Sarcopenia-induced reduction of instrumental activities of daily living among stroke patients discharged to home

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  • サルコペニアは自宅退院した脳卒中患者の手段的日常生活動作の実施状況を低下させる
  • サルコペニア ワ ジタク タイイン シタ ノウソッチュウ カンジャ ノ シュダンテキ ニチジョウ セイカツ ドウサ ノ ジッシ ジョウキョウ オ テイカ サセル

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Abstract

This study retrospectively examined the association between post-discharge instrumental activities of daily living (IADL) and sarcopenia among post-stroke patients. The subjects were 69 stroke patients discharged from our hospital from 2015 to 2019, and all patients were surveyed by home visits 1 to 1.5 months after discharge. The IADL was evaluated using the Frenchay Activities Index (FAI), and sarcopenia was evaluated using the Asian Working Group for Sarcopenia. The FAI after discharge was significantly lower among the patients with sarcopenia at discharge than those without. Multivariate analysis adjusting for confounders showed that sarcopenia was independently associated with FAI among stroke patients discharged to home. In order to improve FAI in stroke patients, occupational therapy aimed at preventing or improving sarcopenia should be implemented.

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