Weight gain is associated with improvement in activities of daily living in underweight rehabilitation inpatients: a nationwide survey
| Autor: | Shinta Nishioka, Takatsugu Okamoto, Ichiro Miyai, Masako Takayama, Yoji Kokura |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Activities of daily living Multivariate analysis medicine.medical_treatment Medicine (miscellaneous) 030209 endocrinology & metabolism Weight Gain Body Mass Index 03 medical and health sciences 0302 clinical medicine Thinness Activities of Daily Living Medicine Humans Aged Retrospective Studies Aged 80 and over 030109 nutrition & dietetics Nutrition and Dietetics Rehabilitation business.industry Functional Independence Measure Confidence interval Hospitalization Motor Skills Physical therapy Female Underweight medicine.symptom business human activities Weight gain Body mass index |
| Zdroj: | European journal of clinical nutrition. 73(12) |
| ISSN: | 1476-5640 |
| Popis: | We retrospectively analysed large-scale, nationwide data from the Kaifukuki (convalescent) Rehabilitation Ward (KRW) survey of 2015. Patients were classified into two groups based on changes in body mass index (BMI) during their KRW stay: increased BMI and non-increased BMI. The primary outcome was motor functional independence measure (FIM) score at discharge, and the secondary outcomes were motor FIM gain and full oral intake at discharge. We analysed 4605 patients (64% women; mean age, 79.3 years). Of these patients, 1128 and 3477 were classified into the increased and non-increased groups, respectively. Multivariate analysis showed that BMI increases were independently associated with motor FIM scores at discharge (partial regression coefficient = 1.165; 95% confidence interval, 0.671–1.659) and motor FIM gains, although BMI increase was not associated with full oral intake. Thus, increasing body weight might lead to activities of daily life improvement in underweight patients undergoing post-acute rehabilitation. |
| Databáze: | OpenAIRE |
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