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Tytuł:
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Prevalence of Malnutrition Diagnosed with GLIM Criteria and Association with Activities of Daily Living in Patients with Acute Stroke.
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Autorzy:
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Nozoe M; Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, 6-2-23, Morikita-machi, Higashinada-ku, Kobe, Japan. Electronic address: .
Yamamoto M; Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.
Masuya R; Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.
Inoue T; Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Kubo H; Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan.
Shimada S; Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami, Japan.
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Źródło:
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Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2021 Sep; Vol. 30 (9), pp. 105989. Date of Electronic Publication: 2021 Jul 13.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Philadelphia, PA : Saunders
Original Publication: New York, NY : Demos Publications, [1991-
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MeSH Terms:
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Activities of Daily Living*
Nutrition Assessment*
Nutritional Status*
Malnutrition/*epidemiology
Stroke/*epidemiology
Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Disability Evaluation ; Female ; Humans ; Japan/epidemiology ; Male ; Malnutrition/diagnosis ; Malnutrition/physiopathology ; Middle Aged ; Patient Discharge ; Predictive Value of Tests ; Prevalence ; Prospective Studies ; Risk Assessment ; Risk Factors ; Stroke/diagnosis ; Stroke/physiopathology ; Young Adult
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Contributed Indexing:
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Keywords: Activity of daily living; Glim criteria; Malnutrition; Stroke
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Entry Date(s):
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Date Created: 20210716 Date Completed: 20210907 Latest Revision: 20210907
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Update Code:
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20240105
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DOI:
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10.1016/j.jstrokecerebrovasdis.2021.105989
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PMID:
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34271278
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Background: Malnutrition is associated with a poor functional outcome in patients with stroke. However, the prevalence of malnutrition diagnosed with the Global Leadership Initiative on Malnutrition (GLIM) criteria or its association with activity of daily living (ADL) in patients with acute stroke have not been reported.
Objective: To investigate the prevalence of the malnutrition diagnosed with the GLIM criteria and its association with ADL or discharge destination in patients with acute stroke.
Materials and Methods: In this cross-sectional study, we diagnosed malnutrition with the GLIM criteria and the European Society for Clinical Nutrition and Metabolism (ESPEN) criteria and assessed ADL by functional independence measure motor domain (FIM-M) score in patients with acute stroke. Multivariate regression analysis was used to investigate the relationship between FIM-M score or home discharge and malnutrition defined with GLIM or ESPEN criteria.
Results: A total of 115 acute stroke patients (39 females; median age: 72 years) were enrolled in this study. The prevalence of malnutrition according to GLIM-criteria and ESPEN-criteria was 28.7% and 16.5%, respectively. Multivariate analyses for FIM-M score after adjusting for potential confounders showed that GLIM criteria and ESPEN criteria were independently associated with FIM-M score (β = -0.238, p < 0.001; β = -0118, p = 0.040, respectively). A multivariate analysis for discharge destination found that only malnutrition from the GLIM criteria was significantly associated with home discharge (OR = 0.08, 95% confidential interval = 0.01-0.69, p = 0.02).
Conclusions: Malnutrition with the GLIM criteria is negatively associated with ADL and is also associated with discharge destination in patients with acute stroke.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
