The associations between nutritional and functional status during recovery from Guillain-Barré syndrome: a retrospective study.
Adult
Aged
Body Composition
/ physiology
Body Mass Index
Disability Evaluation
Electric Impedance
Female
Functional Status
Guillain-Barre Syndrome
/ physiopathology
Humans
Male
Malnutrition
/ physiopathology
Middle Aged
Muscle Strength
/ physiology
Nutritional Status
Retrospective Studies
Young Adult
Journal
International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
ISSN: 1473-5660
Titre abrégé: Int J Rehabil Res
Pays: England
ID NLM: 7805421
Informations de publication
Date de publication:
01 Mar 2021
01 Mar 2021
Historique:
pubmed:
11
9
2020
medline:
1
7
2021
entrez:
10
9
2020
Statut:
ppublish
Résumé
Patients with Guillain-Barré syndrome (GBS) are at high risk for inadequate nutrition throughout their illness, yet the wider impact of malnutrition in this population remains unknown. Thus, the purpose of our study was to investigate the associations between nutritional status and functional status at admission to inpatient rehabilitation for GBS and to determine whether the admission phase angle, a biological marker of cellular health, is a prognostic indicator of functional improvement at the end of rehabilitation. The study included 27 participants recovering from GBS who screened positive for nutritional risk upon admission to rehabilitation. According to the Global Leadership Initiative on Malnutrition criteria, the majority of participants were classified as malnourished. A decreased phase angle was found in 93% (mean 3.7°, SD 1.3°). Lower phase angle was moderately associated with lower motor Functional Independence Measure (mFIM) at admission (r = 0.53, P = 0.005), suggesting that phase angle may be an indicator of functional status. By the end of rehabilitation, all participants improved functional independence and muscle strength, and the majority improved walking abilities. However, the correlation between admission phase angle and mFIM efficiency was not statistically significant (P = 0.3867). We conclude that malnutrition is significantly associated with low functional independence and muscle strength at admission. The inability of admission phase angle to predict functional improvement is probably due to the complex interactions between recovery from GBS and interventions provided during a comprehensive multidisciplinary rehabilitation for GBS, and also relatively small sample size.
Identifiants
pubmed: 32909990
pii: 00004356-202103000-00009
doi: 10.1097/MRR.0000000000000437
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
57-64Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
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