Agyapong-Badu Sandra, Warner Martin, Samuel Dinesh, Narici Marco, Cooper Cyrus, Stokes Maria
Faculty of Health Sciences, University of Southampton, UK.
Physiol Meas. 2014 Oct;35(10):2165-76. doi: 10.1088/0967-3334/35/10/2165. Epub 2014 Sep 22.
This study aimed to use ultrasound imaging to provide objective data on the effects of ageing and gender on relative thickness of quadriceps muscle and non-contractile tissue thickness (subcutaneous fat, SF, combined with perimuscular fascia). In 136 healthy males and females (aged 18-90 years n = 63 aged 18-35 years; n = 73 aged 65-90) images of the anterior thigh (dominant) were taken in relaxed supine using B-mode ultrasound imaging. Thickness of muscle, SF and perimuscular fascia were measured, and percentage thickness of total anterior thigh thickness calculated. Independent t-tests compared groups. Correlation between tissue thickness and BMI was examined using Pearson's coefficient. Muscle thickness was: 39 ± 8 mm in young males, 29 ± 6 mm in females, 25 ± 4 mm in older males and 20 ± 5 mm in females. Percentage muscle to thigh thickness was greater in young participants (p = 0.001). Percentage SF and fascia was 17 ± 6% in young and 26 ± 8% in older males, 32 ± 7% in young and 44 ± 7% in older females. BMI was similar for age and correlated moderately with non-contractile tissue (r = 0.54; p < 0.001) and poorly with muscle (r = -0.01; p = 0.93). In conclusion, this novel application of ultrasound imaging as a simple and rapid means of assessing thigh composition (relative thickness of muscle and non-contractile tissue) may help inform health status, e.g. in older people at risk of frailty and loss of mobility, and aid monitoring effects of weight loss or gain, deconditioning and exercise.
本研究旨在利用超声成像提供关于衰老和性别对股四头肌相对厚度以及非收缩性组织厚度(皮下脂肪,SF,结合肌周筋膜)影响的客观数据。在136名健康男性和女性(年龄18 - 90岁,其中18 - 35岁组n = 63;65 - 90岁组n = 73)中,使用B型超声成像在仰卧放松状态下获取优势侧大腿前部的图像。测量肌肉、SF和肌周筋膜的厚度,并计算大腿前部总厚度的百分比厚度。采用独立t检验比较各组。使用Pearson系数检验组织厚度与BMI之间的相关性。肌肉厚度在年轻男性中为39±8mm,女性为29±6mm,老年男性为25±4mm,老年女性为20±5mm。年轻参与者的肌肉占大腿厚度的百分比更高(p = 0.001)。年轻男性的SF和筋膜百分比为17±6%,老年男性为26±8%;年轻女性为32±7%,老年女性为44±7%。BMI在各年龄组中相似,与非收缩性组织中度相关(r = 0.54;p < 0.001),与肌肉相关性较差(r = -0.01;p = 0.93)。总之,超声成像作为一种评估大腿组成(肌肉和非收缩性组织的相对厚度)的简单快速方法的这一新颖应用,可能有助于了解健康状况,例如在有衰弱和行动能力丧失风险的老年人中,并有助于监测体重增减、身体机能下降和运动的影响。