We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The association between sarcopenia and functional outcomes in patients undergoing convalescent rehabilitation.
- Authors
Yuki Yamasaki; Yui Honda; Mami Inoue-Umezaki; Ryoko Makieda; Yoko Endo; Kozo Hanayama; Hiroshi Sakaue; Fusako Teramoto
- Abstract
Sarcopenia is widely believed to be linked to poorer outcomes in inpatient rehabilitation. This study aimed to assess the impact of sarcopenia on functional outcomes and dietary intake during hospitalization in adults undergoing convalescent rehabilitation. We conducted a retrospective cohort analysis at a single rehabilitation institution. The Asian Working Group Consensus Criteria for Sarcopenia was used to diagnose. The Functional Independence Measure (FIM) score was used at hospital discharge to measure the primary functional outcome. Energy and protein intakes during hospitalization were calculated as part of the nutritional assessment. There were 126 patients in the research (median age, 73 yr; 54% women). Stroke (n = 73; 53.4% sarcopenia) and musculoskeletal disorders (n = 53; 56.6% sarcopenia) were among the admission diagnoses. Multiple linear regression analysis revealed that the FIM total score at discharge was modestly associated with sarcopenia only in stroke patients (β = -0.1872, P = 0.09), as well as significantly and independently associated with protein intake during admission only in stroke patients (β = 0.3217, P < 0.05). In hospitalized stroke patients undergoing convalescent therapy, sarcopenia is related to lower functional results. Early identification of sarcopenia and treatment with rehabilitation nutrition should be implemented in this population.
- Subjects
SARCOPENIA; FUNCTIONAL independence measure; MEDICAL rehabilitation; STROKE patients; HOSPITAL admission &; discharge
- Publication
Journal of Medical Investigation, 2023, Vol 70, Issue 3/4, p457
- ISSN
1343-1420
- Publication type
Article
- DOI
10.2152/jmi.70.457