Abstract
Muscle wasting and obesity may complicate the post-stroke trajectory. We investigated the relationships between nutritional status, body composition, and mobility one to 3 years after stroke. Among 279 eligible home-dwelling individuals who had suffered a stroke (except for subarachnoid bleeding) 1-3 years earlier, 134 (74 ± 5 years, 69% men) were examined according to the Mini Nutritional Assessment-Short Form (MNA-SF, 0-14 points), including body mass index (BMI, kg/m(2)), body composition by bio-impedance analyses (Tanita BC-545), the Short Physical Performance Battery (SPPB, 0-12 points) combining walking speed, balance, and chair stand capacity, and the self-reported Physical Activity Scale for the Elderly (PASE). BMI ≥ 30 kg/m(2) was observed in 22% of cases, and 14% were at risk for malnutrition according to the MNA-SF. SPPB scores ≤ 8 in 28% of cases indicated high risk for disability. Mobility based on the SPPB was not associated with the fat-free mass index (FFMI) or fat mass index (FMI). Multivariate logistic regression indicated that low mobility, i.e., SPPB ≤ 8 points, was independently related to risk for malnutrition (OR 4.3, CI 1.7-10.5, P = 0.02), low physical activity (PASE) (OR 6.5, CI 2.0-21.2, P = 0.02), an...Continue Reading
References
Oct 1, 1975·Journal of the American Geriatrics Society·E Pfeiffer
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Feb 1, 1985·Physical Therapy·J H CarrD Lynne
Oct 1, 1994·Journal of Geriatric Psychiatry and Neurology·E U VorbachK H Arnoldt
Mar 1, 1994·Journal of Gerontology·J M GuralnikR B Wallace
Feb 1, 1993·Journal of Clinical Epidemiology·R A WashburnC A Janney
Mar 1, 1996·The American Journal of Clinical Nutrition·R P Abernathy, D R Black
Jul 3, 1999·Journal of Clinical Epidemiology·R A WashburnR A Boileau
May 16, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J M GuralnikR B Wallace
Aug 29, 2000·The British Journal of Nutrition·S E Gariballa
Jun 27, 2001·Bone·L Jørgensen, B K Jacobsen
Jun 25, 2002·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·Y SchutzC Pichard
Oct 24, 2002·Journal of Clinical Epidemiology·Glenn V OstirUNKNOWN Women's Health and Aging Study
May 13, 2004·European Journal of Clinical Nutrition·A PietrobelliS B Heymsfield
Sep 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Thomas OlssonLars Lind
Sep 14, 2007·Disability and Rehabilitation·Marcia J Scherer, Marie A DiCowden
Feb 2, 2008·Stroke; a Journal of Cerebral Circulation·Ann-Cathrin JönssonArne Lindgren
Apr 9, 2008·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Mauro ZamboniVincenzo Di Francesco
Jul 31, 2008·Scandinavian Journal of Rheumatology·I-L EngvallI Hafstrom
Aug 7, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Juergen M BauerCornel C Sieber
Dec 5, 2008·Clinical Rehabilitation·Roberto AquilaniSimona Viglio
Jan 24, 2009·Stroke; a Journal of Cerebral Circulation·Norine C FoleyM Gail Woodbury
Sep 30, 2009·Clinical Rehabilitation·Sarah Tyson, Louise Connell
Oct 9, 2009·The Journal of Nutrition, Health & Aging·M J KaiserUNKNOWN MNA-International Group
Apr 16, 2010·Age and Ageing·Alfonso J Cruz-JentoftUNKNOWN European Working Group on Sarcopenia in Older People
Sep 22, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Coralie EnglishJulie Bernhardt
Sep 25, 2010·Journal of the American Geriatrics Society·Matthias J KaiserUNKNOWN Mini Nutritional Assessment International Group
Apr 30, 2011·Journal of the American Medical Directors Association·Roger A FieldingMauro Zamboni
May 19, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Coralie EnglishJulie Bernhardt
Jul 20, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·C M M PradoM Siervo
Oct 19, 2012·European Heart Journal·Wolfram DoehnerHeinrich J Audebert
Dec 12, 2012·Epidemiologic Reviews·Laura A SchaapMarjolein Visser
Jun 1, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Birgit VahlbergKarin Hellström
Aug 28, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Anna DanielssonKatharina Stibrant Sunnerhagen
Sep 10, 2013·Age and Ageing·Delphine LegrandJean-Marie Degryse
Jun 26, 2014·European Journal of Clinical Nutrition·J A BatsisS J Bartels
Sep 23, 2014·Age and Ageing·Alfonso J Cruz-JentoftTommy Cederholm
Jan 31, 2015·International Journal of Stroke : Official Journal of the International Stroke Society·Klaus Kaae Andersen, Tom Skyhøj Olsen
Citations
Nov 8, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Masafumi NozoeKyoshi Mase
Jun 25, 2016·Disability and Rehabilitation·Birgit VahlbergTommy Cederholm
Jan 25, 2019·Journal of the American College of Nutrition·Diana LelliMarco Inzitari
Oct 20, 2019·JMIR Research Protocols·Simon DriverMonica Bennett
Aug 20, 2020·Brain Injury : [BI]·Simon DriverKaye Kramer
Jan 27, 2019·Journal of Cachexia, Sarcopenia and Muscle·Nadja ScherbakovWolfram Doehner
Mar 24, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Nobuto NakanishiSho Katayama
May 7, 2021·Scientific Reports·Akihiro TsutsumiKoichi Fukunaga
Jul 30, 2021·Brain Injury : [BI]·Simon DriverRandi Dubiel