Measures derived from panoramic ultrasonography and animal-based protein intake are related to muscular performance in middle-aged adults

Nathaniel R. Johnson, Christopher J. Kotarsky, Kyle J. Hackney, Kara A. Trautman, Nathan D. Dicks, Wonwoo Byun, Jill F. Keith, Shannon L. David, Sherri N. Stastny

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Ultrasonography advantageously measures skeletal muscle size and quality, but some muscles may be too large to capture with standardized brightness mode (B-mode) imaging. Panoramic ultrasonography can capture more complete images and may more accurately measure muscle size. We investigated measurements made using panoramic compared to B-mode ultrasonography images of the rectus femoris with muscular performance. Concurrently, protein intake plays an important role in preventing sarcopenia; therefore, we also sought to investigate the association between animal-based protein intake (ABPI) and muscular performance. Ninety-one middle-aged adults were recruited. Muscle cross-sectional area (CSA) and thickness were obtained using B-mode and panoramic ultrasound and analyzed with Image J software. Muscular performance was assessed using isokinetic dynamometry, a 30-s chair test, and handgrip strength. Three-day food diaries estimated dietary intakes. Linear regression models determined relationships between measures from ultrasonography and muscular performance. Mixed linear models were used to evaluate the association between ABPI and muscular performance. Muscle CSA from panoramic ultrasonography and ABPI were positively associated with lower-body strength (β ± S.E.; CSA, 42.622 ± 20.024, p = 0.005; ABPI, 65.874 ± 19.855, p = 0.001), lower-body endurance (β ± S.E.; CSA, 595 ± 200.221, p = 0.001; ABPI, 549.944 ± 232.478, p = 0.020), and handgrip strength (β ± S.E.; CSA, 6.966 ± 3.328, p = 0.004; ABPI, 0.349 ± 0.171, p = 0.045). Panoramic ultrasound shows promise as a method for assessing sarcopenia. ABPI is related to better muscular performance.

Original languageEnglish (US)
Article number988
Pages (from-to)1-19
Number of pages19
JournalJournal of Clinical Medicine
Issue number5
StatePublished - Mar 1 2021


  • Echogenicity
  • Endurance
  • Isokinetic dynamometry
  • Muscle quality
  • Panoramic ultrasound
  • Protein intake
  • Specific force
  • Strength

ASJC Scopus subject areas

  • General Medicine


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