Prevalence and associated factors of sarcopenia in stroke inpatients: a cross-sectional study with SarQoL-assessed quality of life
摘要
Stroke is associated with a high burden of sarcopenia, which may be related to poorer functional outcomes and quality of life (QoL).
AimTo estimate the prevalence of sarcopenia among stroke inpatients, identify factors associated with stroke-related sarcopenia, and examine the association between stroke-related sarcopenia and sarcopenia-specific QoL.
MethodsSarcopenia was evaluated according to the Asian Working Group for Sarcopenia 2019 (AWGS 2019) criteria. Demographic and clinical data were collected. Nutritional status, dysphagia, activities of daily living (ADLs), and stroke severity were assessed using the Nutritional Risk Screening 2002 (NRS-2002), Water Swallow Test (WST), Barthel Index (BI), and National Institutes of Health Stroke Scale (NIHSS), respectively. QoL was assessed using the Sarcopenia and Quality of Life questionnaire (SarQoL).
ResultsThe prevalence of sarcopenia among stroke inpatients was 50.8%. Binary logistic regression analysis showed that age, limb dysfunction, dysphagia status, BI score, and NRS-2002 score were independently associated with sarcopenia, whereas regular exercise was associated with lower odds of sarcopenia. The total SarQoL score was 57.06 ± 17.583 in patients with sarcopenia and 66.72 ± 19.201 in patients without sarcopenia. Significant differences were observed between patients with and without sarcopenia in physical and mental health, locomotion, body composition, functionality, ADLs, fears, and the total SarQoL score.
ConclusionThis study demonstrated a high prevalence of sarcopenia among stroke inpatients and identified several factors independently associated with sarcopenia. Sarcopenia was also associated with poorer sarcopenia-specific QoL.