Differences in Body Composition among Patientsafter Hemorrhagic and Ischemic Stroke

Abstract

The aim of the study was to assess differences in the body composition of patients after hemorrhagic and ischemic stroke. There were 74 male participants in the study, of which 13 (18%) experienced hemorrhagic stroke, while 61 (82%) were after ischemic stroke. Significantly (p < 0.05) higher values of body composition variables were noted for ischemic compared to hemorrhagic strokes, and concerned: body mass (BM) (kg), basal metabolic rate (BMR) (kJ), fat-free mass (FFM) (kg), total body water (TBW) (kg), muscle mass (MM) (kg), visceral fat level (VFL), bone mass (BoM) (kg), extracellular water(ECW) (kg),intracellular water (ICW) (kg), trunk fat-free mass (TFFM) (kg) and trunk muscle mass (TMM) (kg)in the paretic upper limb; FFM (kg) and MM (kg) in the non-paretic upper limb; FFM (kg) and MM (kg) in the paretic lower limbas well as FFM (kg) and MM (kg) in the non-paretic lower limb without paresis. Only for the variables fat mass (FM) (kg), body mass index (BMI), metabolic age (MA), trunk fat mass (TFM) (kg), and FM (kg) in the paretic upper limb and FM (kg) in the non-paretic upper limb were there no significant differences. Significant differences in body composition of patients after hemorrhagic and ischemic stroke have been demonstrated. Individuals after ischemic stroke had significantly worse body composition. Incorrect body composition is a significant risk factor, especially of ischemic stroke.

The Relationship Between Elevated Serum Uric Acid and Risk of Stroke in Adult: An Updated and Dose–Response Meta-Analysis

“…There was a high risk of hemorrhagic transformation during the treatment of ischemic stroke ( 52 ). However, the study presented that significant differences existed in body composition between hemorrhagic and ischemic stroke in humans, and individuals with ischemic stroke had significantly worse body composition ( 53 ). Further exploration of the molecular mechanisms of SUA and different types of stroke is noteworthy.…”

A Review on the Mechanisms of Stroke-Induced Muscle Atrophy

“…Insulin resistance (IR) is characterized by the impaired cellular response to insulin and is recognized as an independent risk factor for various stroke types (Figure 1). Stroke-related reduced morbidity contributes to changes in skeletal muscle mass, including fatty infiltration, which is associated with the emergence of insulin resistance [37]. The precise connection between insulin resistance and stroke-induced muscle atrophy is an area of ongoing investigation.…”

Association of body water balance, nutritional risk, and sarcopenia with outcome in patients with acute ischemic stroke

“…[8][9][10][11] Furthermore, the ECW/TBW ratio is associated with sarcopenia 12 and undernutrition. 13,14 Several studies in acute care hospitals have reported the relationship between the ECW/TBW ratio and stroke in the context of post-stroke dehydration, 15 assessment of fluid replacement volume, 16 and the stroke subtype (ischemic or hemorrhagic); 17 however, no study to date has evaluated the association of the ECW/TBW ratio with stroke outcomes. The present study aimed to examine the usefulness of BIA for patients with AIS under acute care hospital, the interrelation among nutritionally risk, sarcopenia, and body fluid balance/overhydration, and their association with outcomes in AIS patients who were living independently before the onset of AIS.…”