Effect of Decreased Skeletal Muscle Index and Hand Grip Strength on Functional Recovery in Subacute Ambulatory Stroke Patients

Park, Jin Gee; Lee, Kyeong Woo; Kim, Sang Beom; Lee, Jong Hwa; Kim, Young Hwan

doi:10.5535/arm.2019.43.5.535

Cited by 33 publications

(29 citation statements)

References 41 publications

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“…HGS was indicated as a biomarker of recovery and prognostic of stroke [ 18 ]. Park indicated that decreasing of HGS had negative effects on functional recovery in subacute ambulatory stroke patients [ 17 ]. HGS was also found significantly associated with stroke mortality [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

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Association between hand grip strength and stroke in China: a prospective cohort study

Liu

Xue

Wang

et al. 2021

Aging

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Objectives: The association between weak hand grip strength (HGS) and stroke recovery has been studied; however, few studies focused on the association of HGS with stroke prevalence and incidence. Methods: A prospective cohort baseline study of a nationally representative sample in Chinese adults aged 45 years and older in 2011 was followed up in 2015. 8871 participants without stroke at baseline were followed. The associations of HGS and its changes with stroke prevalence and incidence were investigated using logistic regression models and Cox proportional hazards regression models. Results: Association of HGS and stroke prevalence was significant. HGS weakness significantly increased risk of stroke incidence, with 89.3% higher risk when compared to normal HGS. During 35,263 person-years of follow-up, 112 stroke patients occurred. The four-year incidence rate ratio of stroke for participants with a HGS weakness was 2.15, compared to normal HGS participants. HGS changes in weakness/weakness from 2011 to 2015(D-HGS) and normal/weakness D-HGS had higher risks of stroke incidence when compared with those who had normal/normal D-HGS. Conclusions: HGS weakness and decline of HGS were associated with stroke incidence for adults aged 45 years and older in China.

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Section: Discussionmentioning

confidence: 99%

“…HGS is a useful biomarker to measure the recovery and prognostic after stroke [ 16 ], with decreased HGS forecasting worse survival and recovery after stroke [ 17 ]. The absence of measurable grip by one month after stroke indicates that there will be poor functional outcome [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Association between hand grip strength and stroke in China: a prospective cohort study

Liu

Xue

Wang

et al. 2021

Aging

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“…1 presents the PRISMA diagram for the study selection and reasons for exclusion. Three studies were conducted in Japan, [25][26][27] 2 in South Korea, 28,29 1 in Taiwan, 30 and 1 in the U.S. 24 Four included studies had a cross-sectional design, 24,25,29,30 and 3 were retrospective cohort studies. 26À28 Four studies included participants at <1 month since stroke onset 25À27,29 and 3 studies at >6 months since stroke onset.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…26À28 Four studies included participants at <1 month since stroke onset 25À27,29 and 3 studies at >6 months since stroke onset. 24,28,30 The Asian Working Group for Sarcopenia (AWGS) criteria was used to define sarcopenia in 3 studies, 25,26,29 whereas the European Working Group on Sarcopenia in Older People (EWGSOP) criteria was used in 2 studies. 27,28 The skeletal muscle index (SMI) or appendicular lean mass (ALM)/ height 2 by DXA or X-ray were used in 2 studies.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis

Yuki

Otsuki

2020

Journal of Stroke and Cerebrovascular Diseases

103

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Objectives: Although the skeletal muscle is the main effector of disability in stroke, evidence on post-stroke skeletal muscle is scarce; especially, the prevalence of stroke-related sarcopenia remains unclear. Thus, we aimed to systematically search the prevalence of sarcopenia in stroke survivors and synthesize pooled estimates of overall prevalence of stroke-related sarcopenia and prevalence stratified by sex, country, time since stroke onset, and diagnostic criteria of sarcopenia. Methods: We performed systematic searches in the MEDLINE, CINAHL, Embase, and Cochrane Library databases. English-language searches to identify included studies were completed August 25, 2019. Meta-analysis of data collected from cross-sectional or observational studies which were reported the prevalence of sarcopenia among stroke participants. All statistical analyses were performed using R version 3.5.2. Results: A total of 855 articles were initially identified. Seven articles were included in this study. Total sample size across all included studies was 1695. Three studies were conducted in Japan, 2 in South Korea, 1 in Taiwan, and 1 in the U.S. Four included studies had a cross-sectional design, and 3 were retrospective cohort studies. Four and 3 studies included participants at <1 month and 6 months since stroke onset, respectively. The pooled prevalence estimate was 42% (95% confidence interval: 33%À52%), with a substantial heterogeneity (I 2 =91%). Conclusions and Implications: Sarcopenia is frequently observed in stroke survivors, and a higher prevalence of sarcopenia is noted during the early phase after stroke. This study would be useful for researchers to design sarcopenia studies in this population. Further prospective longitudinal studies for sarcopenia and their prognostic outcomes in stroke survivors are urgently needed to propose appropriate physical and nutritional strategies in geriatric rehabilitation.

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“…At the stroke onset, low muscularity is associated with poor clinical outcomes [5]. Furthermore, after the stroke onset, muscle atrophy, called "stroke-induced sarcopenia," is associated with worse clinical outcomes, such as mortality and physical dysfunction [6]. Stroke-induced sarcopenia is observed in 42% of stroke survivors [7], and muscle loss is observed in the affected and unaffected limbs [8].…”

Section: Introductionmentioning

confidence: 99%

Measuring and Monitoring Skeletal Muscle Mass and Dysfunction After Stroke

Nakanishi¹,

Okura²,

Okamura³

et al. 2021

Preprint

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Muscle mass at admission is important to survive stroke, and stroke-induced sarcopenia is a serious problem because of its poor prognosis. Muscle mass measurement and monitoring are essential for appropriate re-habilitation and nutrition management. Several methods are used to assess skeletal muscle mass in stroke, such as computed tomography (CT), ultrasonography, bioelectrical impedance analysis, dual-energy X-ray absorptiometry, biomarkers, and anthropometrics. In stroke, a head CT is used to estimate muscle mass by measuring the temporal muscle. However, it is mostly retrospectively conducted due to radiation exposure. After stroke, limb muscle atrophy and diaphragm dysfunction are observed using ultrasound. However, ultrasound requires an understanding of the methods and skill. A bioelectrical impedance analysis can be used to assess muscle mass in patients after a stroke unless they have dynamic fluid changes. Dual-energy X-ray absorptiometry is used for follow-up after hospital discharge. Urinary titin N-fragment and serum C-terminal agrin fragment reflect muscle atrophy after stroke. Anthropometrics may be useful with limited resources. We summarized the features of each measurement and proved the recent evidence to properly measure and monitor skeletal muscle mass after stroke.

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Effect of Decreased Skeletal Muscle Index and Hand Grip Strength on Functional Recovery in Subacute Ambulatory Stroke Patients

Cited by 33 publications

References 41 publications

Association between hand grip strength and stroke in China: a prospective cohort study

Association between hand grip strength and stroke in China: a prospective cohort study

Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis

Measuring and Monitoring Skeletal Muscle Mass and Dysfunction After Stroke

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