Publications by authors named "Takahiro Bise"
Background: This study investigated the association between segmental phase angles and functional outcomes in patients after stroke, hypothesizing that increased segmental phase angle correlates with improved functional status.
Methods: A retrospective cohort study of 1012 patients after stroke was conducted. Whole body and segmental phase angles were measured using bioelectrical impedance analysis within 3 days of admission.
Article Synopsis
- - This study investigated how Stored Energy affects body weight (BW) and skeletal muscle mass (SMM) in stroke patients who also have sarcopenia, analyzing data from a Japanese rehabilitation hospital from 2015 to 2022.
- - Researchers calculated Total Stored Energy by subtracting energy requirements from energy intake, using multiple regression analysis to link Stored Energy levels to changes in BW and SMM during hospitalization.
- - Findings revealed that higher Stored Energy is significantly associated with increases in both BW and SMM, suggesting that energy reserves play a crucial role in recovery for patients post-stroke with sarcopenia.
Article Synopsis
- Sarcopenia and poor oral health are prevalent in older adults, especially in post-stroke patients, and their combined effect on rehabilitation outcomes is not well understood.
- A study of 1,012 post-stroke patients found that the coexistence of sarcopenia (45.6% prevalence) and impaired oral health (27.5% prevalence) led to significantly worse outcomes in daily living activities, cognition, and swallowing.
- Addressing both sarcopenia and oral health in rehabilitation could greatly improve recovery for these patients, highlighting the need for comprehensive assessments and targeted interventions.
Background: Evidence is scarce regarding prognostic value of site-specific muscle mass in geriatric stroke survivors. We aim to assess the association between four measures of muscle mass, namely the skeletal muscle mass index of the limbs (SMI), upper limb SMI (USMI), lower limb SMI (LSMI), and trunk muscle mass index (TMI), and the functional prognosis in stroke patients.
Methods: This study conducted a retrospective cohort analysis involving post-acute stroke inpatients.
Objectives: There is a lack of evidence regarding the association between whole-body exercise and independence in urination and defecation. This study aimed to evaluate the effect of chair-stand exercise on improving urination and defecation independence in post-stroke patients with sarcopenia.
Methods: A retrospective study was conducted on stroke patients admitted to a community rehabilitation hospital between 2015 and 2021.
Aim: Low body mass index (BMI) and poor oral health are prevalent among older stroke patients and associated with adverse outcomes. However, their combined impact on functional recovery after stroke remains unclear. This study investigated the synergistic effects of low BMI and poor oral health on activities of daily living (ADL) independence, swallowing function, and cognitive status in post-stroke older patients.
View Article and Find Full Text PDFPurpose: Evidence is scarce on the associations between impaired oral health and cognitive level related to independence in activities of daily living (ADLs) among hospitalized older patients. We aimed to evaluate the associations between baseline oral problems and changes in cognitive level in post-stroke patients.
Methods: A retrospective cohort study was conducted, encompassing consecutively hospitalized post-stroke patients.
Article Synopsis
- - The study explores the effectiveness of a triad approach—rehabilitation, nutrition support, and oral management—in improving outcomes for post-stroke patients, who often struggle with malnutrition and related issues.
- - A cohort of 1,012 post-stroke patients was analyzed, showing that the triad approach significantly enhanced functional independence, muscle strength, and skeletal muscle mass compared to other interventions.
- - Results indicated that the triad approach was highly effective, with strong statistical associations linking it to better recovery outcomes, particularly in activities of daily living and physical strength.
Purpose: Evidence is scarce regarding the association between anemia and alterations in cognitive level among hospitalized older patients. We aimed to evaluate the associations between baseline hemoglobin (Hb) levels and changes in cognitive level in patients undergoing rehabilitation after stroke.
Methods: A retrospective cohort study was conducted, encompassing consecutively hospitalized post-stroke patients.
Article Synopsis
- The study investigates the relationship between hyponatremia (low sodium levels) and functional outcomes in older post-stroke patients during their hospital stay.
- It includes data from 955 patients, revealing that 8.8% had hyponatremia, which negatively impacted their ability to perform daily activities and muscle strength at discharge.
- The findings suggest that hyponatremia is linked to poorer rehabilitation outcomes, specifically in activities of daily living and handgrip strength, although there was no significant effect on skeletal muscle mass.
Background: Systemic inflammation is associated with poor functional outcomes. However, the effects of improved inflammation on functional indicators remain unclear. This study aimed to clarify the relationship between improvements in systemic inflammation and activities of daily living in patients after stroke.
View Article and Find Full Text PDFPurpose: Evidence is scarce regarding the association between hyponatremia and alterations in cognitive function among hospitalized older patients. We aimed to investigate the associations between hyponatremia and the baseline cognitive status, as well as the improvement in cognitive function, in hospitalized post-stroke patients.
Methods: This retrospective cohort study included consecutive hospitalized post-stroke patients.
Purpose: Oral problems and muscle health are indeed significant concerns in ageing populations. However, there is limited evidence concerning the association between these issues. The study's focus was to investigate the association between oral problems and sarcopenic obesity, wherein sarcopenia and obesity coexist concurrently, in post-stroke patients.
View Article and Find Full Text PDFBackground: Anticholinergic burden is associated with adverse events in the older adults. However, there is a lack of evidence regarding its effect on urinary independence in stroke patients.
Aim: This study examined the association between increased anticholinergic burden during hospitalization and urinary independence in post-stroke patients undergoing rehabilitation.
Aim: There is limited evidence concerning the association between anemia and alterations in muscle health among hospitalized older patients. We aimed to evaluate the associations between baseline hemoglobin (Hb) levels and changes in muscle function in patients undergoing rehabilitation after stroke.
Methods: This retrospective cohort study included consecutive hospitalized post-stroke patients.
Objectives: The purpose of this study was to examine the association between baseline dysphagia and the improvement of activities of daily living performance and cognitive level among inpatients after stroke.
Methods: This was a retrospective cohort study of patients undergoing convalescent rehabilitation after stroke. Dysphagia was assessed using the Food Intake LEVEL Scale.
Background & Aims: Evidence is limited concerning the association between bioimpedance analysis-derived phase angle and sarcopenic obesity. This study examined this association in patients who underwent convalescent rehabilitation after stroke.
Methods: This cross-sectional study included hospitalized patients with post-acute stroke.
Statin use impairs muscle strength recovery in post-stroke patients with sarcopenia.
Geriatr Gerontol Int
September 2023
Aim: The effects of statins on muscle health are not well established. Therefore, this study investigated the impact of statin use on muscle strength and mass recovery in patients with sarcopenia after stroke.
Methods: This retrospective cohort study included stroke patients with sarcopenia hospitalized between 2015 and 2021 at a post-acute rehabilitation hospital.
Aim: This study aimed to calculate the cut-off values for severe decline in muscle strength and skeletal muscle mass in post-acute patients with sarcopenia and to determine their effect on activities of daily living.
Methods: This retrospective cohort study included patients with sarcopenia consecutively admitted to a Japanese rehabilitation hospital between 2014 and 2016. Sarcopenia was diagnosed based on handgrip strength and skeletal muscle mass index.
Objectives: This study aimed to examine the association between improvement in sarcopenia and the recovery of urinary and defecatory independence in patients undergoing convalescent rehabilitation.
Methods: A retrospective cohort study was conducted of 849 older inpatients after a stroke. Of these, patients with sarcopenia and dependent voiding movements were targeted.
Article Synopsis
- * Data was collected from 586 hospitalized patients, with 257 diagnosed with sarcopenia, showing that a higher number of prescribed medications at hospital admission negatively impacted their swallowing ability and nutritional status.
- * The findings suggest that alongside nutritional and exercise therapies, reevaluating and optimizing prescribed medications could enhance recovery for post-stroke patients with sarcopenia.
Sarcopenic obesity is of growing research and clinical interest; however, validated diagnostic criteria are lacking. We therefore aimed to examine the prevalence of sarcopenic obesity as diagnosed by the criteria recently proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO), and its association with outcomes among patients after stroke. This study was based on a cohort of 760 Japanese patients after stroke admitted to a post-acute rehabilitation hospital.
View Article and Find Full Text PDFUnlabelled: Matsumoto A, Yoshimura Y, Shimazu S, Nagano F, Bise T, Kido Y, Shiraishi A, Sunahara T. Association of polypharmacy at hospital discharge with nutritional intake, muscle strength, and activities of daily living among older patients undergoing convalescent rehabilitation after stroke. Jpn J Compr Rehabil Sci 2022; 13: 41-48.
View Article and Find Full Text PDFBackground: Evidence is scarce for potentially inappropriate medications (PIMs) in rehabilitation medicine.
Aim: To examine the effect of PIMs on functional recovery in older patients with sarcopenia after stroke.
Methods: We conducted a retrospective cohort study in a post-acute rehabilitation hospital.