SONOGRAPHIC THIGH ADJUSTMENT RATIO - STAR A Golden Formula for the Diagnosis of Sarcopenia.

Abstract:

OBJECTIVES:To explore an individualized sonographic muscle thickness ratio and its cut-off values in the diagnosis of sarcopenia. DESIGN:A total of 326 community-dwelling adults were included in this cross-sectional study. Total skeletal muscle mass was evaluated by bioelectrical impedance analysis, and 9-site muscle thickness measurements using ultrasound. Isometric handgrip and knee extension strengths were assessed. Physical performance was evaluated by usual gait speed, chair stand test (CST) and timed up and go test (TUG). RESULTS:Since the anterior thigh muscle thickness was the most significantly decreasing measurement with aging and the most significantly related value with body mass and height; sonographic thigh adjustment ratio (STAR) was calculated by dividing it with body mass index. Using the two standard deviation values of our healthy young adults; STAR cut-off values were found as 1.4 and 1.0 for males and females, respectively. STAR values were negatively correlated with CST and TUG tests in both genders (all p<0.05) and positively correlated with gait speed in females and knee extension strength in males (both p<0.05). CONCLUSIONS:Our results imply that regional (rather than total) muscle mass measurements should be taken into consideration for the diagnosis of sarcopenia.

journal_name

Am J Phys Med Rehabil

authors

Kara M,Kaymak B,Ata AM,Özkal Ö,Kara Ö,Baki A,Ayçiçek GŞ,Topuz S,Karahan S,Soylu AR,Çakir B,Halil M,Özçakar L

doi

10.1097/PHM.0000000000001439

subject

Has Abstract

pub_date

2020-04-03 00:00:00

eissn

0894-9115

issn

1537-7385

pub_type

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