The Comparative Associations of Ultrasound and Computed Tomography Estimates of Muscle Quality with Physical Performance and Metabolic Parameters in Older Men

Autor: Nilo A. Avila, Marc R. Blackman, Frank Liu, Syed H. Zaidi, Catheeja Ismail, Bryant A. Seamon, June Zhou, Courtney A Kassner, Michael O. Harris-Love, Bernadette Adams
Rok vydání: 2018
Předmět:
Zdroj: Journal of Clinical Medicine
Volume 7
Issue 10
Journal of Clinical Medicine, Vol 7, Iss 10, p 340 (2018)
ISSN: 2077-0383
Popis: Estimates of muscle tissue composition may have greater prognostic value than lean body mass levels regarding health-related outcomes. Ultrasound provides a relatively low cost, safe, and accessible mode of imaging to assess muscle morphology. The purpose of this study was to determine the construct validity of muscle echogenicity as a surrogate measure of muscle quality in a sample of older, predominantly African American (AA) participants. We examined the association of rectus femoris echogenicity with mid-thigh computed tomography (CT) scan estimates of intra- and intermuscular adipose tissue (IMAT), basic metabolic parameters via blood sample analysis, muscle strength, and mobility status. This observational study was conducted at a federal medical center and included 30 community-dwelling men (age, 62.5 ±
9.2
AA, n = 24
Caucasian, n = 6). IMAT estimates were significantly associated with echogenicity (r = 0.73, p <
0.001). Echogenicity and IMAT exhibited similar associations with the two-hour postprandial glucose values and high-density lipoproteins values (p <
0.04), as well as grip and isokinetic (180°
/s) knee extension strength adjusted for body size (p <
0.03). The significant relationship between ultrasound and CT muscle composition estimates, and their comparative association with key health-related outcomes, suggests that echogenicity should be further considered as a surrogate measure of muscle quality.
Databáze: OpenAIRE