营养联合运动干预对脑卒中伴肌少症患者的效果

doi:10.3969/j.issn.1006-9771.2023.05.016

Abstract

Abstract:

Objective To explore the effect of nutrition combined with exercise intervention on stroke patients with sarcopenia.

Methods From January to June, 2022, 60 stroke patients with sarcopenia were randomly divided into control group (n = 15), nutrition group (n = 15), exercise group (n = 15) and combined group (n = 15). All the groups received routine rehabilitation training, while the nutrition group received nutrition intervention, the exercise group received exercise intervention, and the combined group received both the nutrition and exercise intervention, for four weeks. Before and after intervention, the muscle index was measured with bioelectrical impedance analysis, gripping strength of the healthy and the affected side was measured with gripping strength meter, and the patients were assessed with modified Barthel Index (MBI) and Berg Balance Scale (BBS).

Results Four cases in the control group, two in the nutrition group, one in the exercise group, and three in the combined group dropped down. The muscle index, gripping strength, and the scores of MBI and BBS improved in all the groups after intervention (|t| > 3.004, P < 0.05), while all improved more in the combined group than in the other three groups (P< 0.05), and the grip strength of the healthy side was more in the exercise group than in the nutrition group (P< 0.05).

Conclusion Nutrition or exercise intervention alone can improve the muscle quality, grip strength, activities of daily living and balance of stroke patients with sarcopenia, while the combination is more effective.

Key words: stroke, sarcopenia, exercise, nutrition

CLC Number:

R743.3

XUE Xinhong, WANG Xiaoguang, TAO Yangyu, LI Na, DONG Jing, XUE Zijiao, CAI Fengyu, XING Fengmei. Effect of nutrition combined with exercise on stroke patients with sarcopenia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 595-600.

Figures/Tables 5

References 40

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组别	n	性别 (男/女)/n	年龄/岁	婚姻状况 (已婚/丧偶)/n	文化程度 (小学及以下/初中/中专或高中/大专及以上)/n	职业性质 (脑力劳动/体力劳动)/n	病变部位 (大脑/脑干/小脑/丘脑)/n
对照组	15	7/8	70.91±2.19	8/7	9/3/3/0	2/13	10/4/0/1
营养组	15	9/6	70.00±6.74	10/5	6/6/3/0	3/12	11/3/1/0
运动组	15	11/4	69.85±6.58	12/3	6/6/2/1	4/11	13/1/1/0
联合组	15	9/6	69.94±6.62	12/3	4/6/4/1	7/8	7/6/2/0
χ²/F值		2.228	0.014	3.317	6.233	4.397	10.269
P值		0.568	0.906	0.375	0.740	0.271	0.218

组别	n	干预前	干预后	t值	P值
对照组	11	7.49±2.40	9.06±3.76	-3.004	0.013
营养组	13	8.84±1.12	11.86±2.76^a	-4.084	0.002
运动组	14	8.96±1.98	13.32±2.51^a	-7.008	< 0.001
联合组	12	9.47±4.03	16.25±3.30^a,b,c	-8.627	< 0.001
F值		1.236	10.957
P值		0.307	< 0.001

组别	n	健侧		患侧		t值^d	P值^d	t值^e	P值^e
组别	n	干预前	干预后	干预前	干预后	t值^d	P值^d	t值^e	P值^e
对照组	11	18.50±11.64	19.85±11.76	2.60±4.97	5.15±5.16	-8.818	< 0.001	-7.824	< 0.001
营养组	13	19.14±12.00	24.49±11.95	5.23±9.69	10.64±9.97^a	-7.706	< 0.001	-18.459	< 0.001
运动组	14	24.67±9.39	30.37±9.96^a,b	4.55±7.47	11.17±7.57^a	-12.165	< 0.001	-15.767	< 0.001
联合组	12	27.02±8.31	33.05±2.60^a,b,c	7.93±7.09	17.69±6.18^a,b,c	-10.642	< 0.001	-15.927	< 0.001
F值		1.943	3.602	0.979	5.319
P值		0.136	0.020	0.411	0.003

组别	n	干预前	干预后	t值	P值
对照组	11	40.00±23.34	45.45±24.43	-6.708	< 0.001
营养组	13	36.92±14.07	61.53±10.48^a	-15.740	< 0.001
运动组	14	44.64±11.51	60.71±9.37^a	-8.446	< 0.001
联合组	12	44.16±12.02	71.66±8.34^a,b,c	-7.201	< 0.001
F值		0.717	6.660
P值		0.547	0.001

组别	n	干预前	干预后	t值	P值
对照组	11	11.27±8.86	17.72±11.10	-5.589	< 0.001
营养组	13	12.76±9.23	27.61±12.03^a	-17.949	< 0.001
运动组	14	11.50±8.94	28.28±12.02^a	-10.100	< 0.001
联合组	12	12.33±8.99	44.50±18.57^a,b,c	-10.610	< 0.001
F值		0.075	7.609
P值		0.973	< 0.001

Effect of nutrition combined with exercise on stroke patients with sarcopenia

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