{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:05:08Z","timestamp":1792026308891,"version":"4.4.0"},"reference-count":33,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Abbott Laboratories"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: A nationwide, prospective, multicenter, cohort study (the Disease-Related caloric-protein malnutrition EChOgraphy (DRECO) study) was designed to assess the usefulness of ultrasound of the rectus femoris for detecting sarcopenia in hospitalized patients at risk of malnutrition and to define cut-off values of ultrasound measures. Methods: Patients at risk of malnutrition according to the Malnutrition Universal Screening Tool (MUST) underwent handgrip dynamometry, bioelectrical impedance analysis (BIA), a Timed Up and Go (TUG) test, and rectus femoris ultrasound studies. European Working Group on Sarcopenia in Older People (EWGSOP2) criteria were used to define categories of sarcopenia (at risk, probable, confirmed, severe). Receiver operating characteristic (ROC) and area under the curve (AUC) analyses were used to determine the optimal diagnostic sensitivity, specificity, and predictive values of cut-off points of the ultrasound measures for the detection of risk of sarcopenia and probable, confirmed, and severe sarcopenia. Results: A total of 1000 subjects were included and 991 of them (58.9% men, mean age 58.5 years) were evaluated. Risk of sarcopenia was detected in 9.6% patients, probable sarcopenia in 14%, confirmed sarcopenia in 9.7%, and severe sarcopenia in 3.9%, with significant differences in the distribution of groups between men and women (p &lt; 0.0001). The cross-sectional area (CSA) of the rectus femoris showed a significantly positive correlation with body cell mass of BIA and handgrip strength, and a significant negative correlation with TUG. Cut-off values were similar within each category of sarcopenia, ranging between 2.40 cm2 and 3.66 cm2 for CSA, 32.57 mm and 40.21 mm for the X-axis, and 7.85 mm and 10.4 mm for the Y-axis. In general, these cut-off values showed high sensitivities, particularly for the categories of confirmed and severe sarcopenia, with male patients also showing better sensitivities than women. Conclusions: Sarcopenia in hospitalized patients at risk of malnutrition was high. Cut-off values for the better sensitivities and specificities of ultrasound measures of the rectus femoris are established. The use of ultrasound of the rectus femoris could be used for the prediction of sarcopenia and be useful to integrate nutritional study into real clinical practice.<\/jats:p>","DOI":"10.3390\/nu16111552","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T06:54:09Z","timestamp":1716360849000},"page":"1552","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1745-9315","authenticated-orcid":false,"given":"Daniel","family":"de Luis Roman","sequence":"first","affiliation":[{"name":"Endocrinology and Nutrition Department, Clinical Universitary Hospital of Valladolid, 47003 Valladolid, Spain"},{"name":"Investigation Centre Endocrinology and Nutrition, Faculty of Medicine, University of Valladolid, 47003 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8570-184X","authenticated-orcid":false,"given":"Jos\u00e9 Manuel","family":"Garc\u00eda Almeida","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Hospital Universitario Virgen de la Victoria, 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0631-2710","authenticated-orcid":false,"given":"Diego","family":"Bellido Guerrero","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario de Ferrol (CHUF), 15405 Ferrol, A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4339-3380","authenticated-orcid":false,"given":"Germ\u00e1n","family":"Guzm\u00e1n Rolo","sequence":"additional","affiliation":[{"name":"Medical Department, Abbott 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relevance","volume":"127","author":"Rosenberg","year":"1997","journal-title":"J. Nutr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/ageing\/afz046","article-title":"Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/jcsm.12048","article-title":"SARC-F: A symptom score to predict persons with sarcopenia at risk for poor functional outcomes","volume":"7","author":"Malmstrom","year":"2016","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1093\/ageing\/afr051","article-title":"A review of the measurement of grip strength in clinical and epidemiological studies: Towards a standardised approach","volume":"40","author":"Roberts","year":"2011","journal-title":"Age Ageing"},{"key":"ref_5","first-page":"98","article-title":"Normative reference values for hand grip dynamometry in Spain. Association with lean mass","volume":"35","author":"Porras","year":"2018","journal-title":"Nutr. Hosp."},{"key":"ref_6","first-page":"35","article-title":"New tables on hand strength in the adult population from Teruel","volume":"23","year":"2008","journal-title":"Nutr. Hosp."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Mateos-Angulo, A., Gal\u00e1n-Mercant, A., and Cuesta-Vargas, A.I. (2019). Ultrasound muscle assessment and nutritional status in institutionalized older adults: A pilot study. Nutrients, 11.","DOI":"10.3390\/nu11061247"},{"key":"ref_8","first-page":"1","article-title":"A new nutritional approach. Assessment of the patient nutritional status: Function and body composition","volume":"35","year":"2018","journal-title":"Nutr. Hosp."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.endinu.2022.03.008","article-title":"Nutritional ultrasound\u00ae: Conceptualisation, technical considerations and standardisation","volume":"70","year":"2023","journal-title":"Endocrinol. Diabetes Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1007\/s41999-018-0104-9","article-title":"Application of ultrasound for muscle assessment in sarcopenia: Towards standardized measurements","volume":"9","author":"Perkisas","year":"2018","journal-title":"Eur. Geriatr. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s41999-020-00433-9","article-title":"Application of ultrasound for muscle assessment in sarcopenia: 2020 SARCUS update","volume":"12","author":"Perkisas","year":"2021","journal-title":"Eur. Geriatr. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"110999","DOI":"10.1016\/j.nut.2020.110999","article-title":"Evaluating skeletal muscle mass with ultrasound in patients with systemic sclerosis","volume":"84","author":"Sari","year":"2020","journal-title":"Nutrition"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"427","DOI":"10.23736\/S1973-9087.20.06222-X","article-title":"The ultrasonographic measurement of muscle thickness in sarcopenia. A prediction study","volume":"56","author":"Barotsis","year":"2020","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.2147\/CIA.S304972","article-title":"Cut-off values for lower limb muscle thickness to detect low muscle mass for sarcopenia in older adults","volume":"16","author":"Fukumoto","year":"2021","journal-title":"Clin. Interv. Aging"},{"key":"ref_15","first-page":"951","article-title":"Ultrasound assessment of sarcopenia in patients with sarcoidosis","volume":"41","author":"Deniz","year":"2021","journal-title":"J. Ultrasound Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/00000421-198212000-00014","article-title":"Toxicity and response criteria of the Eastern Cooperative Oncology Group","volume":"5","author":"Oken","year":"1982","journal-title":"Am. J. Clin. Oncol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jamda.2013.05.018","article-title":"SARC-F: A simple questionnaire to rapidly diagnose sarcopenia","volume":"14","author":"Malmstrom","year":"2013","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1007\/s12603-019-1204-z","article-title":"Translation and validation of the spanish version of the SARC-F questionnaire to assess sarcopenia in older people","volume":"23","author":"Marco","year":"2019","journal-title":"J. Nutr. Health Aging"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1079\/BJN20041258","article-title":"Malnutrition in hospital outpatients and inpatients: Prevalence, concurrent validity and ease of use of the \u2018malnutrition universal screening tool\u2019 (\u2018MUST\u2019) for adults","volume":"92","author":"Stratton","year":"2004","journal-title":"Br. J. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40200-017-0302-x","article-title":"Prevalence of sarcopenia in the world: A systematic review and meta- analysis of general population studies","volume":"16","author":"Shafiee","year":"2017","journal-title":"J. Diabetes Metab. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"7964","DOI":"10.1002\/cam4.3428","article-title":"Sarcopenia and adverse health-related outcomes: An umbrella review of meta-analyses of observational studies","volume":"9","author":"Xia","year":"2020","journal-title":"Cancer Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/1759720X12442112","article-title":"Role of diagnostic ultrasound in the assessment of musculoskeletal diseases","volume":"4","author":"Patil","year":"2012","journal-title":"Ther. Adv. Musculoskelet. Dis."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.jamda.2016.11.013","article-title":"Muscle Ultrasound and sarcopenia in older individuals: A clinical perspective","volume":"18","author":"Ticinesi","year":"2017","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12937-020-00594-0","article-title":"Effectiveness of gender-targeted versus gender-neutral interventions aimed at improving dietary intake, physical activity and\/or overweight\/obesity in young adults (aged 17\u201335 years): A systematic review and meta-analysis","volume":"19","author":"Sharkey","year":"2020","journal-title":"Nutr. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"7165126","DOI":"10.1155\/2022\/7165126","article-title":"Correlation of the Phase Angle with Muscle Ultrasound and Quality of Life in Obese Females","volume":"2022","author":"Primo","year":"2022","journal-title":"Dis. Markers"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-G\u00f3mez, J.J., Izaola-Jauregui, O., Almansa-Ruiz, L., Jim\u00e9nez-Sahag\u00fan, R., Primo-Mart\u00edn, D., Pedraza-Hueso, M., Ramos-Bachiller, B., Gonz\u00e1lez-Guti\u00e9rrez, J., and De Luis-Rom\u00e1n, D. (2024). Use of Muscle Ultrasonography in Morphofunctional Assessment of Amyotrophic Lateral Sclerosis (ALS). Nutrients, 16.","DOI":"10.3390\/nu16071021"},{"key":"ref_27","unstructured":"de Luis, D.A., and Lopez Gomez, J.J. (2023). Morphofunctional Nutritional assessment in clinical Practice: A new approach to assessing Nutritional Status. Nutrients, 5."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-G\u00f3mez, J.J., Garc\u00eda-Beneitez, D., Jim\u00e9nez-Sahag\u00fan, R., Izaola-Jauregui, O., Primo-Mart\u00edn, D., Ramos-Bachiller, B., G\u00f3mez-Hoyos, E., Delgado-Garc\u00eda, E., P\u00e9rez-L\u00f3pez, P., and De Luis-Rom\u00e1n, D.A. (2023). Nutritional Ultrasonography, a Method to Evaluate Muscle Mass and Quality in Morphofunctional Assessment of Disease Related Malnutrition. Nutrients, 15.","DOI":"10.3390\/nu15183923"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Lopez, J.J., Gutierrez, C., Izaola, O., Primo, D., Gomez, E., Jimenez, R., and de Luis, D. (2022). Real World practice study of the effect of a specific oral nutritional supplement for diabetes mellitus on the morphofuncitional assessment and proteinenergy requirements. Nutrients, 14.","DOI":"10.3390\/nu14224802"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1016\/j.injury.2022.06.004","article-title":"The Diagnostic Value of Ultrasound of the Rectus Femoris for the diagnosis of Sarcopenia in adults: A systematic review","volume":"53","author":"Nies","year":"2022","journal-title":"Injury"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1093\/ajcn\/80.5.1215","article-title":"Relation between whole-body and regional measures of human skeletal muscle","volume":"80","author":"Lee","year":"2004","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s41999-018-0126-3","article-title":"Application of ultrasound for muscle assessment in sarcopenia: The challenge of implementing protocols for clinical practice","volume":"10","author":"Ticinesi","year":"2018","journal-title":"Eur. Geriatr. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e074945","DOI":"10.1136\/bmjopen-2023-074945","article-title":"Protocol for a prospective cohort study on the feasibility of application of nutritional ultrasound in the diagnosis and follow-up of patients with nutritional risk at hospital discharge: Study on body composition and function (DRECO)","volume":"13","author":"Almeida","year":"2023","journal-title":"BMJ Open"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/11\/1552\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:45:57Z","timestamp":1760107557000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/11\/1552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,21]]},"references-count":33,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["nu16111552"],"URL":"https:\/\/doi.org\/10.3390\/nu16111552","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,21]]}}}