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 Impact of energy intake on the activities of daily living in patients with cervical spinal cord injury undergoing post-acute rehabilitation.
Journal Formal name:The journal of spinal cord medicine
Abbreviation:J Spinal Cord Med
ISSN code:20457723/10790268
Domestic / ForeginForegin
Volume, Issue, Page pp.1-8
Author and coauthor Moriyama Daisuke, Kokura Yoji, Nishioka Shinta, Maeda Keisuke, Shimizu Akio, Tanaka Hirotaka, Watanabe Tomoe, Wakabayashi HIdetaka
Authorship Last author
Publication date 2023/05
Summary OBJECTIVE:To investigate the association between sufficient energy intake and improvement in activities of daily living (ADL) after hospitalization in patients with cervical spinal cord injury (CSCI) undergoing post-acute rehabilitation.DESIGN:Retrospective cohort study.SETTING:Post-acute care hospital from September 2013 to December 2020.PARTICIPANTS:Patients with CSCI admitted to a post-acute care hospital for rehabilitation.INTERVENTION:Not applicable.OUTCOME MEASURE(S):Multiple regression analysis was performed to investigate the relationship of sufficient energy intake to Motor Functional Independence Measure (mFIM) gain, mFIM score at discharge, and body weight change during hospitalization.RESULTS:In total, 116 patients (104 men and 12 women), median age: 55 (interquartile range [IQR] 41-65) years were included in the analysis. Then, 68 (58.6%) were in the energy-sufficient group, and 48 (41.4%) patients were classified under the energy-deficient group. The two groups did not significantly differ in terms of mFIM gain and mFIM score at discharge. The energy-sufficient group maintained body weight change during hospitalization than the energy-deficient group (0.6 [-2.0-2.0] vs. -1.9 [-4.0--0.3], P < 0.001). Multiple regression analysis showed no association between sufficient energy intake and outcomes.CONCLUSION:Sufficient energy intake within the first 3 days of admission did not affect ADL improvement during hospitalization in patients with a post-cute CSCI undergoing rehabilitation.
DOI 10.1080/10790268.2023.2212333
PMID 37195196