Relationship of Functional Outcome With Sarcopenia and Objectively Measured Physical Activity in Patients With Stroke Undergoing Rehabilitation

in Journal of Aging and Physical Activity

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Masashi KanaiDepartment of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe, Japan

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Masafumi NozoeDepartment of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe, Japan

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https://orcid.org/0000-0002-5579-2258*
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Takuro OhtsuboDepartment of Rehabilitation, Nishi-Kinen Port Island Rehabilitation Hospital, Kobe, Japan

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Iori YasumotoDepartment of Rehabilitation, Nishi-Kinen Port Island Rehabilitation Hospital, Kobe, Japan

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Katsuhiro UenoDepartment of Rehabilitation, Nishi-Kinen Port Island Rehabilitation Hospital, Kobe, Japan

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DOI:
https://doi.org/10.1123/japa.2022-0025
Keywords:
physical functional performance; muscular atrophy; physically disabled; motor activity; neurological rehabilitation
First Published Online:
23 Apr 2022
In Print:
Volume 31: Issue 1
Page Range:
1–6
Restricted access

This study aimed to investigate the relationship of Functional Independence Measure for motor function (FIM-M) with sarcopenia, and physical activity in patients with stroke undergoing rehabilitation. This cross-sectional study included patients with stroke at a single convalescent rehabilitation hospital. Sarcopenia was diagnosed based on the Asia Working Group for Sarcopenia 2019 criteria. Physical activity was measured as the duration of light-intensity physical activity and moderate to vigorous physical activity using a triaxial accelerometer. Of 80 patients (median age: 72.0 years), 46 (57.5%) were diagnosed with sarcopenia. In multivariate linear regression analysis, FIM-M score was significantly associated with sarcopenia (β = −0.15, p = .043) and light-intensity physical activity (β = 0.55, p < .001). In another model, FIM-M score was significantly associated with moderate to vigorous physical activity (β = 0.27, p = .002) but not with sarcopenia. This study demonstrated that FIM-M was partially associated with sarcopenia and associated with physical activity regardless of intensity in patients with stroke.

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