Publication: Usefulness of Muscle Ultrasonography in the Nutritional Assessment of Adult Patients with Cystic Fibrosis.
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Date
2022-08-17
Authors
Sánchez-Torralvo, Francisco José
Porras, Nuria
Ruiz-García, Ignacio
Maldonado-Araque, Cristina
García-Olivares, María
Girón, María Victoria
Gonzalo-Marín, Montserrat
Olveira, Casilda
Olveira, Gabriel
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Abstract
Background: Muscle ultrasonography of the quadriceps rectus femoris (QRF) is a technique on the rise in the assessment of muscle mass in application of nutritional assessment. The aim of the present study is to assess the usefulness of muscle ultrasonography in patients with cystic fibrosis, comparing the results with other body composition techniques such as anthropometry, bioelectrical impedance analysis (BIA), dual-energy X-ray absorptiometry (DXA), and handgrip strength (HGS). At the same time, we intend to assess the possible association with the nutritional and respiratory status. Methods: This was a prospective observational study in adult patients with cystic fibrosis in a clinically stable situation. Muscle ultrasonography of the QRF was performed, and the results were compared with other measures of body composition: anthropometry, BIA, and DXA. HGS was used to assess muscle function. Respiratory parameters were collected, and nutritional status was assessed using Global Leadership Initiative on Malnutrition (GLIM) criteria. Results: A total of 48 patients were included, with a mean age of 34.1 ± 8.8 years. In total, 24 patients were men, and 24 patients were women. Mean BMI was 22.5 ± 3.8 kg/m2. Mean muscular area rectus anterior (MARA) was 4.09 ± 1.5 cm2, and mean muscular circumference rectus was 8.86 ± 1.61 cm. A positive correlation was observed between the MARA and fat-free mass index (FFMI) determined by anthropometry (r = 0.747; p
Description
MeSH Terms
Absorptiometry, Photon
Adult
Body Composition
Body Mass Index
Cystic Fibrosis
Electric Impedance
Female
Hand Strength
Humans
Male
Malnutrition
Nutrition Assessment
Nutritional Status
Quadriceps Muscle
Ultrasonography
Adult
Body Composition
Body Mass Index
Cystic Fibrosis
Electric Impedance
Female
Hand Strength
Humans
Male
Malnutrition
Nutrition Assessment
Nutritional Status
Quadriceps Muscle
Ultrasonography
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CIE Terms
Keywords
GLIM criteria, cystic fibrosis, malnutrition, muscle mass, muscle ultrasound, ultrasonography