지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 20 - 37 (18page)
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Objective To investigate variables for assessment of stroke-related sarcopenia that are alternative options to the current assessment for sarcopenia, which focuses on age-related sarcopenia and also has limitations in addressing sarcopenia due to weakness resulting from stroke. Methods Forty patients (17 men, 23 women; mean age, 66.9±15.4 years) with first-ever stroke who can walk independently were included. Muscle mass was determined by measuring ultrasonographic muscle thickness of vastus intermedius, rectus femoris, tibialis anterior, medial gastrocnemius, and biceps brachii muscles in addition to using the skeletal muscle index (SMI) with bioelectrical impedance analysis. Muscle strength was assessed with the Medical Research Council (MRC) sum score as well as handgrip (HG) strength. Physical performance was measured by the Berg Balance Scale (BBS) along with 4-meter gait speed (4MGS). Correlations between each assessment in the three categories were analyzed and adjusted by stroke severity, comorbidity, and nutritional status. Results For muscle mass, SMI showed the highest correlation with the tibialis anterior muscle (r=0.783, p<0.001) among the other muscles. Regarding muscle strength, the MRC sum score correlated with the HG (r=0.660, p<0.001). For physical performance, the BBS correlated with the 4MGS (r=0.834, p<0.001). The same result was obtained after adjusting for factors of stroke severity, comorbidity, and nutritional status. Conclusion These results suggest that ultrasonographic muscle thickness of the tibialis anterior, the MRC sum score, and BBS might be alternatives to SMI, HG, and usual gait speed for sarcopenia in stroke patients.
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참고문헌 (40)
참고문헌 신청
Rosenberg IH / 1989 / Summary comments / Am J Clin Nutr 50:1231~1233
Chen LK / 2014 / Sarcopenia in Asia : consensus report of the Asian Working Group for Sarcopenia / J Am Med Dir Assoc 15:95~101
Cruz-Jentoft AJ / 2010 / Sarcopenia : European consensus on definition and diagnosis : report of the European Working Group on sarcopenia in older people / Age Ageing 39:412~423
Fielding RA / 2011 / Sarcopenia: an undiagnosed condition in older adults. Current consensus definition:prevalence, etiology, and consequences / J Am Med Dir Assoc 12:249~256
Barillaro C / 2013 / The new metabolic treatments for sarcopenia / Aging Clin Exp Res 25:119~127
Chen LK / 2014 / Sarcopenia in Asia : consensus report of the Asian Working Group for Sarcopenia / J Am Med Dir Assoc 15:95~101
Cruz-Jentoft AJ / 2010 / Sarcopenia : European consensus on definition and diagnosis : report of the European Working Group on sarcopenia in older people / Age Ageing 39:412~423
Fielding RA / 2011 / Sarcopenia: an undiagnosed condition in older adults. Current consensus definition:prevalence, etiology, and consequences / J Am Med Dir Assoc 12:249~256
Barillaro C / 2013 / The new metabolic treatments for sarcopenia / Aging Clin Exp Res 25:119~127
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