The prevalence of respiratory sarcopenia in preoperative cardiac surgery patients in Thammasat University Hospital

Authors

  • Chitima Kulchanarat Department of physical Therapy, Thammasat University Hospital
  • Adcharapan Saiwan Department of physical Therapy, Thammasat University Hospital
  • Kornanong Yuenyongchaiwat Department of physiotherapy, Faculty of Allied Health Sciences, Thammasat University, Rangsit CampusPathum Thani, Thailand

Keywords:

Cardiac surgery, Respiratory sarcopenia, Respiratory muscle weakness, Respiratory muscle

Abstract

Respiratory sarcopenia is a condition characterized by the weakness of respiratory muscles associated with sarcopenia due to aging or systemic inflammation such as cardiovascular disease. Patients with cardiovascular disease commonly experience exertional dyspnea, which exercise intolerance, physical inactivity and a subsequent decline in quality of life. Thus, this study aimed to explore the prevalence of respiratory sarcopenia and compare between no sarcopenia, no sarcopenia and low respiratory muscle strength, no respiratory sarcopenia and no respiratory sarcopenia. A cross-sectional study was designed with total of 122 participants. All participants were diagnosed with respiratory sarcopenia according to the Asian Working Group for Sarcopenia 2019, consisting of skeletal muscle mass test (measured bioelectrical impedance analysis), muscle strength test (measured handgrip strength), physical performance test (gait speed test) and respiratory muscle strength test (measured respiratory pressure meter). All data analyzed by SPSS program Version 20.0. Descriptive statistical analysis was used. Chi–square test and ANOVA were conducted to compare these parameters. P-value is set as less than 0.05. The results found that the prevalence of respiratory sarcopenia during preoperative cardiac surgery patients was 56.56%. Participants with respiratory sarcopenia had a significantly lower maximum inspiratory pressure (32.68±15.58 cmH2O, p<0.001), low muscle mass index (6.01±1.51 kg/m2, p<0.001) and low muscle strength (22.75±9.68 kg, p<0.05) than those without. In this study, respiratory sarcopenia in preoperative cardiac surgery patients shown a reduction in respiratory muscle strength compared to no respiratory sarcopenia.

References

Nagano A, Wakabayashi H, Maeda K, Kokura Y, Miyazaki S, Mori T, et al. Respiratory sarcopenia and sarcopenic respiratory disability: concepts diagnosis and treatment. J Nutr Health Aging. 2021;25(4):507-15. doi: 10.1007/s12603-021-1587-5.2.

Sato S, Miyazaki S, Tamaki A, Yoshimura Y, Arai H, Fujiwara D, et al. Respiratory sarcopenia: a position paper by four professional organizations. Geriatr Gerontol Int. 2023 Jan;23(1):5-15. doi: 10.1111/ggi.14519.

Miyazaki S, Tamaki A, Wakabayashi H, Arai H. Definition, diagnosis, and treatment of respiratory sarcopenia. Curr Opin Clin Nutr Metab Care. 2024 May 1;27(3):210-18. doi: 10.1097/MCO.0000000000001003.

Damluji AA, Alfaraidhy M, AlHajri N, Rohant NN, Kumar M, Al Malouf C, et al. Sarcopenia and cardiovascular diseases. Circulation. 2023 May 16;147(20):1534-53. doi: 10.1161/CIRCULATIONAHA.123.064071.

De Troyer A, Boriek AM. Mechanics of the respiratory muscles. Compr Physiol. 2011 Jul;1(3):1273-300. doi: 10.1002/cphy.c100009.

Hulzebos EH, van Meeteren NL. Making the elderly fit for surgery. Br J Surg. 2016 Jan;103(2):e12-5. doi: 10.1002/bjs.10033.

Morisawa T, Kunieda Y, Koyama S, Suzuki M, Takahashi Y, Takakura T, et al. The Relationship between sarcopenia and respiratory muscle weakness in community-dwelling older adults. Int J Environ Res Public Health. 2021 Dec 16;18(24):132-57. doi: 10.3390/ijerph182413257.

Deniz O, Coteli S, Karatoprak NB, Pence MC, Varan HD, Kizilarslanoglu MC, et al. Diaphragmatic muscle thickness in older people with and without sarcopenia. Aging Clin Exp Res. 2021 Mar;33(3):573-80. doi: [10.1007/s40520-020-01565-5.

Goligher EC, Dres M, Fan E, Rubenfeld GD, Scales DC, Herridge MS, et al. Mechanical ventilation-induced diaphragm atrophy strongly impacts clinical outcomes. Am J Respir Crit Care Med. 2018 Jan 15;197(2):204-13. doi: 10.1164/rccm.201703-0536OC.

Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2020 Mar;21(3):300-7.e2. doi: 10.1016/j.jamda.2019.12.012.

Kitano T, Kitano N, Inomoto T, Futatsuka M. Evaluation of body composition using dual-energy X-ray absorptiometry, skinfold thickness and bioelectrical impedance analysis in Japanese female college students. J Nutr Sci Vitaminol (Tokyo). 2001 Apr;47(2):122-5. doi: 10.3177/jnsv.47.122.

American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624. doi: 10.1164/rccm.166.4.518.

Hamazaki N, Kamiya K, Nozaki K, Yamashita M, Uchida S, Noda T, et al. Correlation between respiratory muscle weakness and frailty status as risk markers for poor outcomes in patients with cardiovascular disease. Eur J Cardiovasc Nurs. 2022 Nov 23;21(8):782-90. doi: 10.1093/eurjcn/zvac014.

Yuenyongchaiwat K, Kulchanarat C, Satdhabudha O. Sarcopenia in open heart surgery patients:

A cohort study. Heliyon. 2020 Dec 17;6(12):57-9. doi: 10.1016/j.heliyon. 2020.e05759.

Bordoni B, Morabito B, Simonelli M. Ageing of the diaphragm muscle. Cureus. 2020 Jan 13;12(1):e6645. doi: 10.7759/cureus.6645.

Ansaripour A, Arjomandi Rad A, Koulouroudias M, Angouras D, Athanasiou T, Kourliouros A. Sarcopenia adversely affects outcomes following cardiac surgery: A Systematic Review and Meta-Analysis. J Clin Med. 2023 Aug 26;12(17):55-73. doi: 10.3390/jcm12175573.

Supinski GS, Callahan LA. Caspase activation contributes to endotoxin-induced diaphragm weakness. J Appl Physiol (1985). 2006 Jun;100(6):1770-7. doi: 10.1152/japplphysiol.01288.2005.

ข้อมูลพื้นฐานของอาสาสมัครจากงานวิจัยและการเปรียบเทียบความแตกต่างระหว่างกลุ่มภาวะมวลกล้ามเนื้อปกติ กลุ่มมวลกล้ามเนื้อปกติร่วมกับมีการอ่อนแรงของกล้ามเนื้อหายใจ กลุ่มที่มีภาวะมวลกล้ามเนื้อหายใจปกติและภาวะมวลกล้ามเนื้อหายใจน้อย

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Published

2024-12-24

How to Cite

1.
Kulchanarat C, Saiwan A, Yuenyongchaiwat K. The prevalence of respiratory sarcopenia in preoperative cardiac surgery patients in Thammasat University Hospital. Health Sci Tech Rev [internet]. 2024 Dec. 24 [cited 2025 Mar. 17];17(3):43-5. available from: https://li01.tci-thaijo.org/index.php/journalup/article/view/264169

Issue

Vol. 17 No. 3 (2024): September - December 2024

Section

Research articles

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