首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Muscle mass gain is positively associated with functional recovery in patients with sarcopenia after stroke
【24h】

Muscle mass gain is positively associated with functional recovery in patients with sarcopenia after stroke

机译:肌肉质量收益与卒中后肌肉血症患者的功能性复苏呈正相关

获取原文
获取原文并翻译 | 示例
           

摘要

Objective: Intervention for treating sarcopenia is of great concern in clinical settings. The aim of this study was to investigate the relationship between changes in skeletal muscle mass and functional outcomes in patients with sarcopenia after stroke. Methods: A retrospective cohort study of stroke patients with sarcopenia consecutively admitted to a single center's convalescent rehabilitation wards was conducted from 2015 to 2018. Sarcopenia was defined as a loss of skeletal muscle mass index (SMI) with bioelectrical impedance and decreased muscle strength as measured by handgrip strength; cut-off values were adopted from the 2019 Asian Working Group for Sarcopenia. Changes in SMI during hospitalization were measured. Outcomes included the motor domain of Functional Independence Measure at discharge and its gain. Multivariate analysis determined whether the changes in SMI were associated with these outcomes. Results: During the study period, 272 stroke patients were enrolled. Of those, 120 patients (44%) (mean age 79 years, 70 females) were diagnosed with sarcopenia. The mean (SD) for changes in SMI was 0.2 (0.5) kg/m(2). Multiple linear regression analysis showed that changes in SMI were significantly associated with Functional Independence Measure - motor at discharge (beta=0.175, P=0.003) and Functional Independence Measure - motor gain (beta=0.247, P=0.003). Conclusions: Muscle mass gain may be positively associated with functional recovery in patients with sarcopenia after stroke. Exercise and nutritional therapy to increase skeletal muscle mass, in addition to conventional stroke rehabilitation, is needed for these patients.
机译:目的:干预治疗肌肉减少症在临床上备受关注。本研究的目的是探讨中风后肌肉减少症患者骨骼肌质量变化与功能预后之间的关系。方法:对2015年至2018年连续入住单中心康复病房的肌肉减少症脑卒中患者进行回顾性队列研究。肌肉减少症被定义为骨骼肌质量指数(SMI)随生物电阻抗的下降,以及通过握力测量的肌力下降;截止值取自2019年亚洲肌肉减少症工作组。测量住院期间SMI的变化。结果包括出院时功能独立性测量的运动领域及其增益。多变量分析确定SMI的变化是否与这些结果相关。结果:在研究期间,272名中风患者入选。其中120名患者(44%)(平均年龄79岁,70名女性)被诊断为肌肉减少症。SMI变化的平均值(SD)为0.2(0.5)kg/m(2)。多元线性回归分析显示,SMI的变化与功能独立性测量-出院时运动(β=0.175,P=0.003)和功能独立性测量-运动增益(β=0.247,P=0.003)显著相关。结论:中风后肌肉减少症患者的肌肉质量增加可能与功能恢复呈正相关。除了传统的中风康复外,这些患者还需要运动和营养疗法来增加骨骼肌质量。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号