Ultrasound and shear wave elastography assessment of diaphragm thickness and stiffness in malnourished pediatric patients

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dc.authoridSinanoglu, Muhammed Selcuk/0000-0003-1596-4323|VAROL, FATMA/0000-0001-5212-218X|DAG, Nurullah/0000-0002-9342-0244
dc.contributor.authorSinanoglu, M. Selcuk
dc.contributor.authorGungor, Sukru
dc.contributor.authorDag, Nurullah
dc.contributor.authorVarol, Fatma Ilknur
dc.contributor.authorKenc, Senay
dc.contributor.authorGok, Emre
dc.date.accessioned2025-10-24T18:08:48Z
dc.date.available2025-10-24T18:08:48Z
dc.date.issued2024
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractOur objective was to obtain information about diaphragm muscle mass, strength, and quality using conventional US and US-based imaging method shear wave elastography (SWE) in pediatric patients with primary malnutrition. We also sought to evaluate the usability of SWE in the diagnosis and follow-up of sarcopenia. We evaluated the diaphragm thickness and stiffness of patients diagnosed with primary malnutrition in the pediatrics and pediatric gastroenterology outpatient clinic using US and US-based SWE. The data were compared with those of an age- and gender-matched healthy control group. The study included 115 volunteers. Of the cases included, 53 were healthy controls and 62 (54%) were patients with primary malnutrition. There was no significant difference between the groups in terms of age and gender (p = 0.891 and p = 0.923, respectively). The malnourished patient group had significantly lower diaphragm thickness and stiffness. There is a significant positive correlation between anthropometric measurement Z scores and diaphragm thickness and stiffness.Conclusion: Our study indicated that there was a reduction in the thickness of the diaphragm and a decline in its stiffness, which could be an indirect indicator of the quality and strength of the diaphragm muscle. These findings suggest that US and SWE evaluation of the diaphragm muscle may have the potential for use in the diagnosis and follow-up of sarcopenia. However, further comprehensive randomized controlled studies are needed to confirm this. What is Known: center dot Magnetic resonance imaging, computed tomography, and dual-energy x-ray absorptiometry are commonly used in the evaluation of sarcopenia. center dot The psoas and paraspinal muscles are commonly used in the evaluation of sarcopenia. What is New: center dot Ultrasound and shear wave elastography can be used in the evaluation of pediatric sarcopenia. center dot Diaphragm muscle can be used in the evaluation of pediatric sarcopenia.
dc.identifier.doi10.1007/s00431-024-05852-5
dc.identifier.issn0340-6199
dc.identifier.issn1432-1076
dc.identifier.issue1
dc.identifier.pmid39567388
dc.identifier.urihttps://doi.org/10.1007/s00431-024-05852-5
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3318
dc.identifier.volume184
dc.identifier.wosWOS:001363094600005
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Journal Of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectChildren; Malnutrition; Sarcopenia; Ultrasound; Elastography
dc.titleUltrasound and shear wave elastography assessment of diaphragm thickness and stiffness in malnourished pediatric patients
dc.typeArticle

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