gait score at hospital admission) and FIM gait score at hospital discharge. Muscular echo-intensity and muscle thickness of the quadriceps were assessed at hospital admission and discharge using ultrasound images, respectively. Muscular echo-intensity has been shown to be mainly related to intramuscular adipose tissue. Multiple linear regression analysis was performed to identify the factors independently associated with the change in FIM gait score and FIM gait score at discharge.
Results
Change in quadriceps echo-intensity was independently and significantly associated with the change in FIM gait score (β = −0.22, p = 0.017) and FIM gait score at hospital discharge (β = −0.21, p = 0.017). In contrast, change in quadriceps thickness was not independently and significantly associated with the change in FIM gait score (β = 0.16, p = 0.050) and FIM gait score at hospital discharge (β = 0.15, p = 0.050).
Conclusions
Our study indicates that a decrease in muscular echo-intensity of the quadriceps by ultrasound is more related to the improvement of gait independence than an increase of muscle thickness in older inpatients. Intervention for intramuscular adipose tissue of the quadriceps may be important for improving gait independence in older inpatients.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>36806865</pmid><doi>10.1007/s12603-023-1880-6</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1279-7707 1760-4788 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals; Alma/SFX Local Collection |
| subjects | Adipose Tissue Aged Aged, 80 and over Aging Body fat Female Gait Geriatrics/Gerontology Humans Inpatient care Inpatients Longitudinal Studies Male Medicine Medicine & Public Health Muscle strength Neurosciences Nutrition Older people Original Research Primary Care Medicine Quadriceps Muscle Quality of Life Research Rehabilitation Ultrasonic imaging Walking |
| title | Muscular Echo-Intensity of the Quadriceps by Ultrasound Is More Related to Improvement of Gait Independence than Muscle Thickness in Older Inpatients |
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