Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography
Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography
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DOI：
10.1111/ggi.14079
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发表时间：
2020-11-23
影响因子：
3.3
通讯作者：
Ogawa, Sumito
中科院分区：
文献类型：
--
作者：
Ogawa, Nami;Wakabayashi, Hidetaka;Ogawa, Sumito
目的探讨无肌减少性吞咽困难与肌减少性吞咽困难患者的二腹肌质量和肌肉强度。方法选取年龄为bb0 = 65岁的患者。根据肌少性吞咽困难的诊断算法，将患者分为无肌少性吞咽困难和肌少性吞咽困难两组。对握力、步态速度、骨骼肌质量、舌压、简易营养评估和食物摄入水平量表进行了调查。超声检查二腹肌质量和强度。对两组进行单因素和多因素分析。进行多因素logistic回归分析以确定肌减少性吞咽困难存在的独立因素。为了估计诊断肌肉减少性吞咽困难的准确性，对二腹肌质量和强度进行了受试者工作特征曲线分析。结果45例患者（平均+/- SD， 84.3 +/- 7.8岁，男性22例，女性23例），其中无肌减少性吞咽困难19例，肌减少性吞咽困难26例。在肌肉减少性吞咽困难中，与没有肌肉减少性吞咽困难的患者相比，BMI、食物摄入水平量表、Mini营养评估- short形式更低，肌肉质量更小，肌肉强度更大。在多变量logistic回归分析中，二腹肌质量和强度被确定为肌减少性吞咽困难的独立因素。肌肉质量的临界值为75.1 mm(2)（曲线下面积0.731，灵敏度0.692，特异性0.737），肌肉强度为27.8（曲线下面积0.823，灵敏度0.923，特异性0.632）。结论肌减少性吞咽困难患者的二腹肌质量比非肌减少性吞咽困难患者小，肌肉强度大。超声检查二腹肌，以及舌和膝舌骨肌是有用的。Geriatr Gerontol Int中心点中心点；圆心圆心圆心圆心圆心圆心圆心圆心圆心圆心圆心Geriatr Gerontol Int 2020；中心网点中心网点：中心网点中心网点中心网点中心网点中心网点。
Aim The aim of this study was to investigate digastric muscle mass and intensity between no sarcopenic dysphagia and sarcopenic dysphagia.Methods Patients aged >= 65 years were enrolled. According to the diagnostic algorithm for sarcopenic dysphagia, the patients were divided into two groups, no sarcopenic dysphagia and sarcopenic dysphagia. Handgrip strength, gait speed, skeletal muscle mass, tongue pressure, Mini Nutritional Assessment-Short Form and Food Intake LEVEL Scale were investigated. Digastric muscle mass and intensity were examined by ultrasonography. Univariate and multivariate analyses were performed to analyze two groups. Multivariate logistic regression analysis was performed to determine independent factors for the presence of sarcopenic dysphagia. To estimate the accuracy of diagnosing sarcopenic dysphagia, a receiver operating characteristic curve analysis was performed for digastric muscle mass and intensity.Results Forty-five patients (mean +/- SD, 84.3 +/- 7.8 years, 22 men, 23 women) including 19 no sarcopenic dysphagia and 26 sarcopenic dysphagia were examined. In sarcopenic dysphagia, lower BMI, Food Intake LEVEL Scale, Mini Nutritional Assessment-Short Form and smaller muscle mass and greater muscle intensity were found compared with no sarcopenic dysphagia. In multivariate logistic regression analysis, digastric muscle mass and intensity were identified as independent factors for sarcopenic dysphagia. The cut-off value of muscle mass was 75.1 mm(2) (area under curve: 0.731, sensitivity: 0.692, specificity: 0.737) and muscle intensity was 27.8 (area under curve: 0.823, sensitivity: 0.923, specificity: 0.632).Conclusions Digastric muscle mass was smaller and muscle intensity was greater in sarcopenic dysphagia than no sarcopenic dysphagia. Ultrasonography of digastric muscle, as well as the tongue and geniohyoid muscle, is useful. Geriatr Gerontol Int center dot center dot; center dot center dot: center dot center dot-center dot center dot Geriatr Gerontol Int 2020; center dot center dot: center dot center dot-center dot center dot.