Undernutrition at Admission Suppresses Post-Stroke Recovery of Trunk Function

Keisuke Sato; Tatsuro Inoue; Keisuke Maeda; Akio Shimizu; Junko Ueshima; Yuria Ishida; Takahiro Ogawa; Masaki Suenaga

doi:10.1016/j.jstrokecerebrovasdis.2022.106354

Undernutrition at Admission Suppresses Post-Stroke Recovery of Trunk Function

J Stroke Cerebrovasc Dis. 2022 Apr;31(4):106354. doi: 10.1016/j.jstrokecerebrovasdis.2022.106354. Epub 2022 Feb 14.

Authors

Keisuke Sato¹, Tatsuro Inoue², Keisuke Maeda³, Akio Shimizu⁴, Junko Ueshima⁵, Yuria Ishida⁶, Takahiro Ogawa⁷, Masaki Suenaga⁸

Affiliations

¹ Okinawa Chuzan Clinical Research Center, Chuzan Hospital, Okinawa, Japan.
² Department of Physical Therapy Niigata University of Health and Welfare, Niigata, Japan.
³ Okinawa Chuzan Clinical Research Center, Chuzan Hospital, Okinawa, Japan; Department of Geriatric Medicine, National Center for Geriatrics and Gerontology, Aichi, Japan; Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Aichi, Japan. Electronic address: kskmaeda1701@gmail.com.
⁴ Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Shizuoka, Japan.
⁵ Department of Clinical Nutrition and Food Service, NTT Medical Center Tokyo, Tokyo, Japan.
⁶ Department of Nutrition, Aichi Medical University Hospital, Aichi, Japan.
⁷ Okinawa Chuzan Clinical Research Center, Chuzan Hospital, Okinawa, Japan; Department of Rehabilitation Medicine, Chuzan Hospital, Okinawa, Japan.
⁸ Department of Rehabilitation Medicine, Chuzan Hospital, Okinawa, Japan.

PMID: 35176691
DOI: 10.1016/j.jstrokecerebrovasdis.2022.106354

Abstract

Objectives: Malnutrition and decreased trunk function have a negative influence on the activities of daily living (ADL) prognosis after stroke. However, the relationship between malnutrition and improvement in trunk function has not been clarified. We aimed to examine the influence of malnutrition on the improvement in trunk function in stroke patients.

Materials and methods: This retrospective, observational study was conducted with cerebral infarction patients aged ≥ 65 years with stroke. The study period was from May 2018 to September 2020. Patients were divided into malnutrition and intact groups according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. The primary outcome was the change in the Functional Assessment for Control of Trunk (FACT) score (FACT score at discharge - FACT score at admission).

Results: A total of 183 participants (mean age, 79.7 ± 7.5 years; males, 56.3%) were included. A total of 79 (43%) and 104 (57%) patients were divided into the malnutrition and intact groups, respectively. The malnutrition group had a lower FACT score at admission (7.7 ± 7.3 vs. 11.9 ± 6.3, P < 0.001) and a lower FACT score at discharge (8.0 ± 7.7 vs. 13.3 ± 6.1, P < 0.001) than the intact group. After adjustment for the confounding factors, malnutrition was associated with a smaller change in the FACT score (coefficient = -1.871, 95% CI = -3.401 to -0.340, P = 0.017).

Conclusions: Malnutrition has a negative influence on the recovery of trunk function in post-stroke patients. This finding should be verified through additional prospective studies.

Keywords: Malnutrition; Rehabilitation; Stroke; Trunk function.

Publication types

Observational Study

MeSH terms

Activities of Daily Living
Aged
Aged, 80 and over
Humans
Male
Malnutrition* / complications
Malnutrition* / etiology
Nutritional Status
Prospective Studies
Recovery of Function
Retrospective Studies
Stroke* / complications
Stroke* / diagnosis
Stroke* / therapy