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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.

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。

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