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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 | Sarcopenic obesity defined by Japanese Working Group on Sarcopenic Obesity in post-stroke inpatients: prevalence and clinical implications. |
| 掲載誌名 | 正式名：Annals of geriatric medicine and research 略 称：Ann Geriatr Med Res ISSNコード：25084909/25084798 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.1 |
| 著者・共著者 | Ayaka Matsumoto, Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Sayuri Shimazu, Yoshifumi Kido, Ai Shiraishi, Takenori Hamada, Kouki Yoneda, Takahiro Bise, Aomi Kuzuhara |
| 発行年月 | 2025/04 |
| 概要 | BACKGROUND:Sarcopenic obesity (SO) is characterized by the coexistence of sarcopenia and obesity, associated with adverse health outcomes. This study aimed to investigate the prevalence of SO as defined by the recently published Japanese Working Group on Sarcopenic Obesity (JWGSO) criteria in post-stroke patients undergoing rehabilitation and its association with activities of daily living (ADL) and length of hospital stay.METHODS:This retrospective cohort study analyzed stroke patients aged 40-75 years undergoing rehabilitation. SO was diagnosed using JWGSO criteria. The primary outcome was the Functional Independence Measure (FIM) motor score at discharge, with length of hospital stay as a secondary outcome. Multiple linear regression analysis was performed to assess associations between SO and outcomes.RESULTS:The study included 405 patients with a median age of 65 years (IQR 58-71), of whom 60.7% were male. The prevalence of JWGSO-defined SO was 5.4%. Multivariate regression analysis revealed no significant association between JWGSO-defined SO and FIM-motor at discharge (β = 0.015, p = 0.664) or length of stay (β = 0.008, p = 0.828). Sarcopenia alone demonstrated significant negative associations with both outcomes.CONCLUSION:The prevalence of JWGSO-defined SO in post-stroke rehabilitation patients was 5.4%, with no significant association with ADL or length of hospital stay. Sarcopenia alone showed stronger associations with outcomes, suggesting the importance of addressing muscle mass and strength in stroke rehabilitation. |
| DOI | 10.4235/agmr.25.0021 |
| PMID | 40313083 |