在中风患者中,sarcopenic肥胖症与四头肌厚度和回声强度的变化之间的关系
Motoki Maruyama1,2, Yuki Kagaya1, Sota Kajiwara1
1Department of Rehabilitation, Akita Cerebrospinal and Cardiovascular Center, Akita, Japan.
Topics in stroke rehabilitation
|April 9, 2024
概括
脑卒中后的sarcopenic肥胖症与肌肉厚度的减少以及受影响和未受影响两侧骨肌肉中回声强度的增加有关. 这一发现突出了中风幸存者与sarcopenic肥胖的显著的定量和定性肌肉变化.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 肌肉生理学 肌肉生理学
背景情况:
- 有限的研究存在于骨肌肉退化在中风后的sarcopenic肥胖.
- 麻性肥胖症是一种结合了麻症和肥胖症的疾病,在中风康复中提出了独特的挑战.
- 了解这些变化对于有效的患者管理和康复至关重要.
研究的目的:
- 为了研究中风后的形肥胖和骨肌肉特征之间的关联.
- 用超声波成像分析骨肌肉的定量和质量变化.
- 确定在中风患者中sarcopenic肥胖和肌肉测量之间的关系.
主要方法:
- 一项涉及130名中风患者在康复病房的横截面研究.
- 超声波评估四头肌肌肉厚度 (QMT) 和回声强度 (QEI) 在和非侧.
- 标本性肥胖症是由标本性肥胖症和肥胖症联合定义的;使用多重回归分析.
主要成果:
- 在被研究的中风患者中,形肥胖的患病率为23.1%.
- 萨科佩尼性肥胖与性 (β = -0.28,p < 0.001) 和非性 (β = -0.37,p < 0.001) 两侧的QMT降低有显著关联.
- 标本性肥胖症与性 (β = 0.21,p = 0.034) 和非性 (β = 0.20,p = 0.029) 两侧的QEI增加有显著关联.
结论:
- 脑卒中后的sarcopenic肥胖症独立地与定量和定性骨肌肉变化有关.
- 这些肌肉变化发生在身体的和非两侧.
- 这些发现强调了在中风康复中解决形肥胖症的重要性,以减轻肌肉退化.
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