Correlation study of the influence of body mass index on the rehabilitation process of elderly stroke patients

doi:10.3877/cma.j.issn.2095-9605.2020.03.007

Abstract

Abstract:

Objective

To explore the effect of body mass index (BMI) of elderly stroke patients on rehabilitation process and their rehabilitation outcome after stroke.

Methods

From January 2018 to December 2019, a total of 95 patients were hospitalized for stroke due to stroke in our hospital. The patients were divided into three groups according to their body mass index (BMI), of which 18.5 kg/m²≤BMI<25 kg/m² was normal group (n=40), 25 kg/m²≤BMI<30 kg/m² was hyper-recombination (n=37), BMI≥30 kg/m² is obese group (n=18). The Barthel index score, Ashworth scale score, Fugl-Meyer upper extremity motor function score and Brunel balance score of the three groups of patients were recorded before, after and 3 months after rehabilitation intervention.

Results

There was no statistically significant difference in Barthel index score, Ashworth scale score, Fugl-Meyer upper extremity motor function score and Brunel balance score before intervention in the three groups (P>0.05). The Barthel score, Fugl-Meyer score and Brunel balance score of the obese group after intervention and 3 months of intervention were significantly lower than those of the super-recombinant and normal groups (P<0.05), while the Ashworth scores of the hands, forearms and lower limbs of the obese group were significantly higher normal group and super reorganization (P<0.05).

Conclusions

The BMI index of overweight and obesity impact the rehabilitation process of stroke patients, and affects the rehabilitation of life ability, limb function and balance.

Key words: Stroke, Body mass index, Rehabilitation, Obesity, Mobility

Bofeng Zhang, Chunxiang Meng, Fengxia Cao. Correlation study of the influence of body mass index on the rehabilitation process of elderly stroke patients[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2020, 06(03): 175-179.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhfpydxbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9605.2020.03.007

https://zhfpydxbdzzz.cma-cmc.com.cn/EN/Y2020/V06/I03/175

Figures/Tables 5

References 15

[1]	Drużbicki M, Przysada G, Guzik A, et al. The efficacy of gait training using a body weight support treadmill and visual biofeedback in patients with subacute stroke: A randomized controlled trial[J]. Biomed Res Int, 2018, 2018: 3812602.
[2]	Strazzullo P, D’Elia L, Cairella G, et al. Excess body weight and incidence of stroke: Meta-analysis of prospective studies with 2 million participants[J]. Stroke, 2010, 41(5): 418-426.
[3]	Kachur S, Lavie CJ, de Schutter A, et al. Obesity and cardiovascular diseases[J]. Minerva Med, 2017, 108(3): 212-228.
[4]	Oesch L, Tatlisumak T, Arnold M, et al. Obesity paradox in stroke - Myth or reality? A systematic review[J]. PLoS One, 2017, 12(3): e0171334.
[5]	杨栋栋，陈卓铭，林珍萍．肥胖症与脑卒中相关性的研究进展[J/CD]．中华肥胖与代谢病电子杂志，2017，3(01)：49-52．
[6]	Sánchez-Iñigo L, Navarro-González D, Fernández-Montero A, et al. Risk of incident ischemic stroke according to the metabolic health and obesity states in the Vascular-Metabolic CUN cohort[J]. Int J Stroke, 2017, 12(2): 187-191.
[7]	Masters RK, Reither EN, Powers DA, et al. The impact of obesity on US mortality levels: The importance of age and cohort factors in population estimates[J]. Am J Public Health, 2013, 103(10): 1895-1901. URL
[8]	Wohlfahrt P, Lopez-Jimenez F, Krajcoviechova, et al. The obesity paradox and survivors of ischemic stroke[J]. J Stroke Cerebrovasc Dis, 2015, 24(6):1443-1450.
[9]	Burke DT, Al-Adawi S, Bell RB, et al. Effect of body mass index on stroke rehabilitation[J]. Arch Phys Med Rehabil, 2014, 95(6): 1055-1059.
[10]	Nishioka S, Wakabayashi H, Yoshida T, et al. Obese Japanese patients with stroke have higher functional recovery in convalescent rehabilitation wards: A retrospective cohort study[J]. J Stroke Cerebrovasc Dis, 2016, 25(1): 26-33.
[11]	Chernenko A, Meeks H, Smith KR, et al. Examining validity of body mass index calculated using height and weight data from the US driver license[J]. BMC Public Health, 2019, 19(1): 100.
[12]	Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR)[J]. Eur Heart J, 2016, 37(29): 2315-2381.
[13]	Przysada G, Smerecka D, Rykała J, et al. Analysis of exercise tolerance and fatigue evaluation in patients after coronary artery bypass grafting undergoing cardiac rehabilitation[J]. Med Rev, 2014, 12:141-151.
[14]	Jabłońska R, Sadowska M, Królikowska A, et al. Functional capacity and risk factors and sociodemographic variables of patients after ischemic stroke[J]. Med Health Sci Rev, 2016, 2:65-72.
[15]	Anstey KJ, Cherbuin N, Budge M, et al. Body mass index in midlife and late-life as a risk factor for dementia: A meta-analysis of prospective studies[J]. Obes Rev, 2011, 12(5): 426-437.

组别	N（例）	性别		年龄（岁）	BMI（kg/m²）	病程（d）	卒中类型
组别	N（例）	男	女	年龄（岁）	BMI（kg/m²）	病程（d）	脑梗死	脑出血
正常组	40	23	17	66.3±3.7	22.4±1.7	12.6±4.1	32	8
超重组	37	18	19	67.5±4.3	27.2±1.6	14.1±3.6	28	9
肥胖组	18	11	7	65.8±3.4	31.5±1.3	13.8±3.8	14	4
P值	?	0.615		0.378	<0.001	0.285	0.901

组别	N（例）	性别		年龄（岁）	BMI（kg/m²）	病程（d）	卒中类型
组别	N（例）	男	女	年龄（岁）	BMI（kg/m²）	病程（d）	脑梗死	脑出血
正常组	40	23	17	66.3±3.7	22.4±1.7	12.6±4.1	32	8
超重组	37	18	19	67.5±4.3	27.2±1.6	14.1±3.6	28	9
肥胖组	18	11	7	65.8±3.4	31.5±1.3	13.8±3.8	14	4
P值	?	0.615		0.378	<0.001	0.285	0.901

组别	N（例）	Barthel评分
组别	N（例）	干预前	干预后	3月
正常组	40	24.7±5.2	34.2±4.5	44.2±4.5
超重组	37	25.2±4.9	30.5±3.8^*	36.7±3.2^*
肥胖组	18	25.6±4.8	27.8±2.7^*#	32.1±3.5^*#
P值	?	0.271	<0.001	<0.001

组别	N（例）	Barthel评分
组别	N（例）	干预前	干预后	3月
正常组	40	24.7±5.2	34.2±4.5	44.2±4.5
超重组	37	25.2±4.9	30.5±3.8^*	36.7±3.2^*
肥胖组	18	25.6±4.8	27.8±2.7^*#	32.1±3.5^*#
P值	?	0.271	<0.001	<0.001

组别	N（例）	Ashworth（手）			Ashworth（前臂）			Ashworth（下肢）
组别	N（例）	干预前	干预后	3月	干预前	干预后	3月	干预前	干预后	3月
正常组	40	4.1±0.6	2.8±0.4	2.3±0.5	4.4±0.5	3.2±0.3	2.6±0.3	3.9±0.3	3.0±0.4	2.5±0.3
超重组	37	4.2±0.5	3.7±0.5^*	3.2±0.6^*	4.5±0.6	3.4±0.4^*	3.2±0.4^*	4.0±0.5	3.4±0.5^*	2.8±0.3^*
肥胖组	18	4.0±0.6	3.9±0.6^*#	3.6±0.4^*#	4.4±0.7	4.1±0.5^*#	3.6±0.4^*#	4.0±0.4	3.7±0.4^*#	3.2±0.4^*#
P值	?	0.612	<0.001	<0.001	0.721	<0.001	<0.001	0.681	<0.001	<0.001

Please choose a citation manager

Content to export