ArticleFrontiers in nutrition2025
Association between nutritional status and food texture levels in older patients with stroke-related sarcopenia in the subacute phase: a retrospective cross-sectional study.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Post-stroke sarcopenia as a neuromuscular disorder: a mini review of neural mechanisms and clinical implications.Frontiers in neurology · 2026Review
- Association of Sarcopenia at Admission with Physical Performance at Discharge in Older Patients with Subacute Stroke: A Prospective Cohort Study.Progress in rehabilitation medicine · 2026Article
- Association between geriatric nutritional risk index and fecal incontinence in individuals with stroke: mediating roles of systemic immune inflammation index and oxidative balance scores.Frontiers in nutrition · 2025Article
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6 authors.
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Abstract
Background: Stroke-related sarcopenia (SRS) frequently emerges in the early phase of stroke and is associated with poor functional recovery and prolonged hospitalization. Identifying modifiable risk factors, such as nutritional status and food texture, may be important for early treatment in SRS. This study aimed to investigate the association between SRS and malnutrition diagnosed using the Global Leadership Initiative on Malnutrition (GLIM) criteria, with the primary aim of examining how the prevalence of SRS and malnutrition and the individual GLIM components vary among food texture levels. Methods: This study included 340 older adults (median age: 77.0 [66.0-83.0] years; median time since stroke onset: 22.0 [16.8-31.3] days) who were admitted to a convalescent rehabilitation ward during the subacute phase of stroke. SRS was diagnosed based on the Asian Working Group for Sarcopenia criteria, while malnutrition according to the GLIM framework. Food texture was categorized into three levels: standard, texture-modified, and tube feeding. Multivariate logistic regression was used to examine the association between SRS and GLIM-defined malnutrition, adjusting for relevant covariates. The Cochran-Armitage trend test assessed trends in the prevalence of SRS and malnutrition and in the proportions of individual GLIM components among food texture levels. Results: The prevalence of SRS and GLIM-defined malnutrition was 56.8 and 51.5%, respectively. Malnutrition was independently associated with SRS (odds ratio = 3.00; 95% confidence interval: 1.70-5.30; Conclusion: Older adults in the subacute phase of stroke who consume more restrictive food textures may be more prone to malnutrition, potentially due to stroke-related inflammation, which in turn may contribute to the development of SRS. Early tailored nutritional treatments that consider food texture restrictions and disease burden may help prevent SRS and enhance functional recovery in post-stroke rehabilitation.
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