Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study

被引：1

作者：

Murata, Hiroyasu ^{[1
]}

Tashiro, Syoichi ^{[2
,3
]}

Sakamoto, Hayato ^{[1
]}

Ishida, Rika ^{[1
]}

Kuwabara, Mayuko ^{[1
]}

Matsuda, Kyohei ^{[2
]}

Shiokawa, Yoshiaki ^{[4
]}

Hirano, Teruyuki ^{[5
]}

Momozaki, Ryo ^{[6
]}

Maeda, Keisuke ^{[7
]}

Wakabayashi, Hidetaka ^{[8
]}

Yamada, Shin ^{[2
]}

机构：

[1] Kyorin Univ Hosp, Dept Rehabil Med, Mitaka, Japan

[2] Kyorin Univ, Dept Rehabil Med, Sch Med, Mitaka, Japan

[3] Keio Univ, Sch Med, Dept Rehabil Med, Tokyo, Japan

[4] Kyorin Univ, Dept Brain Surg, Mitaka, Japan

[5] Kyorin Univ, Dept Stroke & Cerebrovasc Med, Mitaka, Japan

[6] Mie Univ, Grad Sch Med, Dept Rehabil Med, Tsu, Japan

[7] Natl Ctr Geriatr & Gerontol, Dept Geriatr Med, Obu, Japan

[8] Tokyo Womens Med Univ Hosp, Dept Rehabil Med, Shinjuku, Tokyo, Japan

来源：

FRONTIERS IN NUTRITION | 2023年 / 10卷

关键词：

immobility; disuse; GNRI; malnutrition; stroke care unit; outcome; prognosis; elderly; CARDIAC ATROPHY; WEIGHT-LOSS; BED REST; COMPLICATIONS; INTENSITY; RECOVERY; EXERCISE; OBESE;

D O I：

10.3389/fnut.2023.1270276

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background It is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction during the acute phase. This investigation seeks to elucidate the impact of rehabilitation dose, as determined by both physical and occupational therapy, on BMI alterations, positing that a heightened rehabilitation dose could thwart BMI decline.Methods This retrospective, observational study was conducted in the stroke unit of a university hospital. Enrollees comprised individuals aged >= 65 years, hospitalized for stroke, and subsequently relocated to rehabilitation facilities between January 2019 and November 2020. The percentage change in BMI (%Delta BMI) was calculated based on BMI values at admission and discharge. Multivariate multiple regression analysis was employed to ascertain the influence of rehabilitation dose on %Delta BMI.Results A total of 187 patients were included in the analysis, of whom 94% experienced a reduction in BMI during acute hospitalization. Following adjustment for sociodemographic and clinical factors, multivariable analyzes revealed a positive association between rehabilitation dose and %Delta BMI (beta = 0.338, p < 0.001).Conclusion The findings of this study suggest that, in the context of acute stroke treatment, an augmented rehabilitation dose is associated with a diminished decrease in BMI.

引用

页数：9

共 55 条

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