The Mass of Geniohyoid Muscle is Associated with Maximum Tongue Pressure and Tongue Area in Patients with Sarcopenic Dysphagia
The Mass of Geniohyoid Muscle is Associated with Maximum Tongue Pressure and Tongue Area in Patients with Sarcopenic Dysphagia
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DOI：
10.1007/s12603-020-1528-8
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发表时间：
2020-11-11
影响因子：
5.8
通讯作者：
Ogawa, S.
中科院分区：
文献类型：
--
作者：
Mori, T.;Wakabayashi, Hidetaka;Ogawa, S.
目的应用超声技术研究缺肌性吞咽困难患者颏舌骨肌和舌肌质量与舌最大压力的关系。设计横断面研究。设置5家医院，包括3家急性和2家康复医院和1家老年设施。研究对象36例少肌性吞咽困难住院患者。超声检查颏舌骨肌和舌。计算颏舌骨肌和舌肌在矢状面上的面积以及肌面积的平均亮度水平（0-255）。研究了最大舌压作为吞咽肌的力量。偏相关系数和多元回归分析调整年龄和性别。结果平均年龄为81.1 ± 7.9岁。男子23岁。平均BMI为19.0 +/- 4.1。平均最大舌压为21.3 ± 9.3 kPa。颏舌骨肌的平均横截面积为140 +/- 47 mm（2）。颏舌骨肌的平均亮度为18.6 ± 9.0。舌肌的平均横截面积为1664.1 +/- 386.0 mm（2）。舌肌的平均亮度为34.1 +/- 10.6。颏舌骨肌面积与最大舌压呈显著正相关（r = 0.38，p = 0.04）。在多变量分析中，颏舌骨肌面积是最大舌压（p = 0.012）和舌肌面积（p = 0.031）的解释因素。结论颏舌骨肌质量是最大舌压和舌肌质量的独立解释因素。
Objectives We investigated the associations about the mass of geniohyoid and tongue muscle and the maximum tongue pressure in patients with sarcopenic dysphagia using ultrasonography. Design Cross sectional study. Setting 5 hospitals including 3 acute and 2 rehabilitation hospitals and 1 older facility. Participants 36 inpatients with sarcopenic dysphagia. Measurements Ultrasonography was performed for geniohyoid muscle and tongue. The area for geniohyoid and tongue muscles in sagittal plane and the mean brightness level (0-255) in the muscle area were calculated. Maximum tongue pressure as strength of swallowing muscle were investigated. Partial correlation coefficient and multiple regression analysis adjusting for age and sex were performed. Results The mean age was 81.1 +/- 7.9. Men were 23. The mean BMI was 19.0 +/- 4.1. The mean maximum tongue pressure was 21.3 +/- 9.3 kPa. The mean cross sectional area for geniohyoid muscles was 140 +/- 47 mm(2). The mean brightness for geniohyoid muscle was 18.6 +/- 9.0. The mean cross sectional area for tongue muscles was 1664.1 +/- 386.0 mm(2). The mean brightness for tongue muscles was 34.1 +/- 10.6. There was a significant positive correlation between area of geniohyoid muscle and maximum tongue pressure (r = 0.38, p = 0.04). Geniohyoid muscle area was an explanatory factor for maximum tongue pressure (p = 0.012) and tongue muscle area (p = 0.031) in multivariate analysis. Conclusions Geniohyoid muscle mass was an independent explanatory factor for maximum tongue pressure and tongue muscle mass.