Objective To discuss the association between the length of stay at the intensive care unit (ICU) and sarcopenia among hemiplegic stroke patients.
Methods This study evaluated 66 hemiplegic stroke patients with history of ICU admission using handgrip strength and bioelectrical impedance analysis to obtain height-adjusted appendicular skeletal muscle mass. The diagnosis of sarcopenia was made according to the muscle mass based on the Asian Working Group for Sarcopenia. The patients were divided into sarcopenic and non-sarcopenic groups. The two groups were statistically analyzed, and the significant factors with differences were studied. A multivariate logistic regression analysis was performed to examine the association between length of stay in the ICU and sarcopenia, after adjusting for potential confounders.
Results Among 66 hemiplegic patients with an ICU admission history, 12 patients were diagnosed with sarcopenia. Sarcopenia patients showed lower scores on the Korean version of the Modified Barthel Index and the Korean version of the Mini-Mental State Examination. Additionally, patients with sarcopenia had a longer length of stay in the ICU, and univariate and multivariate analyses confirmed that the ICU length of stay was significantly related to sarcopenia (adjusted odds ratio=1.187; 95% confidence interval, 1.019–1.382; p=0.028).
Conclusion The length of stay in the ICU was significantly associated with sarcopenia in hemiplegic stroke patients.
Citations
Citations to this article as recorded by
Upper extremity muscle thickness and grip strength following a boccia-based intervention in hemiparetic individuals Emre Berk Hazar, Betül Canbolat Güder, Kürşat Hazar, Umut Diyar Gök, Nouf H. Alkhamees, Zizi M. Ibrahim, Sameer Badri Al-Mhanna, Alexios Batrakoulis BMC Sports Science, Medicine and Rehabilitation.2026;[Epub] CrossRef
The importance of sarcopenia in the prediction of outcomes of acute cerebral insufficiency in patients with post-intensive care syndrome: descriptive prospective cohort study Vadim I. Ershov, A. S. Dobrynin, T. V. Biryukova, N. O. Davydova Annals of Critical Care.2026; (3): 137. CrossRef
Associated factors for stroke-related sarcopenia: a scoping review Fanchi Xu, Yaqin You, Yijing Ling, Yehong Wei, Meng Hu Frontiers in Neurology.2026;[Epub] CrossRef
Assessment tools for patients with stroke-related sarcopenia: a scoping review Yanran Liang, Linli Xie, Wanwan Qiao, Runfang Guo, Hejia Wan, Jie Jing Frontiers in Medicine.2026;[Epub] CrossRef
Usefulness of body composition assessment by bioelectrical impedance vector analysis in subacute post-stroke patients in rehabilitation Alessandro Guerrini, Mariacristina Siotto, Carola Cocco, Marco Germanotta, Valeria Cipollini, Laura Cortellini, Arianna Pavan, Stefania Lattanzi, Sabina Insalaco, Yeganeh Manon Khazrai, Irene Giovanna Aprile Scientific Reports.2025;[Epub] CrossRef
HANDGRIP STRENGTH AND DASH EATING BEHAVIOR IS RELATED TO HIGHER BLOOD PRESSURE ON PRE-ELDERLY AND ELDERLY IN YOGYAKARTA Adhila Fayasari, Anis Febri Nilansari, Margala Juang Bertorio Media Gizi Indonesia.2025; 20(2): 135. CrossRef
Effects of Leucine Supplementation in Older Adults with Sarcopenia: A Meta-Analysis Chienhsiu Huang, Min-Hong Hsieh Nutrients.2025; 17(15): 2413. CrossRef
Post-Operative Atrial Fibrillation: Novel Predictive Value of CT-Derived Adipose Tissue Density in Minimally Invasive Mitral Surgery M Pekar, D Vician, O Jiravsky, B Jiravska Godula, P Branny, R Spacek, M Kantor, M Skotakova, J Chovancik, L Sknouril, J Novak Physiological Research.2025; : S117. CrossRef
Indirect calorimetry directed feeding and cycling in the older ICU population: a pilot randomised controlled trial Ng Shu Hui Elizabeth, Tan Yanni, Leong Siaw May, Tiong Hui Fen, Li Xuanhui Janice, Kwan Peijun, Ong Sze Pheng, Toh Shi Jie, Loh Ne Hooi Will BMC Anesthesiology.2024;[Epub] CrossRef
Effects of Brunnstrom movement therapy versus mirror therapy on hand function in post-stroke hemiplegic population Nimra, Ayesha Zulifiqar, Muhammad Umair Javaid, Reham Ali Mohamed Ali Ahmed Journal of Musculoskeletal Surgery and Research.2024; 8: 389. CrossRef
Association between handgrip strength and small airway disease in patients with stable chronic obstructive pulmonary disease Thanapon Keawon, Narongkorn Saiphoklang Therapeutic Advances in Respiratory Disease.2024;[Epub] CrossRef
Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke Yeon Hee Cho, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Hyun Jung Kim Annals of Rehabilitation Medicine.2023; 47(2): 98. CrossRef
Accuracy of Calf Circumference Measurement, SARC-F Questionnaire, and Ishii's Score for Screening Stroke-Related Sarcopenia Ruihong Yao, Liqing Yao, Changli Yuan, Bu-Lang Gao Frontiers in Neurology.2022;[Epub] CrossRef
Natural aging course of lumbar extensor muscle mass and strength in community-dwelling older women: a 1-year prospective observational study Dong Hyun Kim, Jinhee Park, Chang Won Lee, Sang Yoon Lee Aging Clinical and Experimental Research.2022; 34(9): 2099. CrossRef
Prognostic Value of Isolated Sarcopenia or Malnutrition–Sarcopenia Syndrome for Clinical Outcomes in Hospitalized Patients Iasmin Matias Sousa, Camila Ferri Burgel, Flávia Moraes Silva, Ana Paula Trussardi Fayh Nutrients.2022; 14(11): 2207. CrossRef
Effects of leucine-rich protein supplements in older adults with sarcopenia: A systematic review and meta-analysis of randomized controlled trials Sang Yoon Lee, Hyun Jeong Lee, Jae-Young Lim Archives of Gerontology and Geriatrics.2022; 102: 104758. CrossRef
Relationship between Nutritional Status, Food Consumption and Sarcopenia in Post-Stroke Rehabilitation: Preliminary Data Mariacristina Siotto, Marco Germanotta, Alessandro Guerrini, Simona Pascali, Valeria Cipollini, Laura Cortellini, Elisabetta Ruco, Yeganeh Manon Khazrai, Laura De Gara, Irene Aprile Nutrients.2022; 14(22): 4825. CrossRef
Handgrip Strength: An Irreplaceable Indicator of Muscle Function Sang Yoon Lee Annals of Rehabilitation Medicine.2021; 45(3): 167. CrossRef
First
Prev
