Focusing on the fact that weight loss, which is the main symptom of bad fluid quality, is likely to occur in patients with acute stroke, Miho Yamamoto and Koji Shomoto of the Master's Program of the Graduate School of Health Sciences, Kio University, Konan Women's University Associate Professor Masashi Nozoe and Yosuke Yoshida of the Seiwa Medical Center in Nara Prefecture examined whether there is a relationship between changes in weight in the acute phase in stroke patients and diagnostic criteria for malaise through prospective observational studies.

　As a result, of the 155 stroke patients admitted to the acute care hospital during the study period, 30 (19%) lost more than 5% by the time they were discharged from the acute care hospital.It was found that this weight-loss group met the diagnostic criteria for cachexia according to the classification of Evans et al. At the time of discharge from the acute care hospital, more than the weight-stabilizing group of 125 people who did not show weight loss.
* 18 people (60%) in the weight loss group and 28 people (22%) in the weight stable group

　Cachexia criteria affect weight change, even after adjusting for other factors that can affect weight change, such as severity, energy intake, swallowing ability, and possession of other diseases that cause cachexia. It is said that it became clear to give.This suggests that cachexia may be involved in the rapid weight loss that occurs in stroke patients.

　The results of this study are thought to contribute to the establishment of a new treatment method that takes into account the effects of cachexia on the weight loss that occurs in stroke patients.

Paper information:[Nutrition] Cachexia criteria in “chronic” illness associated with “acute” weight loss in patients with stroke