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Weight gain is associated with improvement in activities of daily living in underweight rehabilitation inpatients: a nationwide survey.
Kokura, Yoji; Nishioka, Shinta; Okamoto, Takatsugu; Takayama, Masako; Miyai, Ichiro.
Affiliation
  • Kokura Y; Nutrition Committee, Kaifukuki Rehabilitation Ward Association, Tokyo, Japan. yojikokura@hotmail.com.
  • Nishioka S; Department of Clinical Nutrition, Keiju Medical Center, Nanao City, Ishikawa, Japan. yojikokura@hotmail.com.
  • Okamoto T; Nutrition Committee, Kaifukuki Rehabilitation Ward Association, Tokyo, Japan.
  • Takayama M; Department of Clinical Nutrition and Food Services, Nagasaki Rehabilitation Hospital, Nagasaki City, Nagasaki, Japan.
  • Miyai I; Annual Survey Committee, Kaifukuki Rehabilitation Ward Association, Tokyo, Japan.
Eur J Clin Nutr ; 73(12): 1601-1604, 2019 12.
Article in En | MEDLINE | ID: mdl-31243336
ABSTRACT
We retrospectively analysed large-scale, nationwide data from the Kaifukuki (convalescent) Rehabilitation Ward (KRW) survey of 2015. Patients were classified into two groups based on changes in body mass index (BMI) during their KRW stay increased BMI and non-increased BMI. The primary outcome was motor functional independence measure (FIM) score at discharge, and the secondary outcomes were motor FIM gain and full oral intake at discharge. We analysed 4605 patients (64% women; mean age, 79.3 years). Of these patients, 1128 and 3477 were classified into the increased and non-increased groups, respectively. Multivariate analysis showed that BMI increases were independently associated with motor FIM scores at discharge (partial regression coefficient = 1.165; 95% confidence interval, 0.671-1.659) and motor FIM gains, although BMI increase was not associated with full oral intake. Thus, increasing body weight might lead to activities of daily life improvement in underweight patients undergoing post-acute rehabilitation.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Thinness / Activities of Daily Living / Weight Gain Type of study: Observational_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans / Male Language: En Journal: Eur J Clin Nutr Journal subject: CIENCIAS DA NUTRICAO Year: 2019 Document type: Article Affiliation country: Japón

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Thinness / Activities of Daily Living / Weight Gain Type of study: Observational_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans / Male Language: En Journal: Eur J Clin Nutr Journal subject: CIENCIAS DA NUTRICAO Year: 2019 Document type: Article Affiliation country: Japón