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Effects of Regularly Performed Walking on the Bilateral Limb Compositions of Post-Stroke Korean Men

  • Received : 2017.12.23
  • Accepted : 2018.01.23
  • Published : 2018.03.31

Abstract

The purpose of this study was to examine the effects of hemispheric damage in body composition of male adults with stroke experiences. The Fourth and Fifth Korea National Health and Nutrition Examination Surveys (KNHANES) with body composition results obtained from the DXA (dual-energy X-ray absorptiometry) assessments were used for this study. Survey data of 18 post-stroke men and 28 healthy controls were obtained. Both the lean and fat masses of the upper and lower limbs were utilized to compare for the compositions between the limbs in post-stroke subjects. In addition, the effect of exercise habit was also observed for the influence of physical activity in body composition. Mixed results in left and right limb compositions were shown between the groups. When the subjects were further divided based on walking days per week, sedentary (walk ${\leq}2d/wk$) post-stroke group showed significantly greater fat mass and less lean mass than the physically active people (walk ${\geq}3d/wk$). In comparison to the healthy sedentary and physically active controls, two post-stroke groups showed greater variations. The results indicate that physical activity maintains or improve the quality of both the upper and lower limb composition in patients with post-stroke men.

Keywords

References

  1. Fielding, RA, Vellas, B, Evans, WJ, Bhasin, S, Morley, JE, Newman, AB et al.Breuille, D. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. Journal of the American Medical Directors Association 2011: 12(4), 249-56. https://doi.org/10.1016/j.jamda.2011.01.003
  2. Kortebein, P, Ferrando, A, Lombeida, J, Wolfe, R, Evans, WJ. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA 2007: 297(16), 1769-74. https://doi.org/10.1001/jama.297.16.1769-a
  3. Scherbakov, N, Von Haehling, S, Anker, SD, Dirnagl, U, Doehner, W. Stroke induced Sarcopenia: muscle wasting and disability after stroke. International journal of cardiology 2013: 170(2), 89-94. https://doi.org/10.1016/j.ijcard.2013.10.031
  4. Scherbakov, N, Sandek, A, Doehner, W. Strokerelated sarcopenia: specific characteristics. Journal of the American Medical Directors Association 2015: 16(4), 272-6. https://doi.org/10.1016/j.jamda.2014.12.007
  5. Scherbakov, N, von Haehling, S, Anker, SD, Dirnagl, U, Doehner, W. Stroke induced Sarcopenia: muscle wasting and disability after stroke. Int J Cardiol 2013: 170(2), 89-94. doi: 10.1016/j.ijcard.2013.10.031
  6. English, C, McLennan, H, Thoirs, K, Coates, A, Bernhardt, J. Reviews: Loss of skeletal muscle mass after stroke: a systematic review. International Journal of Stroke 2010: 5(5), 395-402. https://doi.org/10.1111/j.1747-4949.2010.00467.x
  7. Roger, VL, Go, AS, Lloyd-Jones, DM, Adams, RJ, Berry, JD, Brown, TM et al.Ford, ES. Heart Disease and Stroke Statistics-2011 update: a report from the American Heart Association. Circulation 2011: 123(4), e18-e209. https://doi.org/10.1161/CIR.0b013e3182009701
  8. Jee, H. Comparisons of the body Composition and the effects of Physical activity on the Upper and Lower Limbs of the Female Post-Stroke Patients. Research Journal of Pharmacy and Technology 2017: 10(9), 3074-80. https://doi.org/10.5958/0974-360X.2017.00545.5
  9. Hunnicutt, JL, Gregory, CM. Skeletal muscle changes following stroke: a systematic review and comparison to healthy individuals. Topics in Stroke Rehabilitation 2017, 1-9.
  10. Carin-Levy, G, Greig, C, Young, A, Lewis, S, Hannan, J, Mead, G. Longitudinal changes in muscle strength and mass after acute stroke. Cerebrovascular Diseases 2006: 21(3), 201-7. https://doi.org/10.1159/000090792
  11. Carin-Levy, G, Greig, C, Young, A, Lewis, S, Hannan, J, Mead, G. Longitudinal changes in muscle strength and mass after acute stroke. Cerebrovasc Dis 2006: 21(3), 201-207. doi: 10.1159/000090792
  12. MacIntyre, NJ, Rombough, R, Brouwer, B. Relationships between calf muscle density and muscle strength, mobility and bone status in the stroke survivors with subacute and chronic lower limb hemiparesis. J Musculoskelet Neuronal Interact 2010: 10(4), 249-55.
  13. Nozoe, M, Kanai, M, Kubo, H, Kitamura, Y, Shimada, S, Mase, K. Changes in quadriceps muscle thickness in acute non-ambulatory stroke survivors. Top Stroke Rehabil 2016: 23(1), 8-14. doi: 10.1179/1945511915Y.0000000002
  14. Hunnicutt, JL, Gregory, CM. Skeletal muscle changes following stroke: a systematic review and comparison to healthy individuals. Top Stroke Rehabil 2017: 24(6), 463-471. doi: 10.1080/10749357.2017.1292720
  15. Jee, H, Kim, J, Kim, C, Kim, T, Park, J. Feasibility of a Semi-computerized Line Bisection Test for Unilateral Visual Neglect Assessment. Applied clinical informatics 2015: 6(2), 400-17. https://doi.org/10.4338/ACI-2015-01-RA-0002
  16. Vahlberg, B, Lindmark, B, Zetterberg, L, Hellstrom, K, Cederholm, T. Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial. Disabil Rehabil 2017: 39(12), 1207-1214. doi: 10.1080/09638288.2016.1191551
  17. Jorgensen, L, Jacobsen, B. Changes in muscle mass, fat mass, and bone mineral content in the legs after stroke: a 1 year prospective study. Bone 2001: 28(6), 655-9. https://doi.org/10.1016/S8756-3282(01)00434-3
  18. Metoki, N, Sato, Y, Satoh, K, Okumura, K, Iwamoto, J. Muscular atrophy in the hemiplegic thigh in patients after stroke. Am J Phys Med Rehabil 2003: 82(11), 862-5. doi: 10.1097/01.PHM.0000091988.20916.EF
  19. Ryan, AS, Dobrovolny, CL, Smith, GV, Silver, KH, Macko, RF. Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Archives of physical medicine and rehabilitation 2002: 83(12), 1703-7. https://doi.org/10.1053/apmr.2002.36399
  20. Evans, WJ. Skeletal muscle loss: cachexia, sarcopenia, and inactivity. Am J Clin Nutr 2010: 91(4), 1123S-1127S. doi: 10.3945/ajcn.2010.28608A
  21. Arasaki, K, Igarashi, O, Machida, T, Hyodo, A, Ushijima, R. Reduction in the motor unit number estimate (MUNE) after cerebral infarction. Suppl Clin Neurophysiol 2009: 60, 189-95.
  22. Ryan, AS, Dobrovolny, CL, Smith, GV, Silver, KH, Macko, RF. Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Arch Phys Med Rehabil 2002: 83(12), 1703-1707. doi: 10.1053/apmr.2002.36399
  23. Hafer-Macko, CE, Ryan, AS, Ivey, FM, Macko, RF. Skeletal muscle changes after hemiparetic stroke and potential beneficial effects of exercise intervention strategies. J Rehabil Res Dev 2008: 45(2), 261-72. https://doi.org/10.1682/JRRD.2007.02.0040
  24. Lee, CE, McArdle, A, Griffiths, RD. The role of hormones, cytokines and heat shock proteins during age-related muscle loss. Clin Nutr 2007: 26(5), 524-34. doi: 10.1016/j.clnu.2007.05.005
  25. Vahlberg, B, Lindmark, B, Zetterberg, L, Hellstrom, K, Cederholm, T. Body composition and physical function after progressive resistance and balance training among older adults after stroke: an exploratory randomized controlled trial. Disabil Rehabil 2016, 1-8. doi: 10.1080/09638288.2016.1191551
  26. Billinger, SA, Arena, R, Bernhardt, J, Eng, JJ, Franklin, BA, Johnson, CM et al.Roth, EJ. Physical activity and exercise recommendations for stroke survivors. Stroke 2014: 45(8), 2532-53. https://doi.org/10.1161/STR.0000000000000022
  27. Saunders, DH, Greig, CA, Mead, GE. Physical activity and exercise after stroke. Stroke 2014: 45(12), 3742-7. https://doi.org/10.1161/STROKEAHA.114.004311
  28. Morris, JH, MacGillivray, S, Mcfarlane, S. Interventions to promote long-term participation in physical activity after stroke: a systematic review of the literature. Archives of physical medicine and rehabilitation 2014: 95(5), 956-67. https://doi.org/10.1016/j.apmr.2013.12.016
  29. Ossowski, ZM, Skrobot, W, Aschenbrenner, P, Cesnaitiene, VJ, Smaruj, M. Effects of shortterm Nordic walking training on sarcopeniarelated parameters in women with low bone mass: a preliminary study. Clin Interv Aging 2016: 11, 1763-71. doi: 10.2147/CIA.S118995