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住院康复期间肌肉减少症患者客观测量的身体活动与身体功能的关联

Association of Objectively Measured Physical Activity with Physical Function in Patients with Sarcopenia during Hospitalized Rehabilitation.

作者信息

Ohtsubo Takuro, Nozoe Masafumi, Kanai Masashi, Ueno Katsuhiro, Nakayama Mai

机构信息

Department of Rehabilitation, Nishi-Kinen Port Island Rehabilitation Hospital, Kobe 650-0046, Japan.

Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe 658-0001, Japan.

出版信息

Nutrients. 2022 Oct 21;14(20):4439. doi: 10.3390/nu14204439.

Abstract

This study aimed to investigate the association between objectively measured physical activity and functional improvement in hospitalized patients with sarcopenia. In this retrospective cohort study, physical activity (light-intensity physical activity [LIPA]; moderate-to-physical activity [MVPA]) was measured using a triaxial accelerometer in patients with sarcopenia undergoing rehabilitation on hospital admission. The primary outcome was physical function measured with the SPPB and activity of daily living (ADL) measured with the functional independence measure scores for motor function (FIM-M) at hospital discharge. Multiple regression analysis was per-formed to investigate the relationship between the objectively measured physical activity and functional outcomes. A total of 182 patients with sarcopenia (aged 81; interquartile range (IQR) 13 years) were included in this study. In the multiple regression analysis, LIPA was associated with the SPPB score at discharge (β = 0.180, = 0.015) but not with FIM-M at discharge. MVPA was not associated with SPPB or FIM-M scores at discharge. In conclusion, LIPA on admission is independently associated with physical function, but not ADL, in patients with sarcopenia undergoing hospitalized rehabilitation.

摘要

本研究旨在调查住院肌少症患者客观测量的身体活动与功能改善之间的关联。在这项回顾性队列研究中,对入院时正在接受康复治疗的肌少症患者使用三轴加速度计测量身体活动(轻度身体活动[LIPA];中度至剧烈身体活动[MVPA])。主要结局是出院时用简易体能状况量表(SPPB)测量的身体功能以及用运动功能的功能独立性测量评分(FIM-M)测量的日常生活活动能力(ADL)。进行多元回归分析以研究客观测量的身体活动与功能结局之间的关系。本研究共纳入182例肌少症患者(年龄81岁;四分位间距[IQR]为13岁)。在多元回归分析中,LIPA与出院时的SPPB评分相关(β = 0.180,P = 0.015),但与出院时的FIM-M无关。MVPA与出院时的SPPB或FIM-M评分均无关。总之,入院时的LIPA与住院康复的肌少症患者的身体功能独立相关,但与ADL无关。

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