- 作者：Maria Nii ; RD* ; Keisuke Maeda ; MD ; PhD&dagger ; ; maeda4work@tng.bbiq.jp" class="auth_mail" title="E-mail the corresponding author ; Hidetaka Wakabayashi ; MD&Dagger ; ; Shinta Nishioka ; RD§ ; ; Atsuko Tanaka ; MD ; PhD‖
- 关键词：Nutritional status ; energy intake ; activities of daily living ; rehabilitation nutrition team ; cerebrovascular disorders
- 刊名：Journal of Stroke and Cerebrovascular Diseases
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：25
- 期：1
- 页码：57-62
- 全文大小：114 K
Methods
We evaluated 67 patients with cerebrovascular disorders admitted to our rehabilitation hospital between April 2013 and April 2015. These patients received interventions from the rehabilitation nutritional support team according to the following criteria: weight loss of 2 kg or more and body mass index of 19 kg/m2 or lower. Exclusion criteria included a body mass index of 25 kg/m2 or higher, duration of intervention of less than 14 days, or transfer to an acute care hospital because of clinical deterioration. We assessed nutritional status using the Geriatric Nutritional Risk Index (GNRI) and ADL using the Functional Independence Measure (FIM) score, FIM gain, and FIM efficiency.
Results
The mean age of the patients was 78.7 ± 8.0 years. The numbers of patients in each category of cerebrovascular disorder were 39 with cerebral infarction, 16 with intracerebral hemorrhage, 8 with subarachnoid hemorrhage, and 4 others. Compared with the counterpart group, the group with an improvement in GNRI had a greater gain in FIM (median 17 and 20, respectively; P = .036) and a higher FIM efficiency (.14 and .22, respectively; P = .020). Multivariate stepwise regression analysis showed that an improvement in GNRI, increasing energy intake at admission, and intracerebral hemorrhage were associated independently with greater FIM efficiency.
Conclusions
This study suggested that nutritional improvement and energy intake at admission are associated with recovery of ADL after cerebrovascular disorders.