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Body Composition, Fatigue, Mobility, and Functional Status in Individuals With Stroke: A Case-Control Study With
Raziye Çelik1, Emre Baskan2, Aziz Dengiz3
1Department of Therapy and Rehabilitation, Vocational School of Health Sciences, Niğde Ömer Halisdemir University, Niğde, Türkiye.
Summary
Stroke survivors experience increased body fat and fatigue, impacting mobility and independence. Monitoring body composition is crucial for effective stroke rehabilitation and improving functional outcomes.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Human Physiology
Background:
- Stroke often results in significant alterations to body composition, increased fatigue levels, and diminished functional capabilities.
- Understanding these post-stroke changes is vital for optimizing patient recovery and long-term health outcomes.
Purpose of the Study:
- To investigate the correlations between body composition, fatigue, mobility, and functional independence in individuals who have experienced a stroke.
- To compare these parameters between stroke patients and healthy control subjects.
Main Methods:
- Utilized Bioelectrical Impedance Analysis (BIA) for body composition assessment.
- Employed the Fatigue Severity Scale (FSS) for fatigue measurement.
- Assessed mobility using the Rivermead Mobility Index (RMI) and functional status with the Functional Independence Measure (FIM).
Main Results:
- Stroke patients exhibited significantly higher fat percentages (total, upper extremity, trunk) and greater fatigue compared to controls (p < 0.05).
- Healthy individuals demonstrated superior muscle mass, bone mass, mobility, and functional independence (p < 0.05).
- No significant differences were observed in body weight, BMI, or total body water between groups (p > 0.05).
Conclusions:
- Stroke negatively impacts body composition, characterized by increased fat mass and reduced muscle mass on both affected and unaffected sides.
- These body composition changes are potential contributors to post-stroke fatigue, reduced mobility, and decreased functional independence.
- Regular monitoring of body composition and functional status is essential within stroke rehabilitation programs.
