Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study
BackgroundIt is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction dur...
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| Format: | Article |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1270276/full |
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| author | Hiroyasu Murata Syoichi Tashiro Syoichi Tashiro Hayato Sakamoto Rika Ishida Mayuko Kuwabara Kyohei Matsuda Yoshiaki Shiokawa Teruyuki Hirano Ryo Momozaki Keisuke Maeda Hidetaka Wakabayashi Shin Yamada |
| author_facet | Hiroyasu Murata Syoichi Tashiro Syoichi Tashiro Hayato Sakamoto Rika Ishida Mayuko Kuwabara Kyohei Matsuda Yoshiaki Shiokawa Teruyuki Hirano Ryo Momozaki Keisuke Maeda Hidetaka Wakabayashi Shin Yamada |
| author_sort | Hiroyasu Murata |
| collection | DOAJ |
| description | BackgroundIt is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction during the acute phase. This investigation seeks to elucidate the impact of rehabilitation dose, as determined by both physical and occupational therapy, on BMI alterations, positing that a heightened rehabilitation dose could thwart BMI decline.MethodsThis retrospective, observational study was conducted in the stroke unit of a university hospital. Enrollees comprised individuals aged ≥65 years, hospitalized for stroke, and subsequently relocated to rehabilitation facilities between January 2019 and November 2020. The percentage change in BMI (%ΔBMI) was calculated based on BMI values at admission and discharge. Multivariate multiple regression analysis was employed to ascertain the influence of rehabilitation dose on %ΔBMI.ResultsA total of 187 patients were included in the analysis, of whom 94% experienced a reduction in BMI during acute hospitalization. Following adjustment for sociodemographic and clinical factors, multivariable analyzes revealed a positive association between rehabilitation dose and %ΔBMI (β = 0.338, p < 0.001).ConclusionThe findings of this study suggest that, in the context of acute stroke treatment, an augmented rehabilitation dose is associated with a diminished decrease in BMI. |
| first_indexed | 2024-03-09T02:55:50Z |
| format | Article |
| id | doaj.art-2af593d4086b42efb29492c9b9a08c17 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-09T02:55:50Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-2af593d4086b42efb29492c9b9a08c172023-12-05T04:59:34ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-12-011010.3389/fnut.2023.12702761270276Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational studyHiroyasu Murata0Syoichi Tashiro1Syoichi Tashiro2Hayato Sakamoto3Rika Ishida4Mayuko Kuwabara5Kyohei Matsuda6Yoshiaki Shiokawa7Teruyuki Hirano8Ryo Momozaki9Keisuke Maeda10Hidetaka Wakabayashi11Shin Yamada12Department of Rehabilitation Medicine, Kyorin University Hospital, Mitaka, JapanDepartment of Rehabilitation Medicine, Kyorin University School of Medicine, Mitaka, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Kyorin University Hospital, Mitaka, JapanDepartment of Rehabilitation Medicine, Kyorin University Hospital, Mitaka, JapanDepartment of Rehabilitation Medicine, Kyorin University Hospital, Mitaka, JapanDepartment of Rehabilitation Medicine, Kyorin University School of Medicine, Mitaka, JapanDepartment of Brain Surgery, Kyorin University, Mitaka, JapanDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, Mitaka, JapanDepartment of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, JapanDepartment of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu, JapanDepartment of Rehabilitation Medicine, Tokyo Women’s Medical University Hospital, Shinjuku, JapanDepartment of Rehabilitation Medicine, Kyorin University School of Medicine, Mitaka, JapanBackgroundIt is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction during the acute phase. This investigation seeks to elucidate the impact of rehabilitation dose, as determined by both physical and occupational therapy, on BMI alterations, positing that a heightened rehabilitation dose could thwart BMI decline.MethodsThis retrospective, observational study was conducted in the stroke unit of a university hospital. Enrollees comprised individuals aged ≥65 years, hospitalized for stroke, and subsequently relocated to rehabilitation facilities between January 2019 and November 2020. The percentage change in BMI (%ΔBMI) was calculated based on BMI values at admission and discharge. Multivariate multiple regression analysis was employed to ascertain the influence of rehabilitation dose on %ΔBMI.ResultsA total of 187 patients were included in the analysis, of whom 94% experienced a reduction in BMI during acute hospitalization. Following adjustment for sociodemographic and clinical factors, multivariable analyzes revealed a positive association between rehabilitation dose and %ΔBMI (β = 0.338, p < 0.001).ConclusionThe findings of this study suggest that, in the context of acute stroke treatment, an augmented rehabilitation dose is associated with a diminished decrease in BMI.https://www.frontiersin.org/articles/10.3389/fnut.2023.1270276/fullimmobilitydisuseGNRImalnutritionstroke care unitoutcome |
| spellingShingle | Hiroyasu Murata Syoichi Tashiro Syoichi Tashiro Hayato Sakamoto Rika Ishida Mayuko Kuwabara Kyohei Matsuda Yoshiaki Shiokawa Teruyuki Hirano Ryo Momozaki Keisuke Maeda Hidetaka Wakabayashi Shin Yamada Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study Frontiers in Nutrition immobility disuse GNRI malnutrition stroke care unit outcome |
| title | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study |
| title_full | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study |
| title_fullStr | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study |
| title_full_unstemmed | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study |
| title_short | Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study |
| title_sort | impact of rehabilitation dose on body mass index change in older acute patients with stroke a retrospective observational study |
| topic | immobility disuse GNRI malnutrition stroke care unit outcome |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1270276/full |
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