Back to Search Start Over

Association of Existence of Sarcopenia and Poor Recovery of Swallowing Function in Post-Stroke Patients with Severe Deglutition Disorder: A Multicenter Cohort Study

Authors :
Shinta Nishioka
Ichiro Fujishima
Masako Kishima
Tomohisa Ohno
Akio Shimizu
Takashi Shigematsu
Masataka Itoda
Hidetaka Wakabayashi
Kenjiro Kunieda
Fumiko Oshima
Sumito Ogawa
Kazuki Fukuma
Nami Ogawa
Jun Kayashita
Minoru Yamada
Takashi Mori
Shinya Onizuka
Source :
Nutrients; Volume 14; Issue 19; Pages: 4115
Publication Year :
2022

Abstract

Background: The effect of sarcopenia on the recovery of swallowing function, and the interaction among sarcopenia, nutrition care, and rehabilitation therapy are inconclusive. Methods: This multicenter cohort study was conducted between November 2018 and October 2020 in convalescent rehabilitation hospitals in Japan and included post-stroke patients aged ≥65 years with dysphagia. All participants were assigned to sarcopenia and non-sarcopenia groups. The primary outcome was the achievement of ≥2 Food Intake Level Scale [FILS] gain, and the secondary outcomes included Functional Independence Measure (FIM) gain and efficiency. Considering the effect modification of energy intake and rehabilitation duration, logistic regression analyses were performed. Results: Overall, 153 participants with (median age, 82 years; 57.5% women) and 40 without (median age 75 years; 35.0% women) sarcopenia were included. The non-sarcopenia group had more patients who achieved an FILS gain of ≥2 (75.0%) than the sarcopenia group (51.0%). Sarcopenia was independently associated with a poor FILS gain (odds ratio:0.34, 95% confidence intervals: 0.13–0.86) but not associated with FIM gain or efficiency. This association was not affected by the rehabilitation duration or energy intake. Conclusions: In conclusion, sarcopenia was negatively associated with the recovery of swallowing function in stroke patients without interaction by energy intake and rehabilitation duration.

Details

ISSN :
20726643
Volume :
14
Issue :
19
Database :
OpenAIRE
Journal :
Nutrients
Accession number :
edsair.doi.dedup.....b914496e18ee0e347b1c133b499c7f36