2型糖尿病患者股外侧肌回声强度与膝关节伸展力量之间的关系
Relationship between Echo Intensity of Vastus Lateralis and Knee Extension Strength in Patients with Type 2 Diabetes Mellitus.
作者信息
Hirasawa Yoshikazu, Matsuki Ryosuke, Tanina Hideaki
机构信息
Department of Rehabilitation, Kansai Electric Power Hospital, Japan.
出版信息
Phys Ther Res. 2022;25(3):113-119. doi: 10.1298/ptr.E10172. Epub 2022 Dec 22.
OBJECTIVE
This study aimed to determine the association between echo intensity (EI) of vastus lateralis and knee extension strength (KES) in patients with type 2 diabetes mellitus (T2DM).
METHODS
This retrospective study included a total of 304 patients (189 males and 115 females) with T2DM who were hospitalized for treatment or care. EI and muscle thickness (MT) of the right vastus lateralis were assessed from transverse ultrasound images. Maximal isometric KES was evaluated using a dynamometer and normalized for body weight (%KES).
RESULTS
%KES was significantly positively correlated with MT and stages of change for exercise behavior, and significantly negatively correlated with age, T2DM duration, and EI. %KES was significantly higher in male than in female. %KES was significantly higher in non-diabetic peripheral neuropathy (DPN) than in DPN. Stepwise multiple regression analysis showed that sex, age, T2DM duration, EI, and stages of change for exercise behavior were significant determinants of %KES.
CONCLUSION
The study results suggest that EI is associated with %KES in patients with T2DM.
目的
本研究旨在确定2型糖尿病（T2DM）患者股外侧肌回声强度（EI）与膝关节伸展力量（KES）之间的关联。
方法
这项回顾性研究共纳入304例因治疗或护理而住院的T2DM患者（189例男性和115例女性）。从横向超声图像评估右侧股外侧肌的EI和肌肉厚度（MT）。使用测力计评估最大等长KES，并根据体重进行标准化（%KES）。
结果
%KES与MT和运动行为改变阶段显著正相关，与年龄、T2DM病程和EI显著负相关。男性的%KES显著高于女性。非糖尿病性周围神经病变（DPN）患者的%KES显著高于DPN患者。逐步多元回归分析表明，性别、年龄、T2DM病程、EI和运动行为改变阶段是%KES的重要决定因素。
结论
研究结果表明，EI与T2DM患者的%KES相关。
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