储存能量与恢复：中风后肌肉疏松症治疗的关键因素

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Annals of Nutrition and Metabolism Pub Date : 2024-11-07 DOI:10.1159/000541795

Fumihiko Nagano, Yoshihiro Yoshimura, Ayaka Matsumoto, Yoichi Sato, Takafumi Abe, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido, Takenori Hamada, Kenichiro Maekawa, Kouki Yoneda, Kota Hori

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引用次数: 0

摘要

简介：本研究旨在确定储存能量对急性中风后肌肉疏松症患者体重（BW）和骨骼肌质量（SMM）变化的影响。研究方法这项回顾性队列研究纳入了 2015 年至 2022 年间连续入住日本康复医院的中风和肌肉疏松症患者。根据亚洲肌肉疏松症工作组 2019 年的标准诊断肌肉疏松症。总储存能量（千卡）定义为住院期间总能量摄入减去总能量需求，能量需求按实际体重（公斤）×30（千卡/天）估算。采用多元回归分析法调整混杂因素的影响，并分析住院期间总储存能量除以住院时间（=储存能量）与体重和SMM变化之间的关系：在总共 556 名患者中，对 193 名患者（平均年龄 80 岁；43% 为男性）进行了分析。中位数（IQR）总储能为-1544（-18524，16566）千卡，储能为-23（-169，165）千卡/天；90 名患者的储能大于 0。多元线性回归分析表明，储能与体重增加呈独立正相关（β=0.412，PC结论：储能对急性中风后肌肉疏松症患者的体重和肌肉萎缩有积极影响。

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Stored Energy and Recovery: A Key Factor in Post-stroke Sarcopenia Management.

Introduction: This study aimed to determine the effects of Stored Energy on changes in body weight (BW) and skeletal muscle mass (SMM) in patients with post-acute stroke and sarcopenia.　 Methods: This retrospective cohort study included patients with stroke and sarcopenia consecutively admitted to a Japanese rehabilitation hospital between 2015 and 2022. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia in 2019 criteria. Total Stored Energy (kcal) was defined as total energy intake minus total energy requirements during hospitalization, and energy requirements were estimated as actual BW (kg) × 30 (kcal/day). Multiple regression analysis was used to adjust for the effects of confounders and to analyze the association between Total Stored Energy divided by length of hospital stay (= Stored Energy) and changes in BW and SMM during hospitalization.

Results: Of the total 556 patients, 193 patients (mean age, 80 years; 43% male) were analyzed. The median (IQR) Total Stored Energy was -1544 (-18524, 16566) kcal and Stored Energy was -23 (-169, 165) kcal/day; 90 patients had Stored Energy > 0. Multiple linear regression analysis showed that Stored Energy was independently and positively associated with BW gain (β=0.412, P<0.001) and SMM gain (β=0.263, P<0.001).

Conclusion: Stored Energy has a positive impact on BW and SMM in patients with post-acute stroke and sarcopenia.

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来源期刊

Annals of Nutrition and Metabolism 医学-内分泌学与代谢

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.