The association between sarcopenia and functional outcomes in patients undergoing convalescent rehabilitation

• Material Type: 博士論文
• Title: The association between sarcopenia and functional outcomes in patients undergoing convalescent rehabilitation
• Author/Editor: Yamasaki, Yuki; Honda, Yui; Inoue-Umezaki, Mami; Makieda, Ryoko; Endo, Yoko; Hanayama, Kozo; Sakaue, Hiroshi; Teramoto, Fusako
• Author Heading: Yamasaki, Yuki; Honda, Yui; Inoue-Umezaki, Mami; Makieda, Ryoko; Endo, Yoko; Hanayama, Kozo; Sakaue, Hiroshi; Teramoto, Fusako
• Publication, Distribution, etc.: Tokushima University Faculty of Medicine
• Publication Date: 2023-08
• Publication Date (W3CDTF): 2023-08
• Alternative Title: 回復期リハビリテーション病棟患者におけるサルコペニアと機能的予後との関連; Sarcopenia effect on convalescent rehabilitation outcomes
• Periodical title: The Journal of Medical Investigation
• No. or year of volume/issue: 70 3-4
• Volume: 70
• Issue: 3-4
• Pages: 457-463
• ISSN (Periodical Title): ISSN : 1349-6867; ISSN : 1343-1420
• Degree grantor/type: 徳島大学
• Date Granted: 2023-10-27
• Dissertation Number: 乙第2127号
• Degree Type: 博士（栄養学）
• Text Language Code: eng
• Subject Heading: Sarcopenia; Convalescent rehabilitation; Functional outcomes; Functional Independence Measure (FIM); Nutrition
• Target Audience: 一般
• Note (General): 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.
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2152/jmi.70.457
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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