Functional performance, nutritional status, and body composition in ambulant community-dwelling individuals 1-3 years after suffering from a cerebral infarction or intracerebral bleeding

BMC Geriatrics
Birgit VahlbergTommy Cederholm

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

Associated Clinical Trials

Nov 16, 2020·Paolo Manunta

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Citations

Nov 8, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Masafumi NozoeKyoshi Mase
Jan 25, 2019·Journal of the American College of Nutrition·Diana LelliMarco Inzitari
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

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Methods Mentioned

BETA
X-ray

Software Mentioned

MNA
SPSS
Statistical Package for the Social Sciences ( SPSS )
SF
MAS

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