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24.11.2023 | Scientific Article

Association of physical activity with fatty infiltration of muscles after total hip arthroplasty

verfasst von: Takumi Kawano, Manabu Nankaku, Masanobu Murao, Takuma Yuri, Gakuto Kitamura, Koji Goto, Yutaka Kuroda, Toshiyuki Kawai, Yaichiro Okuzu, Ryosuke Ikeguchi, Shuichi Matsuda

Erschienen in: Skeletal Radiology | Ausgabe 5/2024

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Abstract

Objective

This study aimed to investigate the association between muscle density as an indicator of fatty infiltration of lower extremity muscles and physical activity (PA) after total hip arthroplasty (THA) and identify the patient characteristics with high postoperative PA.

Methods

This study included 62 female patients who underwent THA for unilateral hip osteoarthritis. Muscle density of the gluteus maximus, gluteus medius, iliopsoas, and quadriceps muscles was measured using computed tomography (CT). PA was assessed using University of California, Los Angeles (UCLA) activity scores. CT and UCLA activity score were obtained before and 1 year after THA. The patients were divided into two groups, sufficient (score ≥ 6) and insufficient (score < 6) activity groups, based on their level of PA as determined by their UCLA activity score 1 year after THA. The association of PA with the amount of changes in muscle density was examined with Spearman’s rank correlation coefficient. Logistic regression analysis was performed to identify postoperative factors determining PA at 1 year after THA.

Results

Spearman’s rank correlation coefficient showed a significantly positive association between recovery in PA and an increase in muscle density of the gluteus maximus, gluteus medius, iliopsoas, and quadriceps muscles. Additionally, logistic regression analysis confirmed that postoperative muscle densities of the gluteus maximus and quadriceps muscles were variables determining the PA 1 year after THA.

Conclusion

The findings of this study indicated that the improvement of fatty infiltration in lower limb muscles, especially in the gluteus maximus and quadriceps, is likely to promote the increase in postoperative PA.

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Titel: Association of physical activity with fatty infiltration of muscles after total hip arthroplasty
verfasst von: Takumi Kawano
Manabu Nankaku
Masanobu Murao
Takuma Yuri
Gakuto Kitamura
Koji Goto
Yutaka Kuroda
Toshiyuki Kawai
Yaichiro Okuzu
Ryosuke Ikeguchi
Shuichi Matsuda
Publikationsdatum: 24.11.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 5/2024
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-023-04516-z

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Association of physical activity with fatty infiltration of muscles after total hip arthroplasty