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Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients
Previous studies have suggested that the nutritional status after stroke is independently associated with long-term outcomes and that sarcopenia delays poststroke rehabilitation and worsens the prognosis. However, many stroke patients have a deteriorated nutritional status and a decreased muscle mas...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400130/ https://www.ncbi.nlm.nih.gov/pubmed/32610491 http://dx.doi.org/10.3390/nu12071923 |
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author | Irisawa, Hiroshi Mizushima, Takashi |
author_facet | Irisawa, Hiroshi Mizushima, Takashi |
author_sort | Irisawa, Hiroshi |
collection | PubMed |
description | Previous studies have suggested that the nutritional status after stroke is independently associated with long-term outcomes and that sarcopenia delays poststroke rehabilitation and worsens the prognosis. However, many stroke patients have a deteriorated nutritional status and a decreased muscle mass in the acute phase. This prospective study included 179 patients who were admitted to the stroke rehabilitation unit. We performed bioelectrical impedance analysis and determined the Geriatric Nutritional Risk Index (GNRI) to assess muscle mass and the nutritional status on admission. Furthermore, we analyzed the activities of daily living using the Functional Independence Measure (FIM) at the time of admission and four weeks later. Furthermore, we evaluated the change in motor FIM items and examined the relationship with the data. Multiple regression analysis revealed that a high muscle rate (skeletal muscle mass/body weight) (odds ratio OR = 2.43), high phase angle (OR = 3.32), and high GNRI (OR = 2.57) were significantly associated with motor FIM items at four weeks in male and female patients. Muscle mass maintenance through nutritional management and early rehabilitation in the acute period of stroke is essential for functional recovery in stroke patients. |
format | Online Article Text |
id | pubmed-7400130 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74001302020-08-23 Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients Irisawa, Hiroshi Mizushima, Takashi Nutrients Article Previous studies have suggested that the nutritional status after stroke is independently associated with long-term outcomes and that sarcopenia delays poststroke rehabilitation and worsens the prognosis. However, many stroke patients have a deteriorated nutritional status and a decreased muscle mass in the acute phase. This prospective study included 179 patients who were admitted to the stroke rehabilitation unit. We performed bioelectrical impedance analysis and determined the Geriatric Nutritional Risk Index (GNRI) to assess muscle mass and the nutritional status on admission. Furthermore, we analyzed the activities of daily living using the Functional Independence Measure (FIM) at the time of admission and four weeks later. Furthermore, we evaluated the change in motor FIM items and examined the relationship with the data. Multiple regression analysis revealed that a high muscle rate (skeletal muscle mass/body weight) (odds ratio OR = 2.43), high phase angle (OR = 3.32), and high GNRI (OR = 2.57) were significantly associated with motor FIM items at four weeks in male and female patients. Muscle mass maintenance through nutritional management and early rehabilitation in the acute period of stroke is essential for functional recovery in stroke patients. MDPI 2020-06-29 /pmc/articles/PMC7400130/ /pubmed/32610491 http://dx.doi.org/10.3390/nu12071923 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Irisawa, Hiroshi Mizushima, Takashi Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title | Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title_full | Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title_fullStr | Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title_full_unstemmed | Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title_short | Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients |
title_sort | correlation of body composition and nutritional status with functional recovery in stroke rehabilitation patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400130/ https://www.ncbi.nlm.nih.gov/pubmed/32610491 http://dx.doi.org/10.3390/nu12071923 |
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