Malnutrition, Old Age; Debility, Stroke, Acute
Conditions
Keywords
malnutrition, older
Brief summary
The purpose of this study is to investigate the effect of intensive nutrition counseling on nutritional status and functional recovery in stroke patients over the age of 65, compared to standard nutrition counseling.
Detailed description
Stroke is the second most common cause of death in the world; It is the third cause of disability that causes serious loss of function and affects patients' daily activities. The rapid aging of society increases the negative impact of stroke on health and limited health resources. 9-35% of patients hospitalized with the diagnosis of acute stroke have malnutrition. However, in the first two weeks after hospitalization, malnutrition rates approximately double within two weeks of hospitalization. Although nutrition is a physiological need, it is also a social activity. Nutritional practices that meet nutritional needs during the disease process may contribute to the functional recovery of patients, the reduction of complications, and survival, as well as contributing to the quality of life of patients, independent of the disease. In terms of malnutrition risk, monitoring and treatment are recommended during the acute and discharge periods. There is a need for studies on the framework and effects of effective nutritional treatment. In order for nutrition treatment practices after discharge to achieve their goals, caregivers need to be trained effectively on this subject. Therefore, the aim of this study is to examine the effects of intensive nutrition counseling to stroke patients over the age of 65 on nutritional and functional status.
Interventions
BEHAVIORALintensive nutrition counseling
individualized regular nutrition education
Sponsors
Ege University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being admitted to Ege University Faculty of Medicine Hospital Neurology Intensive Care or Clinic with the diagnosis of acute stroke * The patient agrees to participate in the study * Hospital stay for more than 3 days
Exclusion criteria
* Active malignancy, dementia, terminal illness, tetraplegia, severe metabolic disorder * Failure to obtain written consent indicating that they agreed to participate in the study. * The patient did not come for a check-up during the 3-month follow-up period * The patient's stay is longer than 30 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mid Upper Arm Muscle Area | Hospitalization (up to day 5), first month after discharge, third month after discharge | Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness) |
| Malnutrition | Hospitalization (up to day 5), first month after discharge, third month after discharge | Malnutrition diagnosis according to GLIM criteria |
| Mid Upper Arm Circumference | Hospitalization (up to day 5), first month after discharge, third month after discharge | Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna. |
| Malnutrition Risk | Hospitalization (up to day 5), first month after discharge, third month after discharge | Malnutrition risk status according to MUST |
| BMI | Hospitalization (up to day 5), first month after discharge, third month after discharge | Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters. If BMI\<22 kg/m2, it is considered low |
| Calf Circumference Measurement | Hospitalization (up to day 5), first month after discharge, third month after discharge | The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability | last day of hospitalization, first month after discharge, third month after discharge | Disability was evaluated according to The Modified Rankin Scale |
| Functional Status | last day of hospitalization, first month after discharge, third month after discharge | Functional status was evaluated according to the Barthel Activities of Daily Living İndex |
Countries
Turkey (Türkiye)
Outcome results
None listed