Associations of swallowing-related muscle quantity and quality with sarcopenic parameters
Associations of swallowing-related muscle quantity and quality with sarcopenic parameters
复制标题
吞咽相关肌肉数量和质量与肌肉减少症参数的关联
DOI：
10.1007/s41999-023-00747-4
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发表时间：
2023
影响因子：
3.8
通讯作者：
Tohara Haruka
中科院分区：
文献类型：
--
作者：
Yamaguchi Kohei;Nakagawa Kazuharu;Yoshimi Kanako;Ariya Chantaramanee;Nakane Ayako;Ishii Miki;Hasegawa Shohei;Tohara Haruka
目的研究吞咽相关肌肉特征与肌肉减少参数之间的关系。方法我们纳入了147名社区居住的老年人（年龄：71.6 ± 4.7岁，体重指数：23.0 ± 2.7 kg/m2（平均值±标准差），男性：50;女性：97），并根据2019年亚洲肌肉减少症工作组的诊断标准将其分为强健（n= 125）、低功能（n= 17）和肌肉减少症（n= 5）组。我们评估了颏舌骨肌（GHM）和舌特征（肌肉数量和质量）。横截面积（CSA）表示肌肉数量，回波强度（EI）值表示肌肉质量。结果握力（GHM的CSA：β= 1.64，p = 0.03）和骨骼肌质量指数（舌的CSA：β= 74.81，p = 0.003，舌的EI：β= 1.92，p = 0.009）是吞咽相关肌肉特征的较好指标。
PurposeTo examine the associations between swallowing-related muscle characteristics and sarcopenic parameters.MethodsWe included 147 community-dwelling older adults (age: 71.6 ± 4.7 years, body mass index: 23.0 ± 2.7 kg/m2(mean ± standard deviation), men: 50; women: 97) and categorized them into robust (n= 125), low-function (n= 17), and sarcopenia (n= 5) groups based on the diagnostic criteria of the Asia Working Group for Sarcopenia 2019. We evaluated the geniohyoid muscle (GHM) and tongue characteristics (muscle quantity and quality). The cross-sectional area (CSA) indicated the muscle quantity, and echo intensity (EI) values indicated the muscle quality. A multiple regression analysis was performed to clarify the relationship of swallowing-related muscle characteristics and strength with sarcopenic parameters.ResultsThe grip strength (CSA of GHM:β= 1.64,p= 0.03) and skeletal muscle mass index (CSA of tongue:β= 74.81,p= 0.003, EI of tongue:β= 1.92,p= 0.009) were better indicators of swallowing-related muscle characteristics.ConclusionThese findings may facilitate the early detection of aging-related deterioration in swallowing-related musculature through the diagnostic process of sarcopenia and increase our understanding of muscle physiology.