Irene Ciancarelli, P Tonin, M L Garo, M G Tozzi Ciancarelli
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引用次数: 0
摘要
评价肥胖亚急性脑卒中患者神经康复前后腹部皮下脂肪组织厚度(aSAT)、体脂率(BFP)、腰臀比(WHR)和体重指数(BMI)与神经功能缺损和功能恢复结局指标的关系。神经康复后，美国国立卫生研究院卒中量表评分(p= 0.0001)和改良Rankin量表评分(p= 0.002)下降，Barthel指数评分(p= 0.0001)升高。神经康复后观察到的BMI、aSAT、BFP和WHR的降低并没有影响整体功能的恢复，这可以从临床测量评分和脂肪质量指数之间的相关性中看出。神经康复后BMI与mRS之间的相关性(rho = 0.4526, p < 0.05)表明，高BMI可能会损害功能恢复。监测体脂质量指数可以提供旨在改善肥胖脑卒中患者残疾的信息。
Effectiveness of intensive neurorehabilitation in obese subacute stroke patients.
The relationship between abdominal subcutaneous adipose tissue thickness (aSAT), body fat percentage (BFP), waist-to-hip ratio (WHR) and body mass index (BMI) and outcome measures of neurological deficit and functional recovery was evaluated in obese subacute stroke patients before and after neurorehabilitation. Decreased National Institutes of Health Stroke Scale (p = 0.0001) and modified Rankin Scale (mRS) (p= 0.002) scores, as well as increased Barthel Index (p= 0.0001) scores were detected after neurorehabilitation. Decreased BMI, aSAT, BFP and WHR observed after neurorehabilitation did not penalize the overall functional recovery as shown by correlations between the clinical measure scores and fat mass indices. The correlation observed after neurorehabilitation between BMI and mRS (rho = 0.4526, p < 0.05) suggests that a high BMI may compromise functional recovery. Monitoring of body fat mass indices may provide information aimed at improving the disability of obese stroke patients.
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