From the Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea (SJK, E-HY, JHM, S-HK); Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea (JHM, Y-IS, H-YK, S-HK); and Department of Rehabilitation Medicine, Pusan National University School of Medicine, Yangsan, Republic of Korea (Y-IS, H-YK).
Am J Phys Med Rehabil. 2020 Sep;99(9):830-836. doi: 10.1097/PHM.0000000000001434.
The aim of the study was to analyze differences in body composition between affected and unaffected limbs using segmental bioelectrical impedance analysis in hemiparetic stroke patients.
The segmental bioelectrical impedance analysis results and body composition of 213 hospitalized hemiparetic stroke patients were retrospectively reviewed. Subjects were divided into acute, subacute, and chronic groups according to the period after the onset of stroke. Segmental lean mass and segmental body water values were compared between affected and unaffected upper and lower limbs in all subjects and in subgroups. The mean differences of body compositions between the affected and unaffected limbs between the three groups were also compared.
No significant differences in segmental lean mass and segmental body water values were observed between the affected and unaffected upper and lower limbs in total and in three subgroups. The mean differences in segmental lean mass and segmental body water values between the affected and unaffected upper limbs in the chronic group were larger than those in the acute and subacute groups.
There were no significant differences in body composition between affected and unaffected limbs in patients with hemiparetic stroke. The differences in body composition in the affected and unaffected upper limbs in chronic stroke patients were larger than those in acute and subacute stroke patients. Further longitudinal studies are needed.
本研究旨在通过节段生物电阻抗分析,分析偏瘫脑卒中患者患侧和健侧肢体的身体成分差异。
回顾性分析了 213 例住院偏瘫脑卒中患者的节段生物电阻抗分析结果和身体成分。根据脑卒中发病后的时间,将患者分为急性期、亚急性期和慢性期。在所有患者和亚组中,比较了上下肢患侧和健侧的节段瘦体重和节段体水分值。还比较了三组之间患侧和健侧肢体之间身体成分的平均差异。
在总人群和三个亚组中,上下肢患侧和健侧的节段瘦体重和节段体水分值无显著差异。慢性组患侧和健侧上肢节段瘦体重和节段体水分值的平均差异大于急性和亚急性期。
偏瘫脑卒中患者患侧和健侧肢体的身体成分无显著差异。慢性脑卒中患者患侧和健侧上肢的身体成分差异大于急性和亚急性脑卒中患者。需要进一步的纵向研究。