Gluteal muscle fatty infiltration, fall risk, and mobility limitation in older women with urinary incontinence: a pilot study View Full Text


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Article Info

DATE

2022-07-27

AUTHORS

Derik L. Davis, Andrew Roberts, Rodolfo Calderon, Shihyun Kim, Alice S. Ryan, Tatiana V. D. Sanses

ABSTRACT

ObjectiveGluteal muscle quality influences risk of falling and mobility limitation. We sought (1) to compare gluteal muscle fatty infiltration (FI) between groups of older women with urinary incontinence (UI) at risk for falling (at-risk group) and not at risk for falling (not-at-risk group), and (2) to determine correlation of gluteal FI with Timed Up and Go (TUG) and Short Physical Performance Battery (SPPB) performance.Materials and methodsProspective pilot study of gluteal FI on pelvis MRI for 19 women with UI, aged ≥ 70 years. A musculoskeletal radiologist selected axial T1-weighted MR images; then, two blinded medical student research assistants analyzed gluteal FI by quantitative fuzzy C-means segmentation. TUG and SPPB tests were performed. TUG ≥ 12 s defined participants as at risk for falling. Descriptive, correlation, and reliability analyses were performed.ResultsMean age, 76.3 ± 4.8 years; no difference for age or body mass index (BMI) between the at-risk (n = 5) versus not-at-risk (n = 14) groups. SPPB score (p = 0.013) was lower for the at-risk group (6.4 ± 3.1) than for the not-at-risk group (10.2 ± 1.9). Fuzzy C-means FI-%-estimate differed between the at-risk group and the not-at-risk group for bilateral gluteus medius/minimus (33.2% ± 15.6% versus 19.5% ± 4.1%, p = 0.037) and bilateral gluteus maximus (33.6% ± 15.6% versus 19.7% ± 6.9%, p = 0.047). Fuzzy C-means FI-%-estimate for bilateral gluteus maximus had significant (p < 0.050) moderate correlation with age (rho = − 0.64), BMI (rho = 0.65), and TUG performance (rho = 0.52). Fuzzy C-means FI-%-estimates showed excellent inter-observer and intra-observer reliability (intraclass correlation coefficient, ≥ 0.892).ConclusionOlder women with UI at risk for falling have greater levels of gluteal FI and mobility limitation as compared to those not at risk for falling. More... »

PAGES

1-9

References to SciGraph publications

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  • 2014-02-01. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis in BMC GERIATRICS
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  • 2021-05-06. Reliability of supraspinatus intramuscular fatty infiltration estimates on T1-weighted MRI in potential candidates for rotator cuff repair surgery: full-thickness tear versus high-grade partial-thickness tear in SKELETAL RADIOLOGY
  • 2018-09-10. Quantification of shoulder muscle intramuscular fatty infiltration on T1-weighted MRI: a viable alternative to the Goutallier classification system in SKELETAL RADIOLOGY
  • 2017-05-05. The Relationship Between Urinary Incontinence, Mobility Limitations, and Disability in Older Women in CURRENT GERIATRICS REPORTS
  • 2021-03-29. Gluteus minimus tendon: MR imaging features and patterns of tendon tearing in SKELETAL RADIOLOGY
  • 2020-06-08. Hip abductor tears in ischiofemoral impingement in SKELETAL RADIOLOGY
  • 2015-08-11. Prevalence and pattern of gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI in SKELETAL RADIOLOGY
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    https://www.ncbi.nlm.nih.gov/pubmed/35896734


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