入院时营养不良与急性中风患者的躯干功能恢复相关，但与下肢肌肉力量恢复无关：一项观察性队列研究。

Malnutrition on admission is associated with trunk function recovery but not with lower limb muscle strength recovery in patients with acute stroke: an observational cohort study.

作者信息

Nozoe Masafumi, Inoue Tatsuro, Ishida Mitsuru, Yamamoto Kenta, Kanai Masashi

机构信息

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

Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.

出版信息

Nutrition. 2023 May;109:111971. doi: 10.1016/j.nut.2023.111971. Epub 2023 Jan 6.

DOI:10.1016/j.nut.2023.111971

PMID:36745968

Abstract

OBJECTIVES

The aim of this study was to determine the effects of malnutrition on trunk function and lower leg muscle strength in patients with acute stroke upon hospitalization.

METHODS

This prospective cohort study included hospitalized patients with acute stroke. Nutritional status was assessed using the Global Leadership Initiative on Malnutrition criteria. Trunk function and lower leg muscle strength were assessed using the trunk control test (TCT) and Motricity Index (MI), respectively, on admission and at discharge. Logistic regression analysis was performed to examine the relationship between malnutrition and poor improvement in TCT and MI scores at discharge.

RESULTS

Patients (N = 241) with acute stroke (median age 79 y) were included in this study. In adjusted logistic regression analysis, malnutrition was independently associated with poor TCT score improvement (adjusted odds ratio, 3.82; 95% confidence interval, 1.11-13.20; P = 0.03). In contrast, malnutrition was not independently associated with poor MI score improvement (adjusted odds ratio, 0.86; 95% confidence interval, 0.30-2.52; P = 0.79).

CONCLUSION

Malnutrition on admission leads to poor trunk function, but not lower leg muscle strength, in patients with acute stroke.

摘要

目的

本研究旨在确定急性脑卒中患者住院时营养不良对躯干功能和小腿肌肉力量的影响。

方法

这项前瞻性队列研究纳入了住院的急性脑卒中患者。采用全球营养不良领导倡议标准评估营养状况。分别在入院时和出院时使用躯干控制测试（TCT）和运动指数（MI）评估躯干功能和小腿肌肉力量。进行逻辑回归分析，以检验营养不良与出院时TCT和MI评分改善不佳之间的关系。

结果

本研究纳入了241例急性脑卒中患者（中位年龄79岁）。在调整后的逻辑回归分析中，营养不良与TCT评分改善不佳独立相关（调整后的优势比，3.82；95%置信区间，1.11 - 13.20；P = 0.03）。相比之下，营养不良与MI评分改善不佳无独立相关性（调整后的优势比，0.86；95%置信区间，0.30 - 2.52；P = 0.79）。