Chair-Stand Exercise Improves Sarcopenia in Rehabilitation Patients after Stroke

Yoshimura, Yoshihiro; Wakabayashi, Hidetaka; Nagano, Fumihiko; Bise, Takahiro; Shimazu, Sayuri; Shiraishi, Ai; Kido, Yasumasa; Matsumoto, Ayaka

doi:10.3390/nu14030461

Cited by 34 publications

(17 citation statements)

References 45 publications

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“…Physical therapy included, for example, range of motion training of joints in the extremities, facilitation of paralyzed limbs, basic movement training, walking training, resistance training, ADL training, etc. [ 40 , 41 ].…”

Section: Methodsmentioning

confidence: 99%

Polypharmacy and Its Association with Dysphagia and Malnutrition among Stroke Patients with Sarcopenia

Matsumoto¹,

Yoshimura²,

Nagano³

et al. 2022

Nutrients

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Evidence on polypharmacy in patients with sarcopenia is lacking. We aimed to examine the association of polypharmacy with swallowing function and nutritional risk in post-stroke patient with sarcopenia. This retrospective cohort study included hospitalized patients diagnosed with sarcopenia who needed convalescent rehabilitation following stroke onset. Study outcomes were the Food Intake Level Scale (FILS) as dysphagia assessment and geriatric nutritional risk index (GNRI) as nutritional status at hospital discharge, respectively. To examine the impact of admission polypharmacy, multivariate linear regression analyses were used to determine whether the number of drugs prescribed at hospital admission was associated with these outcomes. As a result, of the 586 patients enrolled, 257 (mean age 79.3 years, 44.0% male) were diagnosed with sarcopenia and were finally analyzed high admission drug prescription numbers were independently associated with FILS (β = −0.133, p = 0.017) and GNRI (β = −0.145, p = 0.003) at hospital discharge, respectively. Polypharmacy is associated with dysphagia and malnutrition in post-stroke patients with sarcopenia. In addition to the combination of nutritional and exercise therapies, review and optimization of prescription medications may be warranted to treat sarcopenia in order to maximize improvement in outcomes for these patients.

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Section: Methodsmentioning

confidence: 99%

Polypharmacy and Its Association with Dysphagia and Malnutrition among Stroke Patients with Sarcopenia

Matsumoto¹,

Yoshimura²,

Nagano³

et al. 2022

Nutrients

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“…Furthermore, pre-stroke sarcopenia is also associated with poor functional outcomes [ 4 , 5 ]. Therefore, evaluating muscle mass and function among stroke patients is important [ 6 , 7 ], and aggressive nutrition therapy [ 8 , 9 , 10 ], deprescribing [ 11 ], and rehabilitation [ 12 , 13 ] re applicable for those with stroke, as well as those at high risk for muscle loss.…”

Section: Introductionmentioning

confidence: 99%

Temporal Muscle and Stroke—A Narrative Review on Current Meaning and Clinical Applications of Temporal Muscle Thickness, Area, and Volume

et al. 2022

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Background: Evaluating muscle mass and function among stroke patients is important. However, evaluating muscle volume and function is not easy due to the disturbances of consciousness and paresis. Temporal muscle thickness (TMT) has been introduced as a novel surrogate marker for muscle mass, function, and nutritional status. We herein performed a narrative literature review on temporal muscle and stroke to understand the current meaning of TMT in clinical stroke practice. Methods: The search was performed in PubMed, last updated in October 2021. Reports on temporal muscle morphomics and stroke-related diseases or clinical entities were collected. Results: Four studies reported on TMT and subarachnoid hemorrhage, two studies on intracerebral hemorrhage, two studies on ischemic stroke, two studies on standard TMT values, and two studies on nutritional status. TMT was reported as a prognostic factor for several diseases, a surrogate marker for skeletal muscle mass, and an indicator of nutritional status. Computed tomography, magnetic resonance imaging, and ultrasonography were used to measure TMT. Conclusions: TMT is gradually being used as a prognostic factor for stroke or a surrogate marker for skeletal muscle mass and nutritional status. The establishment of standard methods to measure TMT and large prospective studies to further investigate the relationship between TMT and diseases are needed.

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“…For example, physical therapy includes paralyzed limb facilitation (for leg paralysis), range-of-motion exercises, basic movement training (mainly for the legs and body), walking, resistance (e.g., chair-stand exercises), and ADL trainings [ 11 ]. In addition to the individualized structured rehabilitation program, patients underwent a chair-standing exercise, a group-based repetition of the task of sit-to-stand from a chair, in two sessions per day as low-intensity resistance training [ 23 ]. Each session lasted 20 min, and the participants were asked to perform a continuous sit-to-stand task up to 120 times at a tempo of about once every 8 s. The frequency and degree of increase in chair-standing exercise varied depending on the ability and endurance of each patient.…”

Section: Methodsmentioning

confidence: 99%

The Applicability of the ESPEN and EASO-Defined Diagnostic Criteria for Sarcopenic Obesity in Japanese Patients after Stroke: Prevalence and Association with Outcomes

Yoshimura¹,

Wakabayashi

Nagano³

et al. 2022

Nutrients

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Sarcopenic obesity is of growing research and clinical interest; however, validated diagnostic criteria are lacking. We therefore aimed to examine the prevalence of sarcopenic obesity as diagnosed by the criteria recently proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO), and its association with outcomes among patients after stroke. This study was based on a cohort of 760 Japanese patients after stroke admitted to a post-acute rehabilitation hospital. Sarcopenic obesity was diagnosed at admission according to the ESPEN and EASO criteria using reference values specific to Asians. Outcomes included the motor domain of the functional independence measure (FIM-motor) and the food intake level scale (FILS) at discharge. Multivariate linear regression models were used to assess the associations between sarcopenic obesity and outcomes. Among 760 patients (median age, 73 years; 352 women and 408 men), sarcopenic obesity was diagnosed in 34 patients (4.5%; 5.4% of women and 4.1% of men). In multivariate analyses, sarcopenic obesity was independently and negatively associated with FIM-motor (β = −0.048, p = 0.031) and FILS at discharge (β = −0.095, p = 0.046) in women. In contrast, in men, sarcopenic obesity showed an independent negative association with FIM-motor at discharge (β = −0.117, p < 0.001) but no statistically significant association with FILS at discharge (β = −0.004, p = 0.323). In conclusion, the prevalence of sarcopenic obesity diagnosed by the ESPEN and EASO-defined criteria was as low as 4.5% among Japanese patients after stroke. Furthermore, sarcopenic obesity was negatively associated with improvements in activities of daily living and dysphagia.

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Chair-Stand Exercise Improves Sarcopenia in Rehabilitation Patients after Stroke

Cited by 34 publications

References 45 publications

Polypharmacy and Its Association with Dysphagia and Malnutrition among Stroke Patients with Sarcopenia

Polypharmacy and Its Association with Dysphagia and Malnutrition among Stroke Patients with Sarcopenia

Temporal Muscle and Stroke—A Narrative Review on Current Meaning and Clinical Applications of Temporal Muscle Thickness, Area, and Volume

The Applicability of the ESPEN and EASO-Defined Diagnostic Criteria for Sarcopenic Obesity in Japanese Patients after Stroke: Prevalence and Association with Outcomes

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