Clinical Validation of Calf Circumference with DEXA Scans as a Measure of Muscle Mass to Assess Sarcopenia in Community Settings in Indian Postmenopausal Women.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI:10.4103/jmh.jmh_226_23
Renuka Malik, Himanshi Goel
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引用次数: 0

Abstract

Aims and objective: To validate calf circumference as a reliable clinical tool for measuring muscle mass in postmenopausal women.

Materials and methods: A cross sectional study done at Ram Manohar Lohia Hospital, New Delhi from February 2023 to September 2023. Thirty postmenopausal women were enrolled for this study. Women with surgical menopause, premature ovarian failure, chronic debilitating illness and morbid obesity were excluded. In these women, muscle mass was measured using calf circumference. Also, Appendicular skeletal muscle index (ASMI), a measure of muscle mass was calculated using DEXA scan (Gold standard). The muscle mass was taken as a parameter by both methods to detect sarcopenia. The collected data was analysed and statistically evaluated to clinically validate calf circumference as a reliable tool for measuring muscle mass in Indian postmenopausal women.

Results: In our study, the values at different cut offs of calf circumference was compared to ASMI scoring using gold standard investigation DEXA Scan. The better accuracy was found for the cut off point 32 cm of calf circumference with sensitivity of 100%, specificity of 60%, positive predictive value of 71.4%, negative predictive value of 100% and accuracy of 80%. The prevalence of sarcopenia was found to be 70%.

Conclusion: Calf circumference can be used as reliable clinical tool to assess sarcopenia as a measure of muscle mass in Indian postmenopausal women.

将小腿围度与 DEXA 扫描作为肌肉质量的测量方法进行临床验证,以评估印度绝经后妇女在社区环境中的 "肌肉疏松症"。
目的和目标:验证小腿围度是测量绝经后妇女肌肉质量的可靠临床工具:验证小腿围度是测量绝经后妇女肌肉质量的可靠临床工具:一项横断面研究于 2023 年 2 月至 2023 年 9 月在新德里 Ram Manohar Lohia 医院进行。本研究共招募了 30 名绝经后妇女。手术绝经、卵巢早衰、慢性衰弱性疾病和病态肥胖的妇女被排除在外。在这些妇女中,肌肉质量是通过小腿围度测量的。此外,还使用 DEXA 扫描(黄金标准)计算了衡量肌肉质量的 "骨骼肌指数(ASMI)"。这两种方法都将肌肉质量作为检测肌肉疏松症的参数。我们对收集到的数据进行了分析和统计评估,以临床验证小腿围度是测量印度绝经后妇女肌肉质量的可靠工具:结果:在我们的研究中,不同截断值的小腿围与使用金标准调查 DEXA 扫描的 ASMI 评分进行了比较。结果发现,小腿围 32 厘米截断点的准确率更高,灵敏度为 100%,特异性为 60%,阳性预测值为 71.4%,阴性预测值为 100%,准确率为 80%。肌少症的发病率为 70%:小腿围度可作为可靠的临床工具,用于评估印度绝经后妇女肌肉疏松症的肌肉质量。
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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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