Prevalence of skeletal muscle mass loss and its association with swallowing function after cardiovascular surgery

Nutrition
Hidetaka WakabayashiYoshitaka Shimizu

Abstract

The aim of this study was to assess the prevalence of skeletal muscle mass loss and its association with swallowing function in patients with dysphagia after cardiovascular surgery. A retrospective cohort study was performed in 65 consecutive patients with dysphagia after cardiovascular surgery who were prescribed speech therapy. Skeletal muscle index (SMI) was calculated as total psoas muscle area assessed via abdominal computed tomography divided by height squared. Cutoff values were 6.36 cm2/m2for men and 3.92 cm2/m2for women. The Food Intake Level Scale (FILS) was used to assess the swallowing function. Univariate and ordered logistic regression analyses were applied to examine the associations between skeletal muscle mass loss and dysphagia. The study included 50 men and 15 women (mean age 73 ± 8 y). The mean SMI was 4.72 ± 1.37 cm2/m2in men and 3.33 ± 1.42 cm2/m2in women. Skeletal muscle mass loss was found in 53 (82%) patients. Twelve had tracheostomy cannula. Thirteen were non-oral feeding (FILS levels 1-3), 5 were oral food intake and alternative nutrition (levels 4-6), and 47 were oral food intake alone (levels 7-9) at discharge. The FILS at discharge was significantly lower in patients with skeletal muscle mass loss....Continue Reading

Citations

Nov 15, 2019·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
Jan 11, 2019·Geriatrics & Gerontology International·Ichiro FujishimaYoshihiro Yoshimura
Dec 5, 2019·Nutrients·Domenico AzzolinoMatteo Cesari
Jan 16, 2020·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
Sep 20, 2020·European Journal of Heart Failure·Agata Bielecka-DabrowaStephan von Haehling
Nov 24, 2020·Geriatrics & Gerontology International·Nami OgawaSumito Ogawa
Dec 12, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Shuhei MayanagiYuko Kitagawa
Jul 24, 2021·Neurology International·Cristina SalvioniAcary Souza Bulle Oliveira

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