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Impact of Rehabilitation Nutrition and Healthy Weight Maintenance in Motor-Complete Tetraplegia Patients
DC Field | Value | Language |
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dc.contributor.author | 임상희 | - |
dc.contributor.author | 신지철 | - |
dc.date.accessioned | 2022-12-22T03:20:19Z | - |
dc.date.available | 2022-12-22T03:20:19Z | - |
dc.date.issued | 2022-08 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/191853 | - |
dc.description.abstract | Cachexia and low muscle mass in motor-complete tetraplegia are associated with poor outcomes. This study aimed to document anthropometric, body composition, and nutritional indices in patients and to assess the effect of a comprehensive rehabilitation nutrition program in cachexia and low muscle mass. For 34 motor-complete tetraplegia in the subacute phase, a comprehensive rehabilitation nutrition program was provided for 8 to 9 weeks. Risk of malnutrition, anthropometric and body composition indices, as well as laboratory tests were assessed upon admission and at discharge. A body mass index of less than 20.2 kg/m2 was used as the cut-off value for obesity. Upon admission, 73.5% of patients were classified as obese, half were at risk of malnutrition, and 29.4% were compatible with cachexia. Compared to the premorbid state, the non-obese group showed greater weight reduction (p < 0.01) and higher prevalence of low muscle mass (p = 0.004) than the obese group. Disease duration was different between groups (p < 0.01). After rehabilitation, malnutrition risk, protein levels, and hemodynamic results improved in both groups (p < 0.05). A significant time × group interaction was observed for muscle mass, skeletal muscle mass, and appendicular lean mass index (p < 0.05). Muscle mass was maintained while fat components increased in both groups. Functional improvement was negatively correlated with an increase in fat components (p < 0.05). A personalized rehabilitation nutrition intervention improved the nutritional status, body composition, and functional outcomes in motor-complete tetraplegia. The increase in muscle mass was associated with functional gain; healthy weight gain or maintenance may improve the level of independence. Further studies to endorse this beneficial evidence of rehabilitation nutrition in the maintenance of muscle component are needed. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI AG | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Impact of Rehabilitation Nutrition and Healthy Weight Maintenance in Motor-Complete Tetraplegia Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Rehabilitation Medicine (재활의학교실) | - |
dc.contributor.googleauthor | Ji Cheol Shin | - |
dc.contributor.googleauthor | Kye Hee Cho | - |
dc.contributor.googleauthor | Eun Young Han | - |
dc.contributor.googleauthor | Kwang Ho Ahn | - |
dc.contributor.googleauthor | Sang Hee Im | - |
dc.identifier.doi | 10.3390/jcm11174970 | - |
dc.contributor.localId | A03367 | - |
dc.contributor.localId | A02162 | - |
dc.relation.journalcode | J03556 | - |
dc.identifier.eissn | 2077-0383 | - |
dc.identifier.pmid | 36078901 | - |
dc.subject.keyword | low muscle mass | - |
dc.subject.keyword | malnutrition | - |
dc.subject.keyword | motor-complete tetraplegia | - |
dc.subject.keyword | obesity | - |
dc.subject.keyword | spinal cord injury | - |
dc.contributor.alternativeName | Im, Sang Hee | - |
dc.contributor.affiliatedAuthor | 임상희 | - |
dc.contributor.affiliatedAuthor | 신지철 | - |
dc.citation.volume | 11 | - |
dc.citation.number | 17 | - |
dc.citation.startPage | 4970 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, Vol.11(17) : 4970, 2022-08 | - |
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