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营养不良与体力活动强度的关联在患有亚急性中风的患者中

Hiroki Kubo¹, Masashi Kanai², Masafumi Nozoe³

¹Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Japan; Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan; Researcher, Kansai Medical University, Hirakata, Japan.

Archives of physical medicine and rehabilitation

|May 31, 2023

概括

脑卒中患者的营养不良与更久坐的行为和轻度活动有关,影响日常生活. 康复应该针对营养和身体活动水平,以获得更好的结果.

科学领域:

神经学神经学
营养科学营养科学
康复医学康复医学康复医学

背景情况:

亚急性中风患者经常经历身体功能受损和营养挑战.
了解营养状况和身体活动之间的相互作用对于有效的中风康复至关重要.

研究的目的:

调查营养状况 (使用全球营养不良领导倡议 (GLIM) 标准) 和亚急性中风患者的体力活动强度之间的关系.
确定住院期间营养状况,体力活动和日常生活活动 (ADLs) 之间的关联.

主要方法:

一项涉及128名在神经外科医院康复科的亚急性中风患者的横截面研究.
通过GLIM标准评估营养状况;用加速度计测量体力活动 (静止行为[SB],光强体力活动[LIPA],中度至强度体力活动[MVPA]).
用多重回归和调解分析来检查关系和关联.

主要成果:

营养不良与增加的SB时间和LIPA时间相关,但与中度至剧烈体力活动 (MVPA) 时间无关.
SB和LIPA时间与运动功能 (功能独立度量) 有显著的关联,而MVPA则没有.
SB和LIPA时间在营养状况和ADL之间发挥了重要作用.

结论:

在亚急性中风患者中,营养不良与较高的久坐行为和轻度体力活动有关,影响日常功能.
久坐不动的行为和轻微的体力活动调解了营养状况和日常生活活动之间的关系.
建议将营养状况评估和体育活动干预措施整合起来,以优化中风康复.

关键词:

功能性的结果.符合GLIM标准的标准身体活动身体活动康复康复康复康复一次性中风,中风.

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