Body Composition Alterations in Patients with Chronic Stroke: A Cross-Sectional Study.

IF 1.9 4区医学 Q4 NEUROSCIENCES

Journal of musculoskeletal & neuronal interactions Pub Date : 2025-12-01

Jittima Saengsuwan, Charuwan Nimphan, Charoonsak Somboonporn, Preeda Arrayawichanon

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引用次数: 0

Abstract

Objectives: To investigate differences in body composition (fat mass, lean body mass [LBM] and bone mineral content [BMC]) between the paretic and non-paretic sides in patients with chronic stroke, and to identify predictive factors for paretic LBM and BMC.

Methods: This cross-sectional study included 84 patients (58 men, 26 women; age 58.3 ± 9.5 years). Body composition was assessed using dual-energy X-ray absorptiometry to measure fat mass, LBM and BMC of the paretic and non-paretic limbs.

Results: LBM and BMC of both the upper and lower extremities were significantly lower on the paretic side. Fat mass in the paretic lower limb was significantly higher. The greatest percentage differences were found in upper limb BMC (-16.8 %), lower limb LBM (-7.9 %) and lower limb BMC (-7.3 %). Predictors of paretic LBM included age, body mass, motor strength (Motricity Index), and body fat percentage. For paretic BMC, sex and height were significant predictors in both limbs: paretic arm LBM predicted arm BMC, while body mass and age predicted paretic leg BMC.

Conclusions: Significant differences in body composition exist between the paretic and non-paretic sides in chronic stroke. This study identified key predictors of paretic LBM and BMC.

本刊更多论文

慢性脑卒中患者体成分改变：一项横断面研究。

目的：探讨慢性脑卒中患者轻瘫侧与非轻瘫侧身体组成（脂肪量、瘦体重[LBM]和骨矿物质含量[BMC]）的差异，并探讨轻瘫侧LBM和BMC的预测因素。方法：本横断面研究纳入84例患者（男性58例，女性26例，年龄58.3±9.5岁）。采用双能x线吸收仪评估体成分，测量患儿和非患儿肢体的脂肪量、LBM和BMC。结果：患儿上、下肢LBM和BMC均明显降低。患儿下肢脂肪量明显增高。上肢BMC（- 16.8%）、下肢BMC（- 7.9%）和下肢BMC（- 7.3%）的百分比差异最大。双亲性LBM的预测因子包括年龄、体重、运动强度（运动指数）和体脂率。对于双亲性BMC，性别和身高是两肢的显著预测因子：双亲性上臂体重预测手臂BMC，而体重和年龄预测双亲性腿部BMC。结论：慢性脑卒中患儿的体成分在双亲侧和非双亲侧存在显著差异。本研究确定了父母LBM和BMC的关键预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of musculoskeletal & neuronal interactions NEUROSCIENCES-PHYSIOLOGY

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.