Association of sarcopenia and physical activity with functional outcome in older Asian patients hospitalized for rehabilitation

Ohtsubo, Takuro; Nozoe, Masafumi; Kanai, Masashi; Yasumoto, Iori; Ueno, Katsuhiro

doi:10.1007/s40520-021-01934-8

Cited by 16 publications

(34 citation statements)

References 41 publications

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“…Bilateral hand-grip strength was measured using a digital grip strength meter (Grip-D T.K.K.5401, Takei Kiki Kogyo, Niigata, Japan) with the patient in a standing or seated position, arms straight by the side; the highest value from three measurements was recorded. 4) For patients with hemiparesis, the hand-grip strength of the non-paralyzed hand was used. 4) Values of <28 kg for men and <18 kg for women were the thresholds for classifying the hand-grip strength as low; this is one of the diagnostic criteria for sarcopenia defined for use in Asia.…”

Section: Data Collectionmentioning

confidence: 99%

“…4) For patients with hemiparesis, the hand-grip strength of the non-paralyzed hand was used. 4) Values of <28 kg for men and <18 kg for women were the thresholds for classifying the hand-grip strength as low; this is one of the diagnostic criteria for sarcopenia defined for use in Asia. 5) Skeletal muscle mass was measured using bioelectrical impedance analysis (InBody S10, InBody, Tokyo, Japan) with subjects in the supine position.…”

Section: Data Collectionmentioning

confidence: 99%

“…5) Skeletal muscle mass was measured using bioelectrical impedance analysis (InBody S10, InBody, Tokyo, Japan) with subjects in the supine position. 4) Skeletal muscle mass was not measured in patients with an implanted pacemaker and in those who could not remain relaxed during the measurement. SMI was calculated by dividing the measured appendicular muscle mass by the square of the height in meters.…”

Section: Data Collectionmentioning

confidence: 99%

“…1,2) Sarcopenia thereby requires urgent attention, especially in rehabilitation hospitals where it is present in almost 50% of patients. 3,4) Yoshimura et al reported that sarcopenia is associated with worsening of the recovery process for activities of daily living (ADLs) in hospitalized older adults receiving rehabilita-tion. 3) The latest consensus statement by the Asian Working Group for Sarcopenia (2019) emphasized that diagnosing sarcopenia requires the measurement of muscle mass, muscle strength, and gait speed.…”

Section: Introductionmentioning

confidence: 99%

“…6) In such cases, it is important to measure the skeletal muscle mass index (SMI), which is one of the diagnostic criteria for sarcopenia. 4) Evaluating the efficacy of rehabilitation interventions in the convalescent rehabilitation ward is critical in determining Objective: The aim of the current study was to investigate the association between the skeletal muscle mass index (SMI) and the convalescent rehabilitation ward achievement index (CRWAI) in older patients with functional impairment. Methods: We conducted a retrospective cohort study at a single rehabilitation center in Japan to include patients admitted to the convalescent rehabilitation ward because of neurological disease, motor disorder, or disuse syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Arai

Ikegawa

Nozoe

et al. 2022

PRM

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Section: Data Collectionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Arai

Ikegawa

Nozoe

et al. 2022

PRM

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Effects of muscle mass and muscle quality estimated by phase angle on functional outcomes in older patients undergoing rehabilitation: A prospective cohort study

Ohtsubo¹,

Nozoe

Kanai

et al. 2022

Nut in Clin Prac

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Background: Both skeletal muscle mass and muscle quality are important predictors of poor prognosis in older patients. However, the effects of muscle mass and muscle quality estimated by the phase angle (PhA) on functional outcomes in older patients undergoing rehabilitation have yet to be reported. This study aimed to investigate whether appendicular skeletal muscle index (SMI) and muscle quality estimated by PhA were independently associated with activities of daily living (ADL) and physical function in older patients undergoing rehabilitation.Methods: This prospective cohort study included older patients in a subacute rehabilitation hospital (n = 443). Baseline SMI and PhA were measured using bioelectrical impedance analysis, and low SMI or low PhA were determined using each cutoff value. The primary outcomes were ADL abilities measured using the functional independence measure for motor function (FIM-M) score and physical function measured using the short physical performance battery (SPPB) score at hospital discharge. Association between low SMI and low PhA and FIM-M or SPPB scores at discharge were determined using multiple regression analysis adjusted for confounding factors.Results: There were significant differences between the normal-and low-PhA groups in the FIM-M and SPPB scores at discharge (P < 0.001). In multiple regression analysis, low PhA was independently associated with FIM-M (β = −0.109, P = 0.013) and SPPB scores (β = 0.535, P < 0.001) at discharge; however, low SMI was not independently associated with these functional outcomes. Conclusion: Decreased muscle quality estimated by the PhA was independently associated with poor ADL abilities and poor physical function in older patients undergoing rehabilitation.

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Stroke related sarcopenia in individuals with different physical activity levels: A cross‐sectional study

Galvão,

Dias,

Miranda

et al. 2024

Physiotherapy Res Intl

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Background and objectiveIndividuals after stroke are likely to deal with the possible development of sarcopenia and reduced physical activity levels. The purpose of this study was to compare sarcopenia of individuals with chronic stroke who were stratified according to their physical activity levels, and to evaluate the relationship between sarcopenia and physical activity levels.Materials and MethodsThis cross‐sectional study was conducted with individuals after chronic stroke recruited from the general community. Individuals were submitted to sarcopenia screening (SARC‐F questionnaire) and assessment of physical activity levels (Human Activity Profile questionnaire) to classify the individuals as impaired, moderately active, and active according to their Adjusted Activity Status (AAS). ANOVA was used to investigate the sarcopenia between groups and Pearson's coefficient to investigate the association among variables.ResultsFifty‐four individuals with a mean age of 56 ± 17.4 years were included. Twenty‐one percent of the individuals were screened for sarcopenia. Inactive individuals had higher mean scores in the SARC‐F (3.6 ± 2.1 points), whereas moderately active and active individuals presented lower mean scores in the same questionnaire, being 1.2 ± 1.1 points and 0.5 ± 0.7 points, respectively. A statistically significant inverse and high association was found between sarcopenia and physical activity levels (r = −0.716; p < 0.01).ConclusionSarcopenia was found to be higher in individuals after chronic stroke with lower physical activity levels considered inactive when compared to individuals with higher physical activity levels. Furthermore, there was an inverse relationship between sarcopenia and physical activity level in stroke survivors.

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Association of sarcopenia and physical activity with functional outcome in older Asian patients hospitalized for rehabilitation

Cited by 16 publications

References 41 publications

Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Association between Skeletal Muscle Mass Index and Convalescent Rehabilitation Ward Achievement Index in Older Patients

Effects of muscle mass and muscle quality estimated by phase angle on functional outcomes in older patients undergoing rehabilitation: A prospective cohort study

Stroke related sarcopenia in individuals with different physical activity levels: A cross‐sectional study

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