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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 | Relationship between nutritional status and improved ADL in individuals with cervical spinal cord injury in a convalescent rehabilitation ward. |
| 掲載誌名 | 正式名：Spinal cord 略 称：Spinal Cord ISSNコード：14765624/13624393 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 57(6),pp.501-508 |
| 著者・共著者 | Tanaka Mai, Momosaki Ryo, Wakabayashi Hidetaka, Kikura Toshihiko, Maeda Keisuke |
| 発行年月 | 2019/06 |
| 概要 | STUDY DESIGN:Retrospective cohort study.OBJECTIVES:To investigate the relationship of nutritional status with improvement of activities of daily living in individuals with cervical spinal cord injury.SETTING:A convalescent rehabilitation ward at the Toyama Prefectural Rehabilitation Hospital and Support Center for Children with Disabilities in Japan.METHODS:This retrospective analysis investigated adults (age ≥20 years) with cervical spinal cord injury who were consecutively admitted to a convalescent rehabilitation ward between 2006 and 2015. Data of 154 patients were analyzed. Nutritional status was evaluated using the Subjective Global Assessment (SGA; 3 groups: well-nourished, suspected of being malnourished or moderately malnourished, severely malnourished) and body mass index (BMI; 3 groups: underweight, standard, and overweight and obese). The main outcome was functional independence measure (FIM) efficiency. Multiple regression analysis was performed to investigate the relationship of SGA and BMI to FIM efficiency.RESULTS:FIM efficiency was significantly higher in the well-nourished group based on the SGA than in the two groups with malnutrition (P = .007: 0.32 vs. 0.26 vs. 0.10). Multivariate regression analysis revealed that FIM efficiency was similar in the underweight and standard group, but was significantly higher in the overweight and obese group (P = .006: 0.20 vs. 0.21 vs. 0.31).CONCLUSIONS:SGA and BMI on admission may be independently associated with FIM efficiency in patients with cervical spinal cord injury. |
| DOI | 10.1038/s41393-019-0245-9 |
| PMID | 30700852 |