Wakabayashi Hidetaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Original article
Language English
Peer review Peer reviewed
Title Relationship between nutritional status and improved ADL in individuals with cervical spinal cord injury in a convalescent rehabilitation ward.
Journal Formal name：Spinal cord
Abbreviation：Spinal Cord
ISSN code：14765624/13624393
Domestic / ForeginForegin
Volume, Issue, Page 57(6),pp.501-508
Author and coauthor Tanaka Mai, Momosaki Ryo, Wakabayashi Hidetaka, Kikura Toshihiko, Maeda Keisuke
Publication date 2019/06
Summary 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