Publications by authors named "Toshikazu Hino"

Background & Aims: Body weight is one of the essential indicators of nutritional status, and body weight management is vital in nutritional care. In addition, low body mass index (BMI) was included as a phenotypic criterion in the Global Leadership Initiative on Malnutrition (GLIM) criteria. Furthermore, low BMI has been used in grading the severity of malnutrition (moderate or severe malnutrition) in the GLIM criteria.

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  • The study examines the impact of intramuscular adipose tissue in the quadriceps on the recovery of daily living activities in older patients with aspiration pneumonia.
  • It involves 39 older inpatients, measuring their ability to perform daily activities using the Barthel Index before and after treatment, while also assessing the muscle and fat composition of the quadriceps through ultrasound imaging.
  • Findings indicate that higher levels of intramuscular fat were negatively correlated with recovery, suggesting that managing fat levels may be crucial for improving functional outcomes in these patients.
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  • The study aimed to investigate the relationship between increased protein intake and changes in intramuscular adipose tissue in older inpatients, particularly focusing on the quadriceps muscle.
  • The research involved 193 older patients and utilized ultrasound imaging to assess changes in muscle composition and protein intake during their hospital stay.
  • Results showed that higher protein intake was linked to a significant reduction in intramuscular adipose tissue, but it did not have a notable impact on muscle thickness.
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  • This study investigated how intramuscular fat and muscle mass in the quadriceps affect the likelihood of older patients being discharged home after hospitalization.
  • It included 389 patients aged 65 and older, split into two groups: those who were discharged home and those who were not.
  • The findings revealed that higher levels of intramuscular adipose tissue in the quadriceps are linked to a lower chance of home discharge, while muscle mass itself did not show a significant association.
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  • This study investigated the connection between muscle mass and intramuscular fat in the quadriceps of older hospital patients at varying levels of daily activity.
  • It involved 198 inpatients aged 65 and over, using ultrasound to measure muscle thickness and fat levels, and categorized patients based on their daily activity scores (Barthel Index).
  • The findings revealed a significant negative relationship between muscle mass and intramuscular fat across all activity levels, suggesting that higher levels of intramuscular adipose tissue negatively impact muscle mass in older adults.
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Background & Aim: A recent study reported that the increase in intramuscular adipose tissue of the quadriceps in older inpatients is related to a decreasing degree of recovery in swallowing ability compared to the loss of muscle mass. However, whether the association remains true in case of aspiration pneumonia is unclear. Therefore, this study aimed to examine the relationship between the degree of recovery in swallowing ability and intramuscular adipose tissue in the quadriceps of older inpatients with aspiration pneumonia.

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  • The study investigates how muscle mass and intramuscular adipose tissue are related in stroke patients as they recover, focusing on the quadriceps muscles on both sides of the body.
  • Researchers used ultrasound to measure muscle thickness and fat composition in 24 stroke patients at both hospital admission and discharge.
  • Results showed that an increase in muscle mass correlates significantly with a decrease in intramuscular adipose tissue for both the affected and unaffected legs in these patients.
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Background & Aims: A recent cross-sectional study reported that a higher intramuscular adipose tissue of the quadriceps is related to higher malnutrition risk in older inpatients. However, a longitudinal relationship between them in older inpatients remains unclear. This study aimed to examine the relationship between the malnutrition risk at hospital admission and change in quadriceps intramuscular adipose tissue induced during the hospital stay in older inpatients.

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  • The study investigates factors affecting daily living activities (ADL) in older inpatients with severely low body mass index (BMI) according to the Global Leadership Initiative on Malnutrition (GLIM) criteria.
  • It included 377 participants aged 70 and older, categorizing them into severely low, moderately low, and normal BMI groups, and assessed their ADL using the motor-Functional Independence Measure (FIM).
  • Results showed that nutritional and swallowing conditions significantly impact ADL in those with severely low BMI, suggesting that improving these factors might be more beneficial than solely focusing on exercise interventions.
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  • In 2021, the ISPRM updated its diagnosis criteria for sarcopenia to include quadriceps thickness measured by ultrasound as a key indicator of muscle mass.
  • This study aimed to investigate the link between muscle mass and the amount of intramuscular fat in the quadriceps of older inpatients, using ultrasound imaging on 399 patients aged 65 and older.
  • The findings indicated a significant negative association between muscle mass and intramuscular adipose tissue, suggesting that muscle quality in older patients can be estimated by ultrasound measurements of quadriceps thickness and fat content.
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Background: The longitudinal relationship between intramuscular adipose tissue of the quadriceps and activities of daily living (ADL) in older inpatients remains unclear. This study aimed to examine whether decrease of intramuscular adipose tissue of the quadriceps in older inpatients is related to the recovery of ADL than increase of muscle mass.

Methods: This longitudinal study included 202 inpatients aged ≥65 years [median age: 83.

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  • - The study investigated the link between intramuscular fat in the quadriceps and swallowing recovery in older hospital patients, excluding those with stroke-related swallowing issues.
  • - It included 344 patients aged 65 and older, measuring their swallowing ability upon discharge using the Food Intake Level Scale and assessing quadriceps fat and muscle thickness through ultrasound.
  • - Results showed that higher levels of intramuscular fat were significantly related to better swallowing recovery, while muscle thickness did not have a meaningful impact.
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Objectives: This study aimed to examine the relationship between muscle mass and intramuscular adipose tissue of the quadriceps at post-acute care admission and recovery of swallowing ability in patients with stroke.

Design: Prospective study.

Setting And Participants: This study was hospital-based and included 62 inpatients with stroke.

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  • - The study explored how intramuscular fat in the quadriceps impacts daily living activities in stroke patients, focusing on both the affected (paretic) and unaffected (non-paretic) legs at the time of their hospital discharge.
  • - Using ultrasound imaging, researchers analyzed the muscle fat and thickness of the quadriceps in 44 stroke patients, correlating these factors with their Barthel index (BI) scores, a measure of daily living activities.
  • - Findings indicated a significant negative correlation between intramuscular fat levels and BI scores, suggesting that assessing and managing fat in the quadriceps could help improve daily living abilities post-stroke.
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Article Synopsis
  • This study investigated how intramuscular fat in the quadriceps affects the recovery of daily activities in older patients during their hospital stay.
  • It included 404 older inpatients and measured their ability to perform daily activities using the Barthel Index (BI).
  • Results showed that higher levels of intramuscular fat were linked to poorer recovery, while muscle thickness did not have a significant impact on recovery scores.
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  • A study aimed to investigate whether aging impacts intramuscular adipose tissue in older hospitalized patients, especially those aged 85 and older.
  • Researchers conducted a cross-sectional study with 404 participants aged 65 and older, utilizing ultrasound imaging to assess muscle fat in the quadriceps.
  • Results showed that intramuscular adipose tissue significantly increases in older inpatients, with those aged 85 and older exhibiting higher fat levels compared to those aged 65-74.
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  • Increased intramuscular adipose tissue in the quadriceps is linked to lower muscle strength and mobility in older adults, more so than muscle mass loss.
  • A study with 371 inpatients aged 65 and older investigated how intramuscular fat and muscle mass relate to daily living activities, using ultrasound to assess muscle condition.
  • Results showed that factors like quadriceps fat, nutritional intake, and comorbidity were significantly tied to the ability to carry out daily living activities, while muscle thickness and age had lesser impacts.
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  • The study aimed to investigate muscle mass and intramuscular fat differences among elderly patients with varying degrees of low body mass index (BMI) based on the Global Leadership Initiative on Malnutrition (GLIM) criteria.
  • It involved 345 participants aged 70 and older, divided into groups based on BMI: severely low (<17.8 kg/m²), moderately low (17.8 to <20 kg/m²), and normal (≥20 kg/m²), with ultrasound used to assess quadriceps muscle thickness and fat composition.
  • Results indicated that quadriceps thickness decreased significantly from the normal to moderately low and then to severely low BMI groups, while echo intensity (a measure of fat) showed no significant differences, confirming 17
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  • The study aimed to analyze the amount of fat in the quadriceps muscles of older hospitalized patients and its relationship with their ability to perform daily activities, particularly walking.
  • It involved 216 inpatients aged 65 and older and 40 healthy community-dwelling individuals, using ultrasound to measure muscle fat and thickness.
  • Findings indicated that older inpatients had about 1.7 times more intramuscular fat compared to healthy peers, with those needing assistance having significantly higher fat levels than those who could walk independently.
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Background & Aims: The relationship between malnutrition risk and intramuscular adipose tissue of the quadriceps in older inpatients remains unclear, although a high rate of malnutrition risk has been observed in these patients. Understanding this relationship would be necessary for a management plans for older inpatients. This study aimed to examine the relationship between malnutrition risk and intramuscular adipose tissue of the quadriceps in older inpatients.

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The purpose of this study was to examine the relationship between intramuscular adipose tissue of the quadriceps and dysphagia in older inpatients. We hypothesized that increased intramuscular adipose tissue of the thigh may indirectly reflect severe dysphagia in older inpatients. This study was cross-sectional, and 103 older inpatients participated.

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