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本文引用的文献

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World Stroke Organization (WSO): Global Stroke Fact Sheet 2019.世界卒中组织(WSO):2019年全球卒中情况说明书。
Int J Stroke. 2019 Oct;14(8):806-817. doi: 10.1177/1747493019881353.
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Body Fat Mass and Risk of Cerebrovascular Lesions: The PRESENT (Prevention of Stroke and Dementia) Project.体脂肪量与脑血管损伤风险:PRESENT(预防卒中和痴呆)项目。
Int J Environ Res Public Health. 2019 Aug 8;16(16):2840. doi: 10.3390/ijerph16162840.
3
The effect of multistrain probiotic supplementation in two doses on iron metabolism in obese postmenopausal women: a randomized trial.两种剂量的多菌株益生菌补充剂对肥胖绝经后妇女铁代谢的影响:一项随机试验。
Food Funct. 2019 Aug 1;10(8):5228-5238. doi: 10.1039/c9fo01006h. Epub 2019 Aug 6.
4
Availability of secondary prevention services after stroke in Europe: An ESO/SAFE survey of national scientific societies and stroke experts.欧洲卒中后二级预防服务的可及性:欧洲卒中组织/卒中急性治疗联盟对各国科学学会及卒中专家的一项调查
Eur Stroke J. 2019 Jun;4(2):110-118. doi: 10.1177/2396987318816136. Epub 2018 Nov 27.
5
Mechanical methods of venous thromboembolism prevention: from guidelines to clinical practice.机械法预防静脉血栓栓塞症:从指南到临床实践。
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6
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7
Impact of Visceral Adipose Tissue on Clinical Outcomes After Acute Ischemic Stroke.内脏脂肪组织对急性缺血性脑卒中后临床结局的影响。
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出血性和缺血性脑卒中后患者的身体成分差异。

Differences in Body Composition among Patientsafter Hemorrhagic and Ischemic Stroke.

机构信息

Laboratory of Posturology, Collegium Medicum, Jan Kochanowski University in Kielce, 25-516 Kielce, Poland.

出版信息

Int J Environ Res Public Health. 2020 Jun 11;17(11):4170. doi: 10.3390/ijerph17114170.

DOI:10.3390/ijerph17114170
PMID:32545352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7312185/
Abstract

The aim of the study was to assess differences in the body composition of patients after hemorrhagic and ischemic stroke. There were 74 male participants in the study, of which 13 (18%) experienced hemorrhagic stroke, while 61 (82%) were after ischemic stroke. Significantly ( < 0.05) higher values of body composition variables were noted for ischemic compared to hemorrhagic strokes, and concerned: body mass (BM) (kg), basal metabolic rate (BMR) (kJ), fat-free mass (FFM) (kg), total body water (TBW) (kg), muscle mass (MM) (kg), visceral fat level (VFL), bone mass (BoM) (kg), extracellular water(ECW) (kg),intracellular water (ICW) (kg), trunk fat-free mass (TFFM) (kg) and trunk muscle mass (TMM) (kg)in the paretic upper limb; FFM (kg) and MM (kg) in the non-paretic upper limb; FFM (kg) and MM (kg) in the paretic lower limbas well as FFM (kg) and MM (kg) in the non-paretic lower limb without paresis. Only for the variables fat mass (FM) (kg), body mass index (BMI), metabolic age (MA), trunk fat mass (TFM) (kg), and FM (kg) in the paretic upper limb and FM (kg) in the non-paretic upper limb were there no significant differences. Significant differences in body composition of patients after hemorrhagic and ischemic stroke have been demonstrated. Individuals after ischemic stroke had significantly worse body composition. Incorrect body composition is a significant risk factor, especially of ischemic stroke.

摘要

本研究旨在评估出血性和缺血性脑卒中患者的身体成分差异。研究共纳入 74 名男性参与者,其中 13 名(18%)为出血性脑卒中,61 名(82%)为缺血性脑卒中。与出血性脑卒中相比,缺血性脑卒中患者的身体成分变量值显著更高(<0.05),具体涉及:体重(kg)、基础代谢率(kJ)、去脂体重(kg)、总体水(kg)、肌肉量(kg)、内脏脂肪水平(VFL)、骨量(kg)、细胞外液(kg)、细胞内液(kg)、患侧上肢无瘫痪区去脂体重(kg)和患侧上肢肌肉量(kg)、非瘫痪侧上肢去脂体重(kg)和肌肉量(kg)、患侧下肢去脂体重(kg)和肌肉量(kg)以及非瘫痪侧下肢去脂体重(kg)和肌肉量(kg)。仅脂肪量(kg)、体重指数(BMI)、代谢年龄(MA)、患侧上肢躯干脂肪量(kg)和脂肪量(kg)以及非瘫痪侧上肢脂肪量(kg)等变量无显著差异。出血性和缺血性脑卒中患者的身体成分存在显著差异。缺血性脑卒中患者的身体成分明显更差。不正确的身体成分是一个重要的风险因素,尤其是缺血性脑卒中。