Yıl: 2023 Cilt: 69 Sayı: 2 Sayfa Aralığı: 200 - 206 Metin Dili: İngilizce DOI: 10.5606/tftrd.2023.10361 İndeks Tarihi: 10-07-2023

Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis

Öz:
Objectives: This study aimed to evaluate the muscle thickness, strength, and diaphragmatic function and relate them with clinical findings. Patients and methods: The cross-sectional study was conducted with 54 participants (27 males, 27 females; mean age; 24.5±5.3 years; range, 18 to 45 years) between January 2017 and October 2017. Of the participants, 31 were adult CF patients, and 23 were age-and sex-matched controls. Patient demographics, 6-min walk distance, body mass index (BMI), and fat-free mass index (FFMI) were evaluated. Each patient underwent pulmonary function tests. Quadriceps femoris thickness and diaphragm thickening fraction were assessed by ultrasonography. Upper extremity strength was measured with a handheld dynamometer. Results: There was no difference between the patients’ and controls’ BMI (p=0.052). However, patients’ FFMI was lower than the controls’ (p=0.010). The FFMI correlated with pulmonary function tests. Patients’ both right and left quadriceps femoris muscles were thinner than the controls (p=0.001 and p=0.001, respectively). Patients with pancreatic insufficiency had thinner muscles than patients without pancreatic insufficiency. The control group had a stronger handgrip than CF patients (33.5±10.1 vs. 24.5±9.2 kg, p=0.003). Conclusion: Peripheral muscle wasting and weakness and lower functional capacity are highly prevalent in CF patients.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Ratjen F, Döring G. Cystic fibrosis. Lancet 2003;361:681-9.
  • 2. Ruf K, Beer M, Köstler H, Weng AM, Neubauer H, Klein A, et al. Size-adjusted muscle power and muscle metabolism in patients with cystic fibrosis are equal to healthy controls - a case control study. BMC Pulm Med 2019;19:269.
  • 3. Troosters T, Langer D, Vrijsen B, Segers J, Wouters K, Janssens W, et al. Skeletal muscle weakness, exercise tolerance and physical activity in adults with cystic fibrosis. Eur Respir J 2009;33:99-106.
  • 4. Dufresne V, Knoop C, Van Muylem A, Malfroot A, Lamotte M, Opdekamp C, et al. Effect of systemic inflammation on inspiratory and limb muscle strength and bulk in cystic fibrosis. Am J Respir Crit Care Med 2009;180:153-8.
  • 5. Li L, Somerset S. Digestive system dysfunction in cystic fibrosis: Challenges for nutrition therapy. Dig Liver Dis 2014;46:865-74.
  • 6. Gruet M, Troosters T, Verges S. Peripheral muscle abnormalities in cystic fibrosis: Etiology, clinical implications and response to therapeutic interventions. J Cyst Fibros 2017;16:538-52.
  • 7. King SJ, Nyulasi IB, Strauss BJ, Kotsimbos T, Bailey M, Wilson JW. Fat-free mass depletion in cystic fibrosis: Associated with lung disease severity but poorly detected by body mass index. Nutrition 2010;26:753-9.
  • 8. Ionescu AA, Evans WD, Pettit RJ, Nixon LS, Stone MD, Shale DJ. Hidden depletion of fat-free mass and bone mineral density in adults with cystic fibrosis. Chest 2003;124:2220-8.
  • 9. Papalexopoulou N, Dassios TG, Lunt A, Bartlett F, Perrin F, Bossley CJ, et al. Nutritional status and pulmonary outcome in children and young people with cystic fibrosis. Respir Med 2018;142:60-5.
  • 10. Pinet C, Cassart M, Scillia P, Lamotte M, Knoop C, Casimir G, et al. Function and bulk of respiratory and limb muscles in patients with cystic fibrosis. Am J Respir Crit Care Med 2003;168:989-94.
  • 11. Enright S, Chatham K, Ionescu AA, Unnithan VB, Shale DJ. The influence of body composition on respiratory muscle, lung function and diaphragm thickness in adults with cystic fibrosis. J Cyst Fibros 2007;6:384-90.
  • 12. Souza RP, Donadio MVF, Heinzmann-Filho JP, Baptista RR, Pinto LA, Epifanio M, et al. The use of ultrasonography to evaluate muscle thickness and subcutaneous fat in children and adolescents with cystic fibrosis. Rev Paul Pediatr 2018;36:457-65.
  • 13. Ionescu AA, Chatham K, Davies CA, Nixon LS, Enright S, Shale DJ. Inspiratory muscle function and body composition in cystic fibrosis. Am J Respir Crit Care Med 1998;158:1271-6.
  • 14. Sahlberg ME, Svantesson U, Thomas EM, Strandvik B. Muscular strength and function in patients with cystic fibrosis. Chest 2005;127:1587-92.
  • 15. Gruet M, Decorte N, Mely L, Vallier JM, Camara B, Quetant S, et al. Skeletal muscle contractility and fatigability in adults with cystic fibrosis. J Cyst Fibros 2016;15:e1-8.
  • 16. Eryüksel E, Cimşit C, Bekir M, Cimsit Ç, Karakurt S. Diaphragmatic thickness fraction in subjects at high-risk for COPD exacerbations. Respir Care 2017;62:1565-70.
  • 17. Santana PV, Cardenas LZ, de Albuquerque ALP, de Carvalho CRR, Caruso P. Diaphragmatic ultrasound findings correlate with dyspnea, exercise tolerance, health-related quality of life and lung function in patients with fibrotic interstitial lung disease. BMC Pulm Med 2019;19:183.
  • 18. Vivier E, Mekontso Dessap A, Dimassi S, Vargas F, Lyazidi A, Thille AW, et al. Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 2012;38:796-803.
  • 19. Arikan H, Yatar İ, Calik-Kutukcu E, Aribas Z, Saglam M, Vardar-Yagli N, et al. A comparison of respiratory and peripheral muscle strength, functional exercise capacity, activities of daily living and physical fitness in patients with cystic fibrosis and healthy subjects. Res Dev Disabil 2015;45-46:147-56.
  • 20. Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European Respiratory Society/ American Thoracic Society technical standard: Field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1428-46.
  • 21. Cunha MT, Rozov T, de Oliveira RC, Jardim JR. Six-minute walk test in children and adolescents with cystic fibrosis. Pediatr Pulmonol 2006;41:618-22.
  • 22. Bahat G, Tufan A, Ozkaya H, Tufan F, Akpinar TS, Akin S, et al. Relation between hand grip strength, respiratory muscle strength and spirometric measures in male nursing home residents. Aging Male 2014;17:136-40.
  • 23. Boon AJ, Harper CJ, Ghahfarokhi LS, Strommen JA, Watson JC, Sorenson EJ. Two-dimensional ultrasound imaging of the diaphragm: Quantitative values in normal subjects. Muscle Nerve 2013;47:884-9.
  • 24. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363:157-63.
  • 25. Sheikh S, Zemel BS, Stallings VA, Rubenstein RC, Kelly A. Body composition and pulmonary function in cystic fibrosis. Front Pediatr 2014;2:33.
  • 26. Elkin SL, Williams L, Moore M, Hodson ME, Rutherford OM. Relationship of skeletal muscle mass, muscle strength and bone mineral density in adults with cystic fibrosis. Clin Sci (Lond) 2000;99:309-14.
  • 27. Rovedder PME, Borba GC, Anderle M, Flores J, Ziegler B, Barreto SSM, et al. Peripheral muscle strength is associated with lung function and functional capacity in patients with cystic fibrosis. Physiother Res Int 2019;24:e1771.
  • 28. Wells GD, Wilkes DL, Schneiderman JE, Thompson S, Coates AL, Ratjen F. Physiological correlates of pulmonary function in children with cystic fibrosis. Pediatr Pulmonol 2014;49:878-84.
  • 29. Chetta A, Pisi G, Zanini A, Foresi A, Grzincich GL, Aiello M, et al. Six-minute walking test in cystic fibrosis adults with mild to moderate lung disease: Comparison to healthy subjects. Respir Med 2001;95:986-91.
  • 30. Levine S, Nguyen T, Kaiser LR, Shrager JB. Evaluating respiratory muscle adaptations: A new approach. Am J Respir Crit Care Med 2002;166:1418-9.
APA Uslu N, Kocakaya D, OLGUN S, Eryüksel S, Kenis-Coskun O, cimsit c, Karaketir Ş, Ceyhan B (2023). Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. , 200 - 206. 10.5606/tftrd.2023.10361
Chicago Uslu Nazlı Zeynep,Kocakaya Derya,OLGUN Sehnaz,Eryüksel Semiha Emel,Kenis-Coskun Ozge,cimsit canan,Karaketir Şeyma,Ceyhan Berrin Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. (2023): 200 - 206. 10.5606/tftrd.2023.10361
MLA Uslu Nazlı Zeynep,Kocakaya Derya,OLGUN Sehnaz,Eryüksel Semiha Emel,Kenis-Coskun Ozge,cimsit canan,Karaketir Şeyma,Ceyhan Berrin Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. , 2023, ss.200 - 206. 10.5606/tftrd.2023.10361
AMA Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. . 2023; 200 - 206. 10.5606/tftrd.2023.10361
Vancouver Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. . 2023; 200 - 206. 10.5606/tftrd.2023.10361
IEEE Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B "Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis." , ss.200 - 206, 2023. 10.5606/tftrd.2023.10361
ISNAD Uslu, Nazlı Zeynep vd. "Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis". (2023), 200-206. https://doi.org/10.5606/tftrd.2023.10361
APA Uslu N, Kocakaya D, OLGUN S, Eryüksel S, Kenis-Coskun O, cimsit c, Karaketir Ş, Ceyhan B (2023). Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. Turkish Journal of Physical Medicine and Rehabilitation, 69(2), 200 - 206. 10.5606/tftrd.2023.10361
Chicago Uslu Nazlı Zeynep,Kocakaya Derya,OLGUN Sehnaz,Eryüksel Semiha Emel,Kenis-Coskun Ozge,cimsit canan,Karaketir Şeyma,Ceyhan Berrin Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. Turkish Journal of Physical Medicine and Rehabilitation 69, no.2 (2023): 200 - 206. 10.5606/tftrd.2023.10361
MLA Uslu Nazlı Zeynep,Kocakaya Derya,OLGUN Sehnaz,Eryüksel Semiha Emel,Kenis-Coskun Ozge,cimsit canan,Karaketir Şeyma,Ceyhan Berrin Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. Turkish Journal of Physical Medicine and Rehabilitation, vol.69, no.2, 2023, ss.200 - 206. 10.5606/tftrd.2023.10361
AMA Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. Turkish Journal of Physical Medicine and Rehabilitation. 2023; 69(2): 200 - 206. 10.5606/tftrd.2023.10361
Vancouver Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis. Turkish Journal of Physical Medicine and Rehabilitation. 2023; 69(2): 200 - 206. 10.5606/tftrd.2023.10361
IEEE Uslu N,Kocakaya D,OLGUN S,Eryüksel S,Kenis-Coskun O,cimsit c,Karaketir Ş,Ceyhan B "Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis." Turkish Journal of Physical Medicine and Rehabilitation, 69, ss.200 - 206, 2023. 10.5606/tftrd.2023.10361
ISNAD Uslu, Nazlı Zeynep vd. "Relationship of muscle thickness, strength, and diaphragm function in adults with cystic fibrosis". Turkish Journal of Physical Medicine and Rehabilitation 69/2 (2023), 200-206. https://doi.org/10.5606/tftrd.2023.10361