SONOGRAPHIC PARAMETERS OF QUADRICEPS MUSCLE AND BONE MINERAL DENSITY OF THE HIP: A STUDY IN NORMAL THAI ADOLESCENTS
Abstract
Purpose. To study the correlation between sonographically measured parameters of quadriceps muscle and bone mineral density (BMD) of proximal femur in normal Thai adolescents. Material and Methods. Fifty-seven school children and normal adolescents were included in this study (30 males, aged 10-17 years old [mean age = 13.2 years old]; and 27 females, aged 9-18 years old [mean age = 13.1 years old]). All subjects were undergone sonographic measurement of thickness, circumference, and cross-sectional area (CSA) of quadriceps muscle as well as thickness of subcutane- ous fat of non-dominant thigh. Ipsilateral proximal femoral BMD was measured using Dual-energy X-ray absorptiometry (DEXA). Spearman Rank Correlation and Pearson Product Moment Correlation were used for statistical analysis. Results and Conclusion. In females, all quadriceps parameters showed statistically significant correlation (p<.001 - p<.05; muscle circumference showed the best correlation) with proximal femoral BMD at all ROIs. In male subjects, the quadriceps parameters showed significant correlation (p<.01 -p<.05) with BMD of the femoral neck & the trochanter. No significant correlation was found between quadriceps parameters and BMD of Ward's triangle and thickness of subcutaneous fat.
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Schmidt R, Voit T. Ultrasound measure- ment of quadriceps muscle in the first year of life: normal values and application to spinal muscular dystrophy. Neurope- diatrics 1993; 24:36-42
Weiss LW. The use of B-mode ultrasound for measuring the thickness of skeletal muscle at two upper leg sites. J Orthop Sports Phys Ther 1984; 6:163-167
Cady EB, Gardener JE, Edwards T. Ultrasonic tissue characterization of skeletal muscle. Eur J Clin Invest 1983; 13:469-473
Fisher AQ, Carpenter DW, Hartlage PL, Carroll JE, Stephen S. Muscle imaging in neuromuscular disease using computerized real-time sonography. Muscle Nerve 1988; 11:270-275
Kamala D, Suresh D, Githa K. Real-time ultrasonography in neuromuscular problems of children. J Clin Ultrasound 1985;13:465-468
Hicks K, Shawker TH, Jones BL, Linzer M, Gerber LH. Diagnostic ultrasound: its use in the evaluation of muscle. Arch Phys Med Rehabil 1984; 65:129-131
Heckmatt JZ, Pier N, Dubowitz V. Assess- ment of quadriceps femoris muscle atrophy and hypertrophy in neuromuscu- lar disease in children. J Clin Ultrasound 1988;16:177-181
Campbell IT, Watt T, Withers D, et al. Muscle thickness, measured with ultrasound, may be an indicator of lean tissue wasting in multiple organ failure in the presence of edema. Am J Clin Nutr 1995;62:533-539
Freilich RJ, Kirsner RL, Byrne E. Isometric strength and thickness relation- ships in human quadriceps muscle. Neuromuscul Disord 1995;5:415-422
Kanehisa H, Ikegawa S, Tsunoda N, Fukunaga T. Strength and cross-sectional area of knee extensor muscles in children. Eur J Applied Physiol 1994;68:402-405
Kanehisa H, Ikegawa S, Fukunaga T. Comparison of muscle cross-sectional area and strength between untrained women and men. Eur J Applied Physiol 1994;68: 148-154
Sipila S, Suominen H. Ultrasound imaging of the quadriceps muscle in elderly athletes and untrained men. Muscle Nerve 1991;14:527-533
Maughan RJ, Watson JS, Weir J. Muscle strength and cross-sectional area in man: A comparison of strength-trained and untrained subjects. Br J Sports Med 1984; 18:149-157
Davies CT. White MJ, Young K. Muscle function in children. Eur J Applied Physiol 1983;52:111-114
Maughan RJ, Watson JS, Weir J. Strength and cross-sectional area of human skeletal muscle. J Physiol 1983;338:37-49
William PL, Warwick R. Myology. In: William PL, Warwick R, eds. Gray's Anatomy. 36th ed. London, Churchill Livingstone 1980, 595-599
Tachdjian MO. Bone. In: Tachdjian MO ed. Pediatric Orthopedics. 3rded. Philadelphia, WB Saunders 1990,688-690
Lu PW, Briody JN, Ogle GD, et al. Bone mineral density of total body, spine, and femoral neck in children and young adults: A cross-sectional and longitudinal study. J Bone Miner Res 1994;9:1451-1
Heckmatt JZ, Pier N, Dubowitz V. Measurement of quadriceps muscle thickness and subcutaneous tissue thickness in normal children by real-time ultrasound imaging. J Clin Ultrasound 1988;16:171-176
Matkovic V, Jelic T, Wardlaw GM, et al. Timing of peak bone mass in Caucasian females and its implication for the prevention of osteoporosis: Inference from a cross-sectional model. J Clin Invest 1994;93:799-808
Kanehisa H, Ikegawa S, Tsunoda N, Fukunaga T. Cross-sectional areas of fat and muscle in limbs during growth and middle age. Int J Sports Med 1994; 15:420-
Theintz G, Buchs B, Rizzoli R, et al. Longitudinal monitoring of bone mass accumulation in healthy adolescents: evidence for a marked reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J Clin Endocrinol Metab 1992; 75:1060-1065
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