Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography

  • Nami Ogawa
    Department of Dysphagia Rehabilitation Tokyo Medical and Dental University Tokyo Japan
  • Hidetaka Wakabayashi
    Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital Tokyo Japan
  • Takashi Mori
    Department of Oral and Maxillofacial Surgery Southern Tohoku General Hospital Fukushima Japan
  • Ichiro Fujishima
    Department of Rehabilitation Medicine Hamamatsu City Rehabilitation Hospital Shizuoka Japan
  • Fumiko Oshima
    Department of Rehabilitation Medicine Suwa Red Cross Hospital Nagano Japan
  • Masataka Itoda
    Department of Oral Rehabilitation Osaka Dental University Hospital Osaka Japan
  • Kenjiro Kunieda
    Department of Rehabilitation Medicine Hamamatsu City Rehabilitation Hospital Shizuoka Japan
  • Takashi Shigematsu
    Department of Rehabilitation Medicine Seirei Awaji Hospital Awaji Japan
  • Shinta Nishioka
    Department of Clinical Nutrition and Food Services Nagasaki Rehabilitation Hospital Nagasaki Japan
  • Haruka Tohara
    Department of Dysphagia Rehabilitation Tokyo Medical and Dental University Tokyo Japan
  • Tomohisa Ohno
    Department of Dentistry Hamamatsu City Rehabilitation Hospital Shizuoka Japan
  • Akiko Nomoto
    Department of Dentistry Hamamatsu City Rehabilitation Hospital Shizuoka Japan
  • Akio Shimizu
    Department of Nutrition Hamamatsu City Rehabilitation Hospital Shizuoka Japan
  • Minoru Yamada
    Graduate School of Comprehensive Human Sciences University of Tsukuba Tokyo Japan
  • Sumito Ogawa
    Department of Geriatric Medicine, Graduate School of Medicine University of Tokyo Tokyo Japan

抄録

<jats:sec><jats:title>Aim</jats:title><jats:p>The aim of this study was to investigate digastric muscle mass and intensity between no sarcopenic dysphagia and sarcopenic dysphagia.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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<jats:sup>2</jats:sup> (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).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>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. <jats:bold>Geriatr Gerontol Int 2021; 21: 14–19</jats:bold>.</jats:p></jats:sec>

収録刊行物

被引用文献 (4)*注記

もっと見る

参考文献 (30)*注記

もっと見る

関連プロジェクト

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ