Association of Physical Activity with Fatty Infiltration of Muscles After Total Hip Arthroplasty

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 2023 Nov 24

PMID 37999749

Authors

Takumi Kawano

Manabu Nankaku

Masanobu Murao

Takuma Yuri

Gakuto Kitamura

Koji Goto

Yutaka Kuroda

Toshiyuki Kawai

Yaichiro Okuzu

Ryosuke Ikeguchi

Shuichi Matsuda

Affiliations

Soon will be listed here.

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.

Citing Articles

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PMID: 39544479 PMC: 11558492. DOI: 10.21037/qims-24-365.

References

Neuprez A, Neuprez A, Kaux J, Kurth W, Daniel C, Thirion T . Early Clinically Relevant Improvement in Quality of Life and Clinical Outcomes 1 Year Postsurgery in Patients with Knee and Hip Joint Arthroplasties. Cartilage. 2017; 9(2):127-139. PMC: 5871126. DOI: 10.1177/1947603517743000. View

Neuprez A, Neuprez A, Kaux J, Kurth W, Daniel C, Thirion T . Total joint replacement improves pain, functional quality of life, and health utilities in patients with late-stage knee and hip osteoarthritis for up to 5 years. Clin Rheumatol. 2019; 39(3):861-871. DOI: 10.1007/s10067-019-04811-y. View

Scott C, Bugler K, Clement N, MacDonald D, Howie C, Biant L . Patient expectations of arthroplasty of the hip and knee. J Bone Joint Surg Br. 2012; 94(7):974-81. DOI: 10.1302/0301-620X.94B7.28219. View

Lefevre-Colau M, Nguyen C, Haddad R, Delamarche P, Paris G, Palazzo C . Is physical activity, practiced as recommended for health benefit, a risk factor for osteoarthritis?. Ann Phys Rehabil Med. 2016; 59(3):196-206. DOI: 10.1016/j.rehab.2016.02.007. View

Arnold J, Walters J, Ferrar K . Does Physical Activity Increase After Total Hip or Knee Arthroplasty for Osteoarthritis? A Systematic Review. J Orthop Sports Phys Ther. 2016; 46(6):431-42. DOI: 10.2519/jospt.2016.6449. View

Kawano T, Nankaku M, Murao M, Goto K, Kuroda Y, Kawai T . Development of a Clinical Prediction Rule to Identify Physical Activity After Total Hip Arthroplasty. Arch Phys Med Rehabil. 2022; 103(10):1975-1982. DOI: 10.1016/j.apmr.2022.03.015. View

Belzunce M, Henckel J, Di Laura A, Hart A . Intramuscular fat in gluteus maximus for different levels of physical activity. Sci Rep. 2021; 11(1):21401. PMC: 8560940. DOI: 10.1038/s41598-021-00790-w. View

Kawano T, Nankaku M, Murao M, Goto K, Kuroda Y, Kawai T . Functional characteristics associated with hip abductor torque in severe hip osteoarthritis. Musculoskelet Sci Pract. 2021; 55:102431. DOI: 10.1016/j.msksp.2021.102431. View

Zacharias A, Pizzari T, English D, Kapakoulakis T, Green R . Hip abductor muscle volume in hip osteoarthritis and matched controls. Osteoarthritis Cartilage. 2016; 24(10):1727-1735. DOI: 10.1016/j.joca.2016.05.002. View

10.

Amini B, Boyle S, Boutin R, Lenchik L . Approaches to Assessment of Muscle Mass and Myosteatosis on Computed Tomography: A Systematic Review. J Gerontol A Biol Sci Med Sci. 2019; 74(10):1671-1678. PMC: 7357454. DOI: 10.1093/gerona/glz034. View

11.

Momose T, Inaba Y, Choe H, Kobayashi N, Tezuka T, Saito T . CT-based analysis of muscle volume and degeneration of gluteus medius in patients with unilateral hip osteoarthritis. BMC Musculoskelet Disord. 2017; 18(1):457. PMC: 5688704. DOI: 10.1186/s12891-017-1828-2. View

12.

Rasch A, Bystrom A, Dalen N, Berg H . Reduced muscle radiological density, cross-sectional area, and strength of major hip and knee muscles in 22 patients with hip osteoarthritis. Acta Orthop. 2007; 78(4):505-10. DOI: 10.1080/17453670710014158. View

13.

Kawano T, Nankaku M, Murao M, Hamada R, Goto K, Kuroda Y . Recovery of Muscle Atrophy and Fatty Infiltration in Patients With Acetabular Dysplasia After Total Hip Arthroplasty. J Am Acad Orthop Surg. 2021; 30(3):e317-e326. DOI: 10.5435/JAAOS-D-21-00156. View

14.

Rasch A, Bystrom A, Dalen N, Martinez-Carranza N, Berg H . Persisting muscle atrophy two years after replacement of the hip. J Bone Joint Surg Br. 2009; 91(5):583-8. DOI: 10.1302/0301-620X.91B5.21477. View

15.

Yoshiko A, Tomita A, Ando R, Ogawa M, Kondo S, Saito A . Effects of 10-week walking and walking with home-based resistance training on muscle quality, muscle size, and physical functional tests in healthy older individuals. Eur Rev Aging Phys Act. 2018; 15:13. PMC: 6240935. DOI: 10.1186/s11556-018-0201-2. View

16.

Fukumoto Y, Tateuchi H, Ikezoe T, Tsukagoshi R, Akiyama H, So K . Effects of high-velocity resistance training on muscle function, muscle properties, and physical performance in individuals with hip osteoarthritis: a randomized controlled trial. Clin Rehabil. 2013; 28(1):48-58. DOI: 10.1177/0269215513492161. View

17.

Koch K, Semciw A, Commean P, Hillen T, Fitzgerald G, Clohisy J . Comparison between movement pattern training and strengthening on muscle volume, muscle fat, and strength in patients with hip-related groin pain: An exploratory analysis. J Orthop Res. 2021; 40(6):1375-1386. PMC: 8825882. DOI: 10.1002/jor.25158. View

18.

Murao M, Nankaku M, Hamada R, Kawano T, Goto K, Kuroda Y . Hip Abductor Strength and Lower Limb Load on Nonoperating Predict Functional Mobility in Women Patients With Total Hip Arthroplasty. Am J Phys Med Rehabil. 2020; 100(1):72-76. DOI: 10.1097/PHM.0000000000001523. View

19.

Marcon M, Ciritsis B, Laux C, Nanz D, Nguyen-Kim T, Fischer M . Cross-sectional area measurements versus volumetric assessment of the quadriceps femoris muscle in patients with anterior cruciate ligament reconstructions. Eur Radiol. 2014; 25(2):290-8. DOI: 10.1007/s00330-014-3424-2. View

20.

Boutin R, Bamrungchart S, Bateni C, Beavers D, Beavers K, Meehan J . CT of Patients With Hip Fracture: Muscle Size and Attenuation Help Predict Mortality. AJR Am J Roentgenol. 2017; 208(6):W208-W215. PMC: 5898447. DOI: 10.2214/AJR.16.17226. View