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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Nutritional Improvement Correlates with Recovery of Activities of Daily Living among Malnourished Elderly Stroke Patients in the Convalescent Stage: A Cross-Sectional Study. |
| 掲載誌名 | 正式名：Journal of the Academy of Nutrition and Dietetics 略 称：J Acad Nutr Diet ISSNコード：22122672/22122672 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 116(5),pp.837-843 |
| 著者・共著者 | Nishioka Shinta, Wakabayashi Hidetaka, Nishioka Emi, Yoshida Tomomi, Mori Natsumi, Watanabe Riko |
| 担当区分 | 2nd著者 |
| 発行年月 | 2016/05 |
| 概要 | BACKGROUND:Whether nutritional improvement correlates with functional recovery in convalescent stroke patients is unclear.OBJECTIVE:This study was conducted to examine the relationship between nutritional improvement and recovery of activities of daily living among malnourished elderly stroke patients in the convalescent stage.DESIGN:This study used a cross-sectional study design.PARTICIPANTS/SETTING:One hundred seventy-eight malnourished stroke patients aged 65 years and older from convalescent rehabilitation wards in Japan between April 2012 and December 2014 were included in the analyses.MAIN OUTCOME MEASURES:The participants were classified into three groups according to the Mini Nutritional Assessment Short-Form (MNA-SF) score at discharge (0 to 7 as no improvement, 8 to 11 as lesser improvement, and 12 to 14 as greater improvement). The primary outcome was functional independence measure (FIM) efficiency (FIM gain/length of hospital stay). The secondary outcomes were FIM gain and discharge outcome.STATISTICAL ANALYSIS:One-way analysis of variance, χ(2) test, and Kruskal-Wallis test were performed for univariate analysis. Linear regression analysis was used to adjust for covariates such as age, sex, length of hospital stay, FIM (motor and cognitive) on admission, and lower-order items of MNA-SF. Binomial logistic analysis for discharge outcome (home/others) was performed to adjust for covariates such as age, sex, and FIM.RESULTS:Study participants included 85 men and 93 women with a mean age of 77 years. Based on MNA-SF, 16 were classified as no improvement, 113 as lesser improvement, and 49 as greater improvement. The median FIM efficiency and length of hospital stay were 0.27 points/day and 151.5 days, respectively. The greater improvement group had significantly higher FIM efficiency than the other groups (P<0.001). Home discharge rate was also higher in the GI group (P=0.014). |
| DOI | 10.1016/j.jand.2015.09.014 |
| PMID | 27126155 |