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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 | 総説 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Ultrasound utilized by registered dietitians for body composition measurement, nutritional assessment, and nutritional management. |
| 掲載誌名 | 正式名：Clinical nutrition ESPEN 略 称：Clin Nutr ESPEN ISSNコード：24054577/24054577 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 57,pp.173-180 |
| 著者・共著者 | Kokura Yoji, Nishioka Shinta, Maeda Keisuke, Wakabayashi Hidetaka |
| 担当区分 | 最終著者 |
| 発行年月 | 2023/10 |
| 概要 | BACKGROUND AND AIMS:Ultrasound has been used primarily as a tool for body composition measurement in the field of clinical nutrition. Although many recent reports have demonstrated that ultrasound could be a useful tool for nutritional assessment, it is not well incorporated into registered dietitians' (RDs) practice. The aim of this review was to summarize the usefulness of ultrasound in assessing body composition and nutritional status and in nutritional management by RDs.METHODS:Studies on ultrasonography, nutritionists, body composition, nutritional assessment, and diet therapy was searched using the MEDLINE databases.RESULTS:After reviewing the articles, we categorized them into the following topics; 1) principles of muscle measurement using the ultrasound, types of muscle that can be measured, 2) indices of muscle and muscle mass and quality as assessed using ultrasound and its relationship to nutritional indicator, 3) diagnosis of the Global Leadership Initiative on Malnutrition (GLIM) criteria malnutrition using ultrasound, 4) practical nutritional management using ultrasound and 5) education and issues for ultrasound implementation. Ultrasound can evaluate low body mass index, unintentional loss of body weight, low skeletal muscle mass index, decreased food intake/assimilation, and disease burden/inflammation, all which are essential items of the phenotypic and etiologic criteria of the GLIM.CONCLUSION:Ultrasound may be useful for RDs to perform body composition measurement, nutritional assessment, and nutritional management. It will be important to identify the cutoff values for ultrasound-based measurements of muscle mass. In order for RDs to perform a body composition measurement, nutritional assessment, and nutritional management using ultrasound, educational issues need to be addressed. |
| DOI | 10.1016/j.clnesp.2023.06.026 |
| PMID | 37739653 |