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Dual-Energy X-ray Absorptiometry and Bioelectrical Impedance Analysis are Beneficial Tools for Measuring the Trunk Muscle Mass of Patients with Low Back Pain

Authors :
Kazuki Fujimoto
Kazuhide Inage
Yawara Eguchi
Sumihisa Orita
Toru Toyoguchi
Kazuyo Yamauchi
Miyako Suzuki
Go Kubota
Takeshi Sainoh
Jun Sato
Yasuhiro Shiga
Koki Abe
Hirohito Kanamoto
Masahiro Inoue
Hideyuki Kinoshita
Masaki Norimoto
Tomotaka Umimura
Masao Koda
Takeo Furuya
Satoshi Maki
Tsutomu Akazawa
Atsushi Terakado
Kazuhisa Takahashi
Seiji Ohtori
Source :
Spine Surgery and Related Research, Vol 3, Iss 4, Pp 335-341 (2019)
Publication Year :
2019
Publisher :
The Japanese Society for Spine Surgery and Related Research, 2019.

Abstract

Introduction: Limb muscle mass measurement using dual-energy X-ray absorptiometry (DXA) is considered the gold standard for the diagnosis of sarcopenia. Moreover, bioelectrical impedance analysis (BIA) is also recognized as a beneficial tool considering its high correlation with DXA. However, it remains to be elucidated whether DXA and BIA can accurately measure trunk lean mass. The aim of this study was to investigate the correlation between DXA and BIA measurements of trunk muscle mass and the cross-sectional area (CSA) of trunk muscles measured using magnetic resonance imaging (MRI) and to compare measures of trunk muscle mass obtained using DXA and BIA in patients with low back pain (LBP). Methods: In total, 65 patients participated in the study. The correlation between DXA and BIA measurements and the CSA of trunk and paraspinal muscles at the L4-5 level were calculated. In addition, the correlation between DXA and BIA measurements of trunk muscle mass and the differences between these two measurements were determined. Results: The correlation coefficient between DXA and BIA trunk muscle mass measurement and trunk muscle CSA was 0.74 and 0.56 for men and 0.69 and 0.44 for women, respectively. DXA and BIA measurement values showed a significantly moderate correlation with the CSA of the erector spinae (ES) and psoas major (PM). The multifidus (MF) CSA did not correlate with measurements of DXA and BIA in both men and women. Although DXA and BIA measurements were significantly correlated, a significant difference between these two measurements was found. BIA overestimated the trunk muscle mass significantly compared with DXA. Conclusions: Trunk muscle mass measured with DXA and BIA was correlated with the CSA of most trunk muscles. Although the measurement of DXA and BIA showed a high correlation, BIA overestimated trunk muscle mass compared with DXA. Both DXA and BIA are beneficial for measuring trunk muscle mass.

Details

Language :
English
ISSN :
2432261X
Volume :
3
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Spine Surgery and Related Research
Publication Type :
Academic Journal
Accession number :
edsdoj.2e236b793bbd41a2a893af66b8e486ca
Document Type :
article
Full Text :
https://doi.org/10.22603/ssrr.2018-0040