Nutrition Committee, Kaifukuki Rehabilitation Ward Association, Tokyo, Japan.
Department of Clinical Nutrition, Keiju Medical Center, Nanao City, Ishikawa, Japan.
Eur J Clin Nutr. 2019 Dec;73(12):1601-1604. doi: 10.1038/s41430-019-0450-9. Epub 2019 Jun 26.
We retrospectively analysed large-scale, nationwide data from the Kaifukuki (convalescent) Rehabilitation Ward (KRW) survey of 2015. Patients were classified into two groups based on changes in body mass index (BMI) during their KRW stay: increased BMI and non-increased BMI. The primary outcome was motor functional independence measure (FIM) score at discharge, and the secondary outcomes were motor FIM gain and full oral intake at discharge. We analysed 4605 patients (64% women; mean age, 79.3 years). Of these patients, 1128 and 3477 were classified into the increased and non-increased groups, respectively. Multivariate analysis showed that BMI increases were independently associated with motor FIM scores at discharge (partial regression coefficient = 1.165; 95% confidence interval, 0.671-1.659) and motor FIM gains, although BMI increase was not associated with full oral intake. Thus, increasing body weight might lead to activities of daily life improvement in underweight patients undergoing post-acute rehabilitation.
我们回顾性分析了 2015 年大规模全国性的疗养康复病房（KRW）调查数据。根据患者在 KRW 住院期间体重指数（BMI）的变化，将其分为两组：BMI 增加组和 BMI 未增加组。主要结局指标为出院时的运动功能独立性测量（FIM）评分，次要结局指标为出院时的运动 FIM 增益和完全口服摄入。我们分析了 4605 名患者（64%为女性；平均年龄 79.3 岁）。其中 1128 名和 3477 名患者分别归入 BMI 增加组和 BMI 未增加组。多变量分析显示，BMI 增加与出院时的运动 FIM 评分（偏回归系数=1.165；95%置信区间，0.671-1.659）和运动 FIM 增益独立相关，尽管 BMI 增加与完全口服摄入无关。因此，体重增加可能会导致接受急性后康复治疗的体重不足患者日常生活活动能力的改善。
