LOSS OF POSTERIOR OCCLUDING TEETH AND ITS ASSOCIATION WITH PROTEIN-MICRONUTRIENTS INTAKE AND MUSCLE MASS AMONG THAI ELDERS: A PILOT STUDY

2019 ◽  
pp. 1-4
Author(s):  
B. Treesattayakul ◽  
T. Winuprasith ◽  
B. Theeranuluk ◽  
D. Trachootham
Keyword(s):  
Older Adults ◽  
Muscle Mass ◽  
Large Scale ◽  
Outcome Measurement ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Protein Food ◽  
Cross Sectional ◽  
Posterior Teeth

Contact between upper and lower posterior teeth is crucial for chewing. However, the influence of posterior occluding teeth loss on protein intake and muscle mass was unclear. This cross-sectional study compared consumption frequency of protein food, amount of protein and relevant micronutrient intakes and muscle mass indices among older adults with different Eichner indices (EI) of posterior occluding teeth loss. Ninety Thai healthy adults were divided into three groups (N=30 each) according EI with statistically comparable characters. Food frequency questionnaire, 4-days diet record, and bioelectrical impedance analysis were used for outcome measurement. Our findings suggested that loss of posterior occluding teeth on both sides was associated with less frequent consumption of meat, nut, egg, fish and dairy products, inadequate intakes of protein (< 0.8 g/kg body weight), iron and vitamin B12, and reduced muscle mass indices in older adults. Future large-scale cohort studies are warranted to confirm these findings.

Performance of a Novel Handheld Bioelectrical Impedance Device for Assessing Muscle Mass in Older Inpatients

2021 ◽  
pp. 1-7
Author(s):  
A.K. Stuck ◽  
A. Weber ◽  
R. Wittwer ◽  
A. Limacher ◽  
R.W. Kressig
Keyword(s):  
Muscle Mass ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Mean Difference ◽  
Second Phase ◽  
Cross Sectional ◽  
Rehabilitation Hospital ◽  
Appendicular Skeletal Muscle ◽  
Older Inpatients

Objectives: To investigate practicality and repeatability of a handheld compared to a state-of-the-art multisegmental bioelectrical impedance analysis (BIA) device to facilitate screening of sarcopenia in older inpatients. Design and setting: Cross-sectional study in a geriatric rehabilitation hospital. Participants: 207 inpatients aged 70+. Measurements: In a first phase, appendicular skeletal muscle mass index (ASMI) was measured using the handheld Biody xpertZm II BIA device (n=100). In a second phase, ASMI was obtained using the multisegmental Biacorpus RX 4004M device (n=107). Repeatability of BIA devices was compared in subgroups of patients (handheld BIA device: n=36, multisegmental BIA device: n=46) by intra-class correlation (ICC) and Bland-Altman plots. Results: Overall, measurement failure was seen in 31 patients (31%) tested with the handheld BIA device compared to one patient (0.9%) using the multisegmental BIA device (p<0.001). Main reasons for measurement failure were inability of patients to adopt the position necessary to use the handheld BIA device and device failure. The mean difference of two ASMI measurements in the same patient was 0.32 (sd 0.85) using the handheld BIA device compared to 0.02 kg/m2 (sd 0.07) using the multisegmental device (adjusted mean difference between both groups -0.35, 95% confidence interval (CI) -0.61 to -0.09 kg/m2). Congruently, Bland-Altman plots showed poor agreement with the handheld compared to the multisegmental BIA device. Conclusion: The handheld BIA device is neither a practical nor reliable device for assessing muscle mass in older rehabilitation inpatients.

scholarly journals The Relationship between “Shofuku-Fujin” (Abnormality of Abdominal Examination in Japanese Kampo Medicine) and Body Composition by Bioelectrical Impedance Analysis: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tatsuya Ishige ◽  
Hiroshi Odaguchi ◽  
Toshihiko Hanawa
Keyword(s):  
Muscle Mass ◽  
Body Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Body Fat Percentage ◽  
Lower Body ◽  
Sectional Study ◽  
Fat Percentage ◽  
Cross Sectional

Shofuku-fujin is an abnormal physical finding in Kampo medical practice. It is assumed to be often found in the elderly and contributes to the selection of Kampo formulas used mainly in elderly patients. However, few objective reports about Shofuku-fujin have been published to date. The aim of this study was to clarify the clinical features of patients showing Shofuku-fujin by using bioelectrical impedance analysis (BIA) and to objectively assess the potential clinical implications of these findings. We conducted a cross-sectional study of 1330 patients who visited our institute to undergo a medical examination by using data collected from September 2010 to March 2016. We extracted data on patient sex and age, anthropometric data, and body composition data that could potentially affect the appearance of Shofuku-fujin. Logistic regression analyses were performed by sex to analyze the various factors related to the appearance of Shofuku-fujin. Of the 1330 patients, the data of 386 men and 942 women were used for analysis. Multivariate logistic regression analysis showed that Shofuku-fujin was associated with older age (odds ratio (OR), 1.07; 95% confidence interval (CI), 1.05–1.10; p  < 0.001), lower skeletal muscle mass index (SMI) (OR, 0.60; 95% CI, 0.43–0.85; p  = 0.004), and lower body fat percentage (OR, 0.89; 95% CI, 0.85–0.93; p  < 0.001) in men and older age (OR, 1.06; 95% CI, 1.04–1.07, p  < 0.001) and lower body fat percentage (OR, 0.94; 95% CI, 0.92–0.96; p  < 0.001) in women. On the basis of these results, the factors causing the appearance of Shofuku-fujin were aging, decreased muscle mass, and decreased body fat in men and aging and decreased body fat in women. Our results demonstrated that it may be better to consider a loss of muscle mass when examining a male patient with Shofuku-fujin.

scholarly journals The Relationship Between Physical Activity and the Presence of Sarcopenia in Older Adults: A Taiwanese Cross-sectional Study

2021 ◽  
Author(s):  
Yun-Chen Ko ◽  
Wei-Chu Chie ◽  
Tai-Yin Wu ◽  
Chin-Yu Ho ◽  
Wen-Ruey Yu
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Short Version ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

Abstract To the best of our knowledge, none of Taiwanese studies on the relationship between physical activity (PA) and sarcopenia by the latest 2019 Asian Working Group for Sarcopenia (AWGS) cutoff points of sarcopenia has been published. We used the Taiwan version of international physical activity questionnaire-short version and the 2019 AWGS diagnostic criteria of sarcopenia to examine the relationship between PA and sarcopenia in older adults. Volunteers in this cross-sectional study were recruited from those attending senior health checkup program held at a regional hospital in Taipei City from May 2019 to Sep 2019. Muscle strength was assessed by grip strength, physical performance was assessed by usual gait speed on a 6-meter course, and muscle mass was measured by bioelectrical impedance analysis. Multiple logistic regression was used to analyze the relationship between PA and sarcopenia. 565 participants were recruited and data from 500 participants were used. 138 (27.6%) participants were classified as having sarcopenia, which included 87 women and 51 men. Among women, compared with those with low PA, moderate to high PA protected against the risk of sarcopenia with the adjusted odds ratio (aOR)=0.52 (95% CI: 0.27-0.98, p-value=0.043). As for men, the aOR was 0.34 (95% CI: 0.12-0.95, p-value=0.039). A significant protective effect of PA on sarcopenia was found among the older adults after adjusting for confounders, especially for the male participants.

Weight-adjusted waist index reflects fat and muscle mass in the opposite direction in older adults

2020 ◽  
Author(s):  
Nam Hoon Kim ◽  
Yousung Park ◽  
Nan Hee Kim ◽  
Sin Gon Kim
Keyword(s):  
Older Adults ◽  
Body Composition ◽  
Muscle Mass ◽  
Fat Mass ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Visceral Fat Area ◽  
Cross Sectional ◽  
Age Related ◽  
Anthropometric Index

Abstract Background Age-related changes in body composition include decreased muscle mass and preserved or increased fat mass. There is no anthropometric index to assess both muscle and fat mass. Methods Using a cross-sectional sample of 602 participants aged ≥65 years from the Ansan Geriatric study, we evaluated the association of weight-adjusted waist index (WWI) with muscle and fat mass and compared these with body mass index (BMI) and waist circumference (WC). WWI was calculated as WC (cm) divided by the square root of body weight (kg). Body composition was measured using bioelectrical impedance analysis, dual-energy X-ray absorptiometry and abdominal computed tomography. Results WWI positively correlated with total abdominal fat area (TFA) (r = 0.421, P &lt; 0.001), visceral fat area (VFA) (r = 0.264, P &lt; 0.001), and percentage of total tissue fat (r = 0.465, P &lt; 0.001), but negatively correlated with appendicular skeletal muscle mass (ASM) (r = −0.511, P &lt; 0.001) and ASM/height2 (r = −0.324, P &lt; 0.001). Mean ASM was highest in the first quartile of WWI (17.85 kg/m2) and showed a decreasing trend, with the lowest value in the fourth WWI quartile (13.21 kg/m2, P for trend &lt;0.001). In contrast, mean TFA was lowest in the first quartile and highest in the fourth WWI quartile (P for trend &lt;0.001). The probability of combined low muscle mass and high fat mass was &gt;3× higher in the fourth WWI quartile than in the lowest quartile (odds ratio 3.22, 95% confidence interval 1.32–7.83). Conclusions WWI is an anthropometric index positively associated with fat mass and negatively associated with muscle mass in older adults.

scholarly journals A cross-sectional study about the relationship between physical activity and sarcopenia in Taiwanese older adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yun-Chen Ko ◽  
Wei-Chu Chie ◽  
Tai-Yin Wu ◽  
Chin-Yu Ho ◽  
Wen-Ruey Yu
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Short Version ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

AbstractTo the best of our knowledge, none of Taiwanese studies on the relationship between physical activity (PA) and sarcopenia by the latest 2019 Asian Working Group for Sarcopenia (AWGS) cutoff points of sarcopenia has been published. We used the Taiwan version of international physical activity questionnaire-short version and the 2019 AWGS diagnostic criteria of sarcopenia to examine the relationship between PA and sarcopenia in older adults. Volunteers in this cross-sectional study were recruited from those attending senior health checkup program held at a regional hospital in Taipei City from May 2019 to Sep 2019. Muscle strength was assessed by grip strength, physical performance was assessed by usual gait speed on a 6-m course, and muscle mass was measured by bioelectrical impedance analysis. Multiple logistic regression was used to analyze the relationship between PA and sarcopenia. Odds ratios and corresponding 95% confidence intervals were calculated. 565 participants were recruited and data from 500 participants were used. The study participants had a mean age of 73.87 years old, with 47% men and 53% women. 138 (27.6%) participants were classified as having sarcopenia, among which 48 (45.3%) in low PA participants and 90 (22.8%) in moderate to high PA participants. Compared with those with low PA, moderate to high PA protected against the risk of sarcopenia with the odds ratio (OR) 0.46 (95% CI 0.27–0.79, p-value = 0.005). A significant protective effect of PA on sarcopenia was found among the older adults after adjusting for sex, institutionalization, age, BMI, albumin, hemoglobin, HDL-C levels, history of cardiovascular disease, education level and alcohol drinking.

scholarly journals Gender-specific analysis for the association between trunk muscle mass and spinal pathologies

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yusuke Hori ◽  
Masatoshi Hoshino ◽  
Kazuhide Inage ◽  
Masayuki Miyagi ◽  
Shinji Takahashi ◽  
...  
Keyword(s):  
Muscle Mass ◽  
Bioelectrical Impedance ◽  
Vertical Axis ◽  
Impedance Analysis ◽  
Poor Quality ◽  
Trunk Muscle ◽  
Sagittal Vertical Axis ◽  
Cross Sectional ◽  
Lower Trunk ◽  
Significant Difference

AbstractWe investigated the relationship between trunk muscle mass and spinal pathologies by gender. This multicenter cross-sectional study included patients aged ≥ 30 years who visited a spinal outpatient clinic. Trunk and appendicular muscle mass were measured using bioelectrical impedance analysis. The Oswestry Disability Index (ODI), visual analog scale (VAS) score for low back pain, sagittal vertical axis (SVA), and EuroQol 5 Dimension (EQ5D) score were investigated to evaluate spinal pathology. The association between trunk muscle mass and these parameters was analyzed by gender using a non-linear regression model adjusted for patients’ demographics. We investigated the association between age and trunk muscle mass. We included 781 men and 957 women. Trunk muscle mass differed significantly between men and women, although it decreased with age after age 70 in both genders. Lower trunk muscle mass was significantly associated with ODI, SVA, and EQ5D score deterioration in both genders; its association with VAS was significant only in men. Most parameters deteriorated when trunk muscle mass was < 26 kg in men and < 19 kg in women. Lower trunk muscle mass was associated with lumbar disability, spinal imbalance, and poor quality of life in both genders, with significant difference in muscle mass.

scholarly journals Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study

2017 ◽  
Vol 135 (5) ◽  
pp. 434-443 ◽  
Author(s):  
Ricardo Aurélio Carvalho Sampaio ◽  
Priscila Yukari Sewo Sampaio ◽  
Luz Albany Arcila Castaño ◽  
João Francisco Barbieri ◽  
Hélio José Coelho Júnior ◽  
...  
Keyword(s):  
Older Adults ◽  
Skeletal Muscle ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Appendicular Skeletal Muscle ◽  
Appendicular Skeletal Muscle Mass

scholarly journals Usefulness of foot-to-foot bioimpedance analysis for assessing volume status in chronic hemodialysis patients at the Aristide Le Dantec University Hospital (Senegal)

2021 ◽  
Vol 5 (2) ◽  
pp. 056-060
Author(s):  
Keita Niakhaleen ◽  
Faye Maria ◽  
Seck Sidy Mouhamed ◽  
Ndong Boucar ◽  
Faye Moustapha ◽  
...  
Keyword(s):  
Bioelectrical Impedance ◽  
Dry Weight ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
University Hospital ◽  
Single Frequency ◽  
Cross Sectional ◽  
Before And After

Introduction: Determination of dry weight is one of the daily goals to achieve in hemodialysis. The aim of this study was to validate the use of bioelectrical impedance analysis (BIA) in estimation of dry weight in a population of Senegalese chronic hemodialysis patients. Patients and methods: A 9-week cross-sectional study was carried out at the hemodialysis unit of Aristide Le Dantec University Hospital. Adult patients with no previous hospital history were included. The total body water (TBW) was measured with a single frequency bioelectric impedance foot-to-foot analyzer, before and after six successive hemodialysis sessions. These results were compared with those from clinical measurements with the Watson equation using a Student’s t-test and Bland-Altman analysis. Results: 264 measurements were made in 22 patients (46.6 years, 54.5% men, 92.3 months on dialysis, 62.7 kg mean dry weight). A significant reduction in weight (ΔWeight = 2.0 ± 1.1 kg; p < 0.0001) and in TBW measured by the BIA (ΔTBWBIA = 3.3 ± 1.0 liters; p < 0.0001)) or calculated by Watson’s equation (ΔTBWWatson = 0.5 ± 0.2 liter; p = 0.0001) was observed. There was a strong linear correlation and agreement between the 2 TBW measurements in pre-dialysis. In post-dialysis the concordance diagram indicated a bias = –2.2 and wide agreement limits. Conclusion: The BIA allows reproducible and reliable measurements and a fair estimate of the TBW in pre-dialysis.

scholarly journals Comparison of visceral fat area measured by CT and bioelectrical impedance analysis in Chinese patients with gastric cancer: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036335
Author(s):  
Bo Gao ◽  
Yu Liu ◽  
Chao Ding ◽  
Shunli Liu ◽  
Xiaotian Chen ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Bioelectrical Impedance Analysis ◽  
Visceral Obesity ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Limits Of Agreement ◽  
Visceral Fat Area ◽  
Cross Sectional

ObjectivesBioelectrical impedance analysis (BIA) is a simple and inexpensive method to estimate body composition. However, the accuracy of BIA is unknown. We aimed to assess the accuracy of BIA in estimating visceral fat area (VFA) in patients with gastric cancer.Study designThis was a cross-sectional study comparing the accuracy of BIA in estimating VFA with the gold standard method measured by CT. VFA was measured in enrolled patients both by CT and BIA. VFA by CT at umbilical level ≥100 cm2 was considered as visceral obesity. Reliability between the two methods was assessed by intraclass correlation coefficient (ICC) and consistency was assessed by Bland-Altman method (95% limits of agreement). The area under the receiver operating characteristic curve (AUROC) was used to assess the performance of BIA in diagnosing visceral obesity.SettingThe study was conducted in China.ParticipantsFrom 1 January 2017 to 1 December 2018, a total of 157 patients diagnosed with gastric cancer were enrolled.ResultsOverall, VFA by CT and BIA in patients was 84.39±46.43 cm2 and 71.94±22.44 cm2, respectively. VFA estimated by BIA was positively correlated with VFA measured by CT using Pearson’s test (r=0.650, p<0.001). Overall, ICC for the two methods was 0.675. The mean bias between the two measurements was 12.45±36.13 cm2. The 95% limits of agreement ranged from −58.36 cm2 to 83.26 cm2. The cut-off value for diagnosing visceral obesity by BIA was 81 cm2 (AUROC: 0.822, p<0.001, 95% CI 0.758 to 0.887).ConclusionsVFA measured by BIA showed satisfactory reliability with that measured by CT. However, the absolute values of the two methods were not interchangeable. The cut-off value for VFA by BIA in diagnosing visceral obesity was 81 cm2 for patients with gastric cancer in the Chinese population.

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