Relationship between muscle thickness and calf circumference in healthy older women

Fraiz, Gabriela Macedo; Gallo, Luiza Herminia; Rabito, Estela Iraci; Gomes, Anna Raquel Silveira; Schieferdecker, Maria Eliana Madalozzo

doi:10.1016/j.archger.2019.103942

Cited by 13 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the same way, acceptable ultrasound correlations have been observed between the muscle mass of the biceps and arm circumference [ 26 ], and between the rectus femoris thickness and calf circumference [ 27 ]. However, in a recent study [ 28 ] the correlation between calf circumference and muscle thickness of the medial gastrocnemius was non-significant in those with excess weight. The authors suggest that ultrasound may offer greater precision in the quantification of skeletal muscle in the calf, since subcutaneous fat is excluded.…”

Section: Discussionmentioning

confidence: 98%

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

et al. 2021

View full text Add to dashboard Cite

Background: The aim of this work was to assess whether the muscle thickness and echogenicity were associated with dysphagia, malnutrition, sarcopenia, and functional capacity in acute hospital admission for a hip fracture. Methods: Observational study that assessed nutritional status by Global Leadership Initiative on Malnutrition, risk of dysphagia and sarcopenia by European Working Group on Sarcopenia in Older People and Barthel functional index. We measured muscle thickness and echogenicity of masseter, bicipital, and quadriceps rectus femoris (RF) and vastus intermedius (VI) by ultrasound. Results: One hundred and one patients were included in the study (29.7% sarcopenia and 43.8% malnutrition). Logistic regression models adjusted for age, sex, and body mass index showed an inverse association of the masseter thickness with both sarcopenia (OR: 0.56) and malnutrition (OR: 0.38) and quadriceps with sarcopenia (OR: 0.74). In addition, patients at high risk of dysphagia had lower masseter thickness (p: 0.0001) while patients able to self-feeding had thicker biceps (p: 0.002) and individuals with mobility on level surfaces higher thickness of biceps (p: 0.008) and quadriceps (p: 0.04). Conclusion: Thickness of the masseter was associated with risk of dysphagia, biceps with the ability to self-feed, and that of the quadriceps RF-VI with mobility.

show abstract

Section: Discussionmentioning

confidence: 98%

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Calf circumference is a reliable indicator for assessing muscle mass because it is correlated with medial gastrocnemius muscle thickness measured using ultrasound (r = 0.432; p < 0.001) [90]. The calf circumference is measured at the maximum point with the patients seated or in the recumbent position at a 90° angle of the knee.…”

Section: Calf Circumferencementioning

confidence: 99%

Measuring and Monitoring Skeletal Muscle Mass and Dysfunction After Stroke

Nakanishi¹,

Okura²,

Okamura³

et al. 2021

Preprint

View full text Add to dashboard Cite

Muscle mass at admission is important to survive stroke, and stroke-induced sarcopenia is a serious problem because of its poor prognosis. Muscle mass measurement and monitoring are essential for appropriate re-habilitation and nutrition management. Several methods are used to assess skeletal muscle mass in stroke, such as computed tomography (CT), ultrasonography, bioelectrical impedance analysis, dual-energy X-ray absorptiometry, biomarkers, and anthropometrics. In stroke, a head CT is used to estimate muscle mass by measuring the temporal muscle. However, it is mostly retrospectively conducted due to radiation exposure. After stroke, limb muscle atrophy and diaphragm dysfunction are observed using ultrasound. However, ultrasound requires an understanding of the methods and skill. A bioelectrical impedance analysis can be used to assess muscle mass in patients after a stroke unless they have dynamic fluid changes. Dual-energy X-ray absorptiometry is used for follow-up after hospital discharge. Urinary titin N-fragment and serum C-terminal agrin fragment reflect muscle atrophy after stroke. Anthropometrics may be useful with limited resources. We summarized the features of each measurement and proved the recent evidence to properly measure and monitor skeletal muscle mass after stroke.

show abstract

“…Nutritional assessment using calf circumference (CC) has been used as a non-invasive method [ 23 , 24 , 25 ]. Although CC is a simple assessment, it may not accurately assess skeletal muscle mass in individuals with edema or obesity [ 26 , 27 ]. In contrast, skeletal muscle assessment using US has recently gained attention as a simple and non-invasive nutritional assessment tool that is less susceptible to the effects of edema and subcutaneous fat.…”

Section: Introductionmentioning

confidence: 99%

The Validity of Quadriceps Muscle Thickness as a Nutritional Risk Indicator in Patients with Stroke

Maruyama,

Kagaya,

Kajiwara

et al. 2024

Nutrients

View full text Add to dashboard Cite

This study aimed to investigate whether quadriceps muscle thickness (QMT) is useful for nutritional assessment in patients with stroke. This was a retrospective cohort study. Nutritional risk was assessed using the Geriatric Nutritional Risk Index (GNRI), with GNRI < 92 indicating a risk of malnutrition and GNRI ≥ 92 indicating normal conditions. Muscle mass was assessed using QMT and calf circumference (CC). The outcome was Functional Independence Measure (FIM) effectiveness. The cutoff values of QMT and CC for discriminating between high and low GNRI were determined using the receiver operating characteristic curve. The accuracy of the nutritional risk discrimination model was evaluated using the Matthews correlation coefficient (MCC). Multiple regression analysis was performed to assess the relationship between nutritional risk, as defined by QMT and CC, and FIM effectiveness. A total of 113 patients were included in the analysis. The cutoff values of QMT and CC for determining nutritional risk were 49.630 mm and 32.0 cm for men (MCC: 0.576; 0.553) and 41.185 mm and 31.0 cm for women (MCC: 0.611; 0.530). Multiple regression analysis showed that only nutritional risk defined by QMT was associated with FIM effectiveness. These findings indicate that QMT is valid for assessing nutritional risk in patients with stroke.

show abstract

Relationship between muscle thickness and calf circumference in healthy older women

Cited by 13 publications

References 25 publications

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture

Measuring and Monitoring Skeletal Muscle Mass and Dysfunction After Stroke

The Validity of Quadriceps Muscle Thickness as a Nutritional Risk Indicator in Patients with Stroke

Contact Info

Product

Resources

About