Correlation of Body Composition and Nutritional Status with Functional Recovery in Stroke Rehabilitation Patients.
Nutrients
; 12(7)2020 Jun 29.
Article
en En
| MEDLINE
| ID: mdl-32610491
ABSTRACT
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.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Composición Corporal
/
Estado Nutricional
/
Recuperación de la Función
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Accidente Cerebrovascular
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Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Etiology_studies
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Evaluation_studies
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Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Nutrients
Año:
2020
Tipo del documento:
Article