Assessment of Body Composition, Fatigue, Mobility and Functional Status in Post-Stroke Individuals

NCT06255145 | Completed

• 1 other identifier: PamukkaleUniversityRC
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized controlled trial is to evaluate body composition, fatigue, mobility level, functional status in with stroke individuals. The main questions it aims to answer are: How is body composition affected in individuals with stroke? How is the level of fatigue affected in individuals with stroke? How is the mobility level affected in individuals with stroke? How is functional status affected in individuals with stroke? In this study, we included 21 patients with stroke and 21 healthy controls. The body composition of the participants was evaluated by Bioelectrical Impedance Analysis (BIA), fatigue level by Fatigue Severity Scale (FSS), mobility level by Rivermead Mobility Index (RMI), and functional status by Functional Independence Scale (FIM).

Conditions

Cerebrovascular Stroke; Body Composition

Keywords

Stroke; Body Composition; Fatique; Mobility; Functional Status

Outcome Measures

Primary Outcomes (6)

• Bioelectrical Impedance Analysis

  body weight

  12 week

• Bioelectrical Impedance Analysis

  body fat percentage

  12 week

• Bioelectrical Impedance Analysis

  muscle percentage

  12 week

• Bioelectrical Impedance Analysis

  total water percentage

  12 week

• Bioelectrical Impedance Analysis

  visceral fat amount

  12 week

• Bioelectrical Impedance Analysis

  total bone mass

  12 week

Secondary Outcomes (3)

• Fatigue Severity Scale

  12 week

• Rivermead Mobility Index

  12 week

• Functional Independence Scale

  12 week

Study Arms (2)

Experimental group

EXPERIMENTAL

In all participants, body composition evaluation was carried out with the Beurer BF 1000 Super Precision device using the Bioelectrical Impedance Analysis principle, fatigue evaluation was carried out with the Fatigue Severity Scale, mobility evaluation was carried out with the Rivermead Mobility Index, and functional status evaluation was carried out with the Functional Independence Scale.

Device: Bioelectrical Impedance Analysis

Control Group

ACTIVE COMPARATOR

In all participants, body composition evaluation was carried out with the Beurer BF 1000 Super Precision device using the Bioelectrical Impedance Analysis principle, fatigue evaluation was carried out with the Fatigue Severity Scale, mobility evaluation was carried out with the Rivermead Mobility Index, and functional status evaluation was carried out with the Functional Independence Scale.

Device: Bioelectrical Impedance Analysis

Interventions

Bioelectrical Impedance Analysis DEVICE

Bioelectrical Impedance Analysis Beurer BF 1000 Super Precision device was used to measure the body composition of the participants. Operating on the principle of BIA, the device allows the body composition to be evaluated by giving an imperceptible electric current to the body. Fatigue Severity Scale (FSS) Fatigue Severity Scale (FSS) was used to measure participants' fatigue levels. Rivermead Mobility Index Rivermead Mobility Index (RMI) was used to assess the mobility levels of the participants. Functional Independence Measure Functional Independence Measure (FIM) was used to evaluate the functional status of the participants.

Also known as: Fatigue Severity Scale, Rivermead Mobility Index, Functional Independence Scale

Control Group; Experimental group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between the ages of 18-65
• Volunteering to participate in the study
• Having a score of 25 or above on the Mini Mental Test
• Getting a score between 0-3 on the Modified Rankin Scale

You may not qualify if:

• Having cardiac insufficiency
• Being morbid obesity
• Having pacemaker
• Being pregnant
• Being between the ages of 30-65
• Volunteering to participate in the study
• Not having any neurological, orthopedic, rheumatologic and metabolic problems
• Having a score of 25 or above on the Mini Mental Test
• Participating in any fat burning diet program
• Exercising regularly
• Being pregnant

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Denizli, 20160, Turkey (Türkiye)

Location

Related Publications (33)

• Sudlow CL, Warlow CP. Comparing stroke incidence worldwide: what makes studies comparable? Stroke. 1996 Mar;27(3):550-8. doi: 10.1161/01.str.27.3.550.

  PMID: 8610328 BACKGROUND

• Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, Kamel H, Kernan WN, Kittner SJ, Leira EC, Lennon O, Meschia JF, Nguyen TN, Pollak PM, Santangeli P, Sharrief AZ, Smith SC Jr, Turan TN, Williams LS. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021 Jul;52(7):e364-e467. doi: 10.1161/STR.0000000000000375. Epub 2021 May 24. No abstract available.

  PMID: 34024117 BACKGROUND

• Siotto M, Germanotta M, Guerrini A, Pascali S, Cipollini V, Cortellini L, Ruco E, Khazrai YM, De Gara L, Aprile I. Relationship between Nutritional Status, Food Consumption and Sarcopenia in Post-Stroke Rehabilitation: Preliminary Data. Nutrients. 2022 Nov 15;14(22):4825. doi: 10.3390/nu14224825.

  PMID: 36432512 BACKGROUND

• Purroy F, Montala N. Epidemiology of stroke in the last decade: a systematic review. Rev Neurol. 2021 Nov 1;73(9):321-336. doi: 10.33588/rn.7309.2021138. English, Spanish.

  PMID: 34676530 BACKGROUND

• Scherbakov N, von Haehling S, Anker SD, Dirnagl U, Doehner W. Stroke induced Sarcopenia: muscle wasting and disability after stroke. Int J Cardiol. 2013 Dec 10;170(2):89-94. doi: 10.1016/j.ijcard.2013.10.031. Epub 2013 Oct 14.

  PMID: 24231058 BACKGROUND

• Li S, Gonzalez-Buonomo J, Ghuman J, Huang X, Malik A, Yozbatiran N, Magat E, Francisco GE, Wu H, Frontera WR. Aging after stroke: how to define post-stroke sarcopenia and what are its risk factors? Eur J Phys Rehabil Med. 2022 Oct;58(5):683-692. doi: 10.23736/S1973-9087.22.07514-1. Epub 2022 Sep 5.

  PMID: 36062331 BACKGROUND

• Su Y, Asamoto M, Yuki M, Saito M, Hasebe N, Hirayama K, Otsuki M, Iino C. Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home: A prospective observational study. J Adv Nurs. 2021 Apr;77(4):1825-1838. doi: 10.1111/jan.14731. Epub 2020 Dec 23.

  PMID: 33368578 BACKGROUND

• Paciaroni M, Acciarresi M. Poststroke Fatigue. Stroke. 2019 Jul;50(7):1927-1933. doi: 10.1161/STROKEAHA.119.023552. Epub 2019 Jun 14. No abstract available.

  PMID: 31195940 BACKGROUND

• Mayo NE, Wood-Dauphinee S, Cote R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002 Aug;83(8):1035-42. doi: 10.1053/apmr.2002.33984.

  PMID: 12161823 BACKGROUND

• Tani Y, Otaka Y, Kudo M, Kurayama T, Kondo K. Prevalence of Genu Recurvatum during Walking and Associated Knee Pain in Chronic Hemiplegic Stroke Patients: A Preliminary Survey. J Stroke Cerebrovasc Dis. 2016 May;25(5):1153-1157. doi: 10.1016/j.jstrokecerebrovasdis.2016.01.028. Epub 2016 Feb 19.

  PMID: 26907679 BACKGROUND

• Mally K, Trentmann J, Heller M, Dittmar M. Reliability and accuracy of segmental bioelectrical impedance analysis for assessing muscle and fat mass in older Europeans: a comparison with dual-energy X-ray absorptiometry. Eur J Appl Physiol. 2011 Aug;111(8):1879-87. doi: 10.1007/s00421-010-1795-x. Epub 2011 Jan 14.

  PMID: 21234595 BACKGROUND

• Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989 Oct;46(10):1121-3. doi: 10.1001/archneur.1989.00520460115022.

  PMID: 2803071 BACKGROUND

• Ozyemisci-Taskiran O, Batur EB, Yuksel S, Cengiz M, Karatas GK. Validity and reliability of fatigue severity scale in stroke. Top Stroke Rehabil. 2019 Mar;26(2):122-127. doi: 10.1080/10749357.2018.1550957. Epub 2018 Nov 26.

  PMID: 30475156 BACKGROUND

• Collen FM, Wade DT, Robb GF, Bradshaw CM. The Rivermead Mobility Index: a further development of the Rivermead Motor Assessment. Int Disabil Stud. 1991 Apr-Jun;13(2):50-4. doi: 10.3109/03790799109166684.

  PMID: 1836787 BACKGROUND

• Ottenbacher KJ, Hsu Y, Granger CV, Fiedler RC. The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil. 1996 Dec;77(12):1226-32. doi: 10.1016/s0003-9993(96)90184-7.

  PMID: 8976303 BACKGROUND

• Chang KV, Wu WT, Huang KC, Han DS. Segmental body composition transitions in stroke patients: Trunks are different from extremities and strokes are as important as hemiparesis. Clin Nutr. 2020 Jun;39(6):1968-1973. doi: 10.1016/j.clnu.2019.08.024. Epub 2019 Aug 31.

  PMID: 31522786 BACKGROUND

• Cruz-Jentoft AJ, Sayer AA. Sarcopenia. Lancet. 2019 Jun 29;393(10191):2636-2646. doi: 10.1016/S0140-6736(19)31138-9. Epub 2019 Jun 3.

  PMID: 31171417 BACKGROUND

• Ramsay JW, Barrance PJ, Buchanan TS, Higginson JS. Paretic muscle atrophy and non-contractile tissue content in individual muscles of the post-stroke lower extremity. J Biomech. 2011 Nov 10;44(16):2741-6. doi: 10.1016/j.jbiomech.2011.09.001. Epub 2011 Sep 25.

  PMID: 21945568 BACKGROUND

• Borschmann K, Iuliano S, Ghasem-Zadeh A, Churilov L, Pang MYC, Bernhardt J. Upright activity and higher motor function may preserve bone mineral density within 6 months of stroke: a longitudinal study. Arch Osteoporos. 2018 Jan 8;13(1):5. doi: 10.1007/s11657-017-0414-4.

  PMID: 29313169 BACKGROUND

• Aali G, Drummond A, das Nair R, Shokraneh F. Post-stroke fatigue: a scoping review. F1000Res. 2020 Apr 7;9:242. doi: 10.12688/f1000research.22880.2. eCollection 2020.

  PMID: 32934800 BACKGROUND

• Choi-Kwon S, Choi SH, Suh M, Choi S, Cho KH, Nah HW, Song H, Kim JS. Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life. Acta Neurol Scand. 2017 Apr;135(4):419-425. doi: 10.1111/ane.12617. Epub 2016 Jun 6.

  PMID: 27265610 BACKGROUND

• MacIntosh BJ, Edwards JD, Kang M, Cogo-Moreira H, Chen JL, Mochizuki G, Herrmann N, Swardfager W. Post-stroke Fatigue and Depressive Symptoms Are Differentially Related to Mobility and Cognitive Performance. Front Aging Neurosci. 2017 Oct 31;9:343. doi: 10.3389/fnagi.2017.00343. eCollection 2017.

  PMID: 29163127 BACKGROUND

• Bye A, Sjoblom B, Wentzel-Larsen T, Gronberg BH, Baracos VE, Hjermstad MJ, Aass N, Bremnes RM, Flotten O, Jordhoy M. Muscle mass and association to quality of life in non-small cell lung cancer patients. J Cachexia Sarcopenia Muscle. 2017 Oct;8(5):759-767. doi: 10.1002/jcsm.12206. Epub 2017 May 10.

  PMID: 28493418 BACKGROUND

• Wang B, Thapa S, Zhou T, Liu H, Li L, Peng G, Yu S. Cancer-related fatigue and biochemical parameters among cancer patients with different stages of sarcopenia. Support Care Cancer. 2020 Feb;28(2):581-588. doi: 10.1007/s00520-019-04717-0. Epub 2019 May 17.

  PMID: 31102055 BACKGROUND

• al-Majid S, McCarthy DO. Cancer-induced fatigue and skeletal muscle wasting: the role of exercise. Biol Res Nurs. 2001 Jan;2(3):186-97. doi: 10.1177/109980040100200304.

  PMID: 11547540 BACKGROUND

• Morgado PC, Giorlando A, Castro M, Navigante A. Relationship between weight loss and parameters of skeletal muscle function in patients with advanced cancer and fatigue. Support Care Cancer. 2016 Sep;24(9):3961-6. doi: 10.1007/s00520-016-3236-9. Epub 2016 Apr 28.

  PMID: 27126771 BACKGROUND

• Neefjes ECW, van den Hurk RM, Blauwhoff-Buskermolen S, van der Vorst MJDL, Becker-Commissaris A, de van der Schueren MAE, Buffart LM, Verheul HMW. Muscle mass as a target to reduce fatigue in patients with advanced cancer. J Cachexia Sarcopenia Muscle. 2017 Aug;8(4):623-629. doi: 10.1002/jcsm.12199. Epub 2017 Jun 21.

  PMID: 28639432 BACKGROUND

• Wagner LI, Cella D. Fatigue and cancer: causes, prevalence and treatment approaches. Br J Cancer. 2004 Aug 31;91(5):822-8. doi: 10.1038/sj.bjc.6602012.

  PMID: 15238987 BACKGROUND

• Neefjes EC, van der Vorst MJ, Blauwhoff-Buskermolen S, Verheul HM. Aiming for a better understanding and management of cancer-related fatigue. Oncologist. 2013;18(10):1135-43. doi: 10.1634/theoncologist.2013-0076. Epub 2013 Sep 13.

  PMID: 24037979 BACKGROUND

• Peters DM, O'Brien ES, Kamrud KE, Roberts SM, Rooney TA, Thibodeau KP, Balakrishnan S, Gell N, Mohapatra S. Utilization of wearable technology to assess gait and mobility post-stroke: a systematic review. J Neuroeng Rehabil. 2021 Apr 21;18(1):67. doi: 10.1186/s12984-021-00863-x.

  PMID: 33882948 BACKGROUND

• Ursin MH, Ihle-Hansen H, Fure B, Tveit A, Bergland A. Effects of premorbid physical activity on stroke severity and post-stroke functioning. J Rehabil Med. 2015 Aug 18;47(7):612-7. doi: 10.2340/16501977-1972.

  PMID: 26073856 BACKGROUND

• Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, Bayley M, Dowlatshahi D, Dukelow S, Garnhum M, Glasser E, Halabi ML, Kang E, MacKay-Lyons M, Martino R, Rochette A, Rowe S, Salbach N, Semenko B, Stack B, Swinton L, Weber V, Mayer M, Verrilli S, DeVeber G, Andersen J, Barlow K, Cassidy C, Dilenge ME, Fehlings D, Hung R, Iruthayarajah J, Lenz L, Majnemer A, Purtzki J, Rafay M, Sonnenberg LK, Townley A, Janzen S, Foley N, Teasell R. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. Int J Stroke. 2016 Jun;11(4):459-84. doi: 10.1177/1747493016643553. Epub 2016 Apr 14.

  PMID: 27079654 BACKGROUND

• Silva CRRD, Pimenta CJL, Viana LRC, Ferreira GRS, Bezerra TA, Costa TFD, Pontes MLF, Costa KNFM. Specific health-related quality of life in Cerebrovascular accident survivors: associated factors. Rev Bras Enferm. 2021 Nov 29;75(3):e20210407. doi: 10.1590/0034-7167-2021-0407. eCollection 2021. English, Portuguese.

  PMID: 34852127 BACKGROUND

Related Links

• Fitness ve EMS (Electromyostimulation) antrenman tekniklerinin vücut kompozisyonu üzerine etkileri
• BF 1000 Super Pricision Kullanım Kılavuzu
• Fazla kilolu ve obez kadınlarda 30 dakika egzersiz kilo kaybı üzerine etkili midir?
• Rivermead mobilite indeksi (RMI) türkçe formunun yaşlılarda geçerlilik ve güvenilirliği
• Türkiye'de nörorehabilitasyon hastalarının değerlendirilmesinde fonksiyonel bağımsızlık ölçeği ve Modifiye Barthel İndeksi'nin yeri
• Bone mineral density and its relationship with body composition indices in stroke patients
• İnme sonrası alt ekstremite, mobilite ve yürüme: alt ekstremite, hareketlilik ve inme sonrası yürüyüş.
• Impact of stroke on quality of life and functional independence:research article.

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Raziye Çelik, PT.

  Pamukkale University

  PRINCIPAL INVESTIGATOR

• Emre Baskan, Assoc Prof.

  Pamukkale University

  STUDY DIRECTOR

• Aziz Dengiz, PT Phd

  Muş Alparslan University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator physiotherapist

Model Details: Based on the results of the power analysis, it was calculated that 80% power could be obtained at 95% confidence level when at least 42 people (21 people for each group) were included in the study all participants, body composition evaluation was carried out with the Beurer BF 1000 Super Precision device using the Bioelectrical Impedance Analysis principle, fatigue evaluation was carried out with the Fatigue Severity Scale, mobility evaluation was carried out with the Rivermead Mobility Index, and functional status evaluation was carried out with the Functional Independence Scale.

Study Record Dates

• First Submitted: October 14, 2023
• First Posted: February 13, 2024
• Study Start: December 17, 2021
• Primary Completion: June 5, 2022
• Study Completion: July 5, 2022
• Last Updated: February 13, 2024

Record last verified: 2024-02

Locations

TU (1)