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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Ultrasonography to Measure Swallowing Muscle Mass and Quality in Older Patients With Sarcopenic Dysphagia. |
| 掲載誌名 | 正式名：Journal of the American Medical Directors Association 略 称：J Am Med Dir Assoc ISSNコード：15389375/15258610 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 19(6),pp.516-522 |
| 著者・共著者 | Ogawa Nami, Mori Takashi, Fujishima Ichiro, Wakabayashi Hidetaka, Itoda Masataka, Kunieda Kenjiro, Shigematsu Takashi, Nishioka Shinta, Tohara Haruka, Yamada Minoru, Ogawa Sumito |
| 担当区分 | 責任著者 |
| 発行年月 | 2018/06 |
| 概要 | BACKGROUND:Sarcopenic dysphagia is characterized by difficulty swallowing due to a loss of whole-body skeletal and swallowing muscle mass and function. However, no study has reported on swallowing muscle mass and quality in patients with sarcopenic dysphagia.OBJECTIVE:To compare the differences in swallowing muscle mass and quality between sarcopenic and nonsarcopenic dysphagia.METHOD:A cross-sectional study was performed in 55 older patients, who had been recommended to undergo dysphagia assessment and/or rehabilitation. Sarcopenic dysphagia was diagnosed using a diagnostic algorithm for sarcopenic dysphagia. The thickness and area of tongue muscle and geniohyoid muscle (coronal plane and sagittal plane), and the echo-intensity of the tongue and geniohyoid muscles were examined by ultrasound.RESULTS:The study participants included 31 males and 24 females (mean age of 82 ± 7 years), with 14 having possible sarcopenic dysphagia, 22 probable sarcopenic dysphagia, and 19 without sarcopenic dysphagia. The group with sarcopenic dysphagia had a significantly lower cross-sectional area and area of brightness of the tongue muscle than that observed in the group without sarcopenic dysphagia. The most specific factor for identifying the presence of sarcopenic dysphagia was tongue muscle area (sensitivity, 0.389; specificity, 0.947; cut-off value, 1536.0), while the factor with the highest sensitivity was geniohyoid muscle area brightness in sagittal sections (sensitivity, 0.806; specificity, 0.632; cut-off value, 20.1). Multivariate logistic regression analysis showed that the area of the tongue muscle and its area of brightness were independent risk factors for sarcopenic dysphagia. However, geniohyoid sagittal muscle area and area of brightness showed no significant independent association with sarcopenic dysphagia.CONCLUSION:Tongue muscle mass in patients with sarcopenic dysphagia was smaller than that in patients without the condition. Sarcopenic dysphagia was also associ |
| DOI | 10.1016/j.jamda.2017.11.007 |
| PMID | 29287693 |