Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography
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- Nami Ogawa
- Department of Dysphagia Rehabilitation Tokyo Medical and Dental University Tokyo Japan
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- Hidetaka Wakabayashi
- Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital Tokyo Japan
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- Takashi Mori
- Department of Oral and Maxillofacial Surgery Southern Tohoku General Hospital Fukushima Japan
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- Ichiro Fujishima
- Department of Rehabilitation Medicine Hamamatsu City Rehabilitation Hospital Shizuoka Japan
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- Fumiko Oshima
- Department of Rehabilitation Medicine Suwa Red Cross Hospital Nagano Japan
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- Masataka Itoda
- Department of Oral Rehabilitation Osaka Dental University Hospital Osaka Japan
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- Kenjiro Kunieda
- Department of Rehabilitation Medicine Hamamatsu City Rehabilitation Hospital Shizuoka Japan
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- Takashi Shigematsu
- Department of Rehabilitation Medicine Seirei Awaji Hospital Awaji Japan
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- Shinta Nishioka
- Department of Clinical Nutrition and Food Services Nagasaki Rehabilitation Hospital Nagasaki Japan
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- Haruka Tohara
- Department of Dysphagia Rehabilitation Tokyo Medical and Dental University Tokyo Japan
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- Tomohisa Ohno
- Department of Dentistry Hamamatsu City Rehabilitation Hospital Shizuoka Japan
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- Akiko Nomoto
- Department of Dentistry Hamamatsu City Rehabilitation Hospital Shizuoka Japan
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- Akio Shimizu
- Department of Nutrition Hamamatsu City Rehabilitation Hospital Shizuoka Japan
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- Minoru Yamada
- Graduate School of Comprehensive Human Sciences University of Tsukuba Tokyo Japan
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- Sumito Ogawa
- Department of Geriatric Medicine, Graduate School of Medicine University of Tokyo Tokyo Japan
Abstract
<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>
Journal
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- Geriatrics & Gerontology International
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Geriatrics & Gerontology International 21 (1), 14-19, 2020-11-23
Wiley
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Details 詳細情報について
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- CRID
- 1360009142589588480
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- ISSN
- 14470594
- 14441586
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- Data Source
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- Crossref
- KAKEN