İlke Coşkun Benlidayı1, Sibel Başaran1. 1. Department of Physical Medicine and Rehabilitation, Çukurova University Faculty of Medicine, Adana, Turkey.
Abstract
OBJECTIVES: This study aims to investigate the possible effects of folate on the functional outcomes of patients with post-stroke hemiplegia. PATIENTS AND METHODS: Between January 2012 and March 2015, a total of 80 patients with hemiplegia (51 males, 29 females; mean age 60.3±13.2 years; range, 19 to 95 years) at least three months post-stroke were included in this study. Serum folate levels (ng/mL), Brunnstrom recovery stages of the lower limb, and Functional Ambulation Category (FAC) scores were recorded. All patients were divided into two groups according to the Brunnstrom stages (Category I; Stage 1-3 and Category II; Stage 4-6) and FAC scores (non-functional ambulatory; score 0-2, functional ambulatory; score 3-5). RESULTS: The mean serum folate level of the patient group was 6.8±2.8 ng/mL. Serum folate levels differed significantly between the Brunnstrom categories with lower levels in patients with poorer motor recovery (Category I) (p=0.047). Folate levels were also lower in non- functional ambulatory patients than those in patients with functional ambulation (p=0.046). CONCLUSION: Lower serum folate levels are associated with poorer ambulation potential and impaired lower limb motor recovery in patients with post-stroke hemiplegia.
OBJECTIVES: This study aims to investigate the possible effects of folate on the functional outcomes of patients with post-stroke hemiplegia. PATIENTS AND METHODS: Between January 2012 and March 2015, a total of 80 patients with hemiplegia (51 males, 29 females; mean age 60.3±13.2 years; range, 19 to 95 years) at least three months post-stroke were included in this study. Serum folate levels (ng/mL), Brunnstrom recovery stages of the lower limb, and Functional Ambulation Category (FAC) scores were recorded. All patients were divided into two groups according to the Brunnstrom stages (Category I; Stage 1-3 and Category II; Stage 4-6) and FAC scores (non-functional ambulatory; score 0-2, functional ambulatory; score 3-5). RESULTS: The mean serum folate level of the patient group was 6.8±2.8 ng/mL. Serum folate levels differed significantly between the Brunnstrom categories with lower levels in patients with poorer motor recovery (Category I) (p=0.047). Folate levels were also lower in non- functional ambulatory patients than those in patients with functional ambulation (p=0.046). CONCLUSION: Lower serum folate levels are associated with poorer ambulation potential and impaired lower limb motor recovery in patients with post-stroke hemiplegia.
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Authors: K M A Swart; A W Enneman; J P van Wijngaarden; S C van Dijk; E M Brouwer-Brolsma; A C Ham; R A M Dhonukshe-Rutten; N van der Velde; J Brug; J B J van Meurs; L C P G M de Groot; A G Uitterlinden; P Lips; N M van Schoor Journal: Eur J Clin Nutr Date: 2013-05-22 Impact factor: 4.016