Relationship between trunk muscle mass and activities of daily living at discharge in acute stroke patients
Relationship between trunk muscle mass and activities of daily living at discharge in acute stroke patients
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DOI：
10.1016/j.nut.2022.111833
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发表时间：
2022-09-26
期刊：
影响因子：
4.4
通讯作者：
Matsumoto, Ayaka
中科院分区：
文献类型：
--
作者：
Sato, Yoichi;Yoshimura, Yoshihiro;Matsumoto, Ayaka
目的：本研究的目的是评估躯干肌肉质量对急性脑卒中患者出院时功能预后的影响，包括日常生活活动（ADL）。方法：这项回顾性队列研究包括急性脑卒中住院患者。在入院后5 d内采用生物电阻抗分析法测量躯干肌肉质量。主要结局是出院时的ADL，使用功能独立性测量-运动项目（FIM-运动）进行评估。次要结局为住院时间和出院回家时间。进行多变量分析，以确定躯干肌肉质量和ESTA subitems.Results之间的关联：数据从212例（平均年龄72.7岁，143名男子）被列入分析。男性躯干肌肉质量指数（TMI）中位数为8.2 kg/m2，女性为6.7 kg/m2。高TMI组患者较年轻，出院时FIM运动评分较高（P < 0.001）。在多变量分析中，TMI与出院时FIM运动评分呈正相关（i3 = 0.240，P < 0.001）。FIM-self-care（i3 = 0.351，P < 0.001）和运动（i3 = 0.331，P < 0.001）与TMI呈正相关。TMI对评价急性脑卒中患者的功能预后具有重要意义。(c)2022爱思唯尔公司All rights reserved.
Objective: The aim of this study was to evaluate the effects of trunk muscle mass on functional prognosis, including activities of daily living (ADLs), at hospital discharge in patients with acute stroke. Methods: This retrospective cohort study included hospitalized patients with acute stroke. Trunk muscle mass was measured using bioelectrical impedance analysis within 5 d of admission. The primary outcome was ADLs at hospital discharge, assessed using the Functional Independence Measure-motor items (FIM-motor). The secondary outcomes were hospital length of stay and discharge to home. Multivariate analyses were performed to determine the association between trunk muscle mass and FIM subitems.Results: Data from 212 patients (mean age 72.7 y; 143 men) were included in the analysis. The median trunk muscle mass index (TMI) was 8.2 kg/m2 in men and 6.7 kg/m2 in women. Patients in the high TMI group were younger and had a higher FIM-motor score at discharge (P < 0.001). In multivariate analyses, TMI was positively associated with the FIM-motor score at discharge (i3 = 0.240, P < 0.001). FIM-self-care (i3 = 0.351, P < 0.001) and locomotion (i3 = 0.331, P < 0.001) were positively associated with the TMI.Conclusions: Trunk muscle mass is associated with ADLs at hospital discharge after acute stroke. TMI is important for evaluating functional prognosis in patients with acute stroke.(c) 2022 Elsevier Inc. All rights reserved.