{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:49:44Z","timestamp":1783435784298,"version":"3.54.6"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited evidence exists regarding the cognitive and physical improvement effects of medium\u2010chain triglyceride (MCT) intake in patients with stroke. This study aimed to investigate the association between MCT\u2010enhanced rice consumption and enhancements in outcomes, including cognitive level, in patients following stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cohort study on adults admitted to a rehabilitation center with cognitive decline following acute stroke. Our exposure of interest was 1 cup of MCT\u2010enhanced rice 3 times per day. Our comparator was 1 cup of regular rice 3 times per day. Our primary outcome was the cognitive level, defined as the Functional Independence Measure\u2013cognition (FIM\u2010cognition) score (continuous variable) at discharge. Our secondary outcomes were changes in FIM\u2010cognition from admission to discharge, defined as FIM\u2010cognition gain, activities of daily living (determined by the FIM\u2010motor score), and swallowing function (determined by the Food Intake Level Scale [FILS] at discharge). Propensity score matching and multivariable regression analyses were used to evaluate the association between MCT provision and the outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After applying the exclusion criteria, 659 patients with baseline cognitive impairment (mean age 76.1 years; 52.8% men) were analyzed. Following propensity score matching, patients who received MCT\u2010enhanced rice showed significantly greater FIM\u2010cognition gain (median [95% CI]: 9 [5,15] vs 8 [5,12];\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002) compared with those who did not. Additionally, the MCT\u2010enhanced rice group exhibited significantly higher FIM\u2010motor scores (59 [41,79] vs 56 [31,77];\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.019) and FILS scores (10 [9,10] vs 9 [8,10];\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.027) at discharge than those without. Multivariable linear regression analysis using the analytical cohort confirmed the independent association between MCT intake and improved discharge scores of FIM\u2010cognition, FIM\u2010motor, and FILS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The provision of MCT\u2010enhanced rice was associated with improved cognitive level, activities of daily living, and swallowing function in poststroke patients with cognitive impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70011","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T03:45:54Z","timestamp":1757562354000},"page":"993-1001","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association between medium\u2010chain triglyceride intake and Functional Independence Measure\u2013cognition score in adults following stroke: A retrospective cohort study"],"prefix":"10.1002","volume":"49","author":[{"given":"Sayuri","family":"Shimazu","sequence":"first","affiliation":[{"name":"Center for Sarcopenia and Malnutrition Research Kumamoto Rehabilitation Hospital Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7545-4179","authenticated-orcid":false,"given":"Yoshihiro","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Center for Sarcopenia and Malnutrition Research Kumamoto Rehabilitation Hospital Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetaka","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital  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