Rehabilitation after stroke: nutritional status and its correction
https://doi.org/10.33667/2078-5631-2020-11-17-20
Abstract
This article presents the results of our study of the nutritional status of patients after cerebral stroke who were hospitalized to the medical rehabilitation unit. Among all patients, 16 % had an increased risk of nutritional deficiency by all scales with the highest numbers in patients over 65 (44 % had a risk of nutritional deficiency on all scales). Among patients with swallowing disorders, 100 % of patients had a risk of nutritional deficiency. Out of all anthropometric indicators, only the circumference of the shoulder muscles was significantly lower in patients with nutritional deficiency. Assessment and correction of malnutrition during rehabilitation after stroke is recommended during the acute treatment and follow-up. Special clinical nutrition products can be a good support for balanced feeding for more rapid rehabilitation.
About the Authors
L. R. Akhmadeeva
Bashkir State Medical University
Russian Federation
Ufa
Russian Federation
Ufa
M. V. Naprienko
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Moscow
Russian Federation
Moscow
O. S. Lazovaya
Bashkir State Medical University
Russian Federation
Ufa
Russian Federation
Ufa
G. S. Zagidullina
Bashkir State Medical University
Russian Federation
Ufa
Russian Federation
Ufa
A. F. Timirova
City Clinical Hospital No. 21
Russian Federation
Ufa
Russian Federation
Ufa
R. Kh. Gizatullin
Bashkir State Medical University
Russian Federation
Ufa
Russian Federation
Ufa
L. V. Smekalkina
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Moscow
Russian Federation
Moscow
References
1. Chen N, Li Y, Fang J, Lu Q, He L. Risk factors for malnutrition in stroke patients: A meta-analysis. // Clin Nutr. 2019 Feb; 38 (1): 127–135.
2. World Health Organisation. The Top 10 Causes of Death. 2014.
3. А. R. Green. Pharmacological approaches to acute ischaemic stroke: reperfusion certainly, neuroprotection possibly. // British Journal of Pharmacology, vol. 153, no. 1, pp. S 325–S 338, 2008.
4. Ахмадеева Л. Р., Хох И. Р., Хуснитдинова С. Р., Тими- рова А. Ф., Ахмадуллин Ф.Ф,, Ахмадеева Э. Н. Социальная и психологическая составляющие в ме- дицинской реабилитации. // Саратовский научно- медицинский журнал. 2017. Т. 13. № 1. С. 127–131.
5. R. Aquilani, P. Sessarego, P. Iadarola, A. Barbieri, F. Boschi. Nutrition for brain recovery after ischemic stroke: an added value to rehabilitation. // Nutrition in Clinical Practice, vol. 26, no. 3, pp. 339–345, 2011.
6. Заболеваемость всего населения России. 2017. Статистический сборник. – М.: Минздрав, 2018. – 140 с.
7. Global status report on noncommunicable diseases 2014. World Health Organization [Электронный ресурс] URL: http://apps.who.int/iris/bitstream/handle/10665/14811.
8. Aquilani R, Sessarego P, Iadarola P, Barbieri A, Boschi F. Nutrition for Brain Recovery After Ischemic Stroke An Added Value to Rehabilitation. // Nutrition in Clinical Practice. 2011; 26 (3): 339–45.
9. Davis JP, Wong AA, Schluter PJ, Henderson RD, O’Sullivan JD. Impact of premorbid undernutrition on outcome in stroke patients. // Stroke. 2004; 35 (8): 1930–4.
10. Chai J, Chu F, Chow T, Shum N. Prevalence of malnutrition and its risk factors in stroke patients residing in an infirmary. // Singapore Medical Journal. 2008; 49 (4): 290.
11. Foley NC, Martin RE, Salter KL, Teasell RW. A review of the relationship between dysphagia and malnutrition following stroke. // Journal of Rehabilitation Medicine. 2009; 41 (9): 707–13.
12. N. C. Foley, K. L. Salter, J. Robertson, R. W. Teasell, M. G. Woodbury. Which reported estimate of the prevalence of malnutrition after stroke is valid? // Stroke, vol. 40, no. 3, pp. e66–e74, 2009.
13. Gomes F, Emery PW, Weekes CE. Risk of Malnutrition Is an Independent Predictor of Mortality, Length of Hospital Stay, and Hospitalization Costs in Stroke Patients. // Journal of Stroke and Cerebrovascular Diseases. 2016; 25 (4): 799–806.
14. Collaboration FT. Poor nutritional status on admission predicts poor outcomes after stroke observational data from the food trial. // Stroke. 2003; 34 (6): 1450–6.
15. National Institute for Health and Care Excellence (NICE). Stroke and Transient Ischaemic Attack in over 16s: Diagnosis and Initial Management. // Clinical Guideline [CG68]. 2008.
16. FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: Observational data from the FOOD trial. // Stroke 2003, 34, 1450–1456.
17. Corrigan ML, Escuro AA, Celestin J, Kirby DF. Nutrition in the stroke patient. // Nutrition in Clinical Practice. 2011; 26 (3): 242–52.
18. Bouziana SD, Tziomalos K. Malnutrition in patients with acute stroke. // Journal of nutrition and metabolism. 2011.
19. Sabbouh T., Torbey M. T. Malnutrition in Stroke Patients: Risk Factors, Assessment, and Management. // Neurocrit Care N 29, 2018. P. 374–384.
20. С. Е. Чуприна, О. В. Небогина, Н. А. Жигульская. Нутритивная поддержка у пациентов с острым нарушением мозгового кровообращения. // Журнал неврологии и психиатрии, 1, 2018, стр. 110–114.
21. Jensen GL, Mirtallo J, Compher C, Dhaliwal R, Forbes A, Grijalba RF, et al. Adult starvation and disease-related malnutrition a proposal for etiology- based diagnosis in the clinical practice setting from the international consensus guideline committee. // Journal of Parenteral and Enteral Nutrition. 2010; 34 (2): 156–9.
22. M. L. Corrigan, A. A. Escuro, J. Celestin, D. F. Kirby. Nutrition in the stroke patient. // Nutrition in Clinical Practice, vol. 26, no. 3, pp. 242–252, 2011.
23. Гизатуллин Р. Х., Лейдерман И. Н., Сатаев В. У., Алянгин В. Г. Метаболизм жирных кислот у новорожденных с сепсисом; Сообщение 1 – Новая шкала прогнозирования клинических исходов. Экспериментальная и клиническая гастроэнтерология. 2020. № 1. С. 87–94.
24. Fontes D, Generoso Sde V, Toulson Davisson Correia MI. Subjective global assessment: a reliable nutritional assessment tool to predict outcomes in critically ill patients. // Clin Nutr. 2014 Apr; 33 (2): 291–5.
25. E. Reber, F. Gomes, M. F. Vasiloglou, P. Schuetz, Z. Stanga. Nutritional Risk Screening and Assessmen. // J Clin Med. 2019 Jul; 8 (7): 1065.
26. S. Hormozi, M. Alizadeh-Khoei, F. Sharifi1, M. Chehrehgosha, R. Esmaeili, F. Rezaie-Abhari, R. Aminalroaya, Z. Madadi. Validity of malnutrition universal screening tool (must) in geriatric patients: appropriate screening tool in hospital; must or full-mna? // Aging Res Clin Practice 2019; 8: 74–79.
27. Neelemaat F., Kruizenga H. M., de Vet H. C., Seidell J. C., Butterman M., van Bokhorst T., de van der Schueren M. A. Screening malnutrition in hospital outpatients. Can the SNAQ malnutrition screening tool also be applied to this population? // Clin. Nutr. 2008; 27 (3): 439–446.
28. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature–What does it tell us? // J Nutr Health Aging. 2006 Nov-Dec; 10 (6): 466–85; discussion 485–7.
29. В. В. Бояринцев, М. А. Евсеев. Метаболизм и ну- тритивная поддержка хирургического пациента: руководство для врачей – Санкт-Петербург: Онли-Пресс, 2017. – 259 с.
30. Приказ Минздрава РФ от 5 августа 2003 г. № 330 «О мерах по совершенствованию лечебного питания в лечебно-профилактических учреждениях Российской Федерации». Приложение № 1. Положение об организации деятельности врача-диетолога. [Электронный ресурс] http://ivo.garant.ru/#/document/12132439/paragraph/28445:0.
31. L. Ha, P. O. Iversen, T. Hauge. Nutrition for elderly stroke patients. // Tidsskr Nor Legeforen nr. 17, 2008; 128: 1946–50.
32. Wirth R, Smoliner C, Jäger M, Warnecke T, Leischker AH, Dziewas R. Guideline clinical nutrition in patients with stroke. // Experimental & translational stroke medicine. 2013; 5 (1): 1.
33. Hilker R, Poetter C, Findeisen N, Sobesky J, Jacobs A, Neveling M, et al. Nosocomial pneumonia after acute stroke implications for neurological intensive care medicine. // Stroke. 2003; 34 (4): 975–81.
34. Crary MA, Humphrey JL, Carnaby-Mann G, Sambandam R, Miller L, Silliman S. Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. // Dysphagia. 2013; 28 (1): 69–76.
35. Prosser-Loose E.J., Smith S. E., Paterson P. G. Experimental model considerations for the study of protein- energy malnutrition coexisting with ischemic brain injury // Curr. Neurovasc. Res. –2011. – Vol. 8 (2). – P. 170–182.
36. Geeganage C., Beavan J., Ellender S., Bath P. M. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst. Rev. – 2012. – Vol. 10. – CD 000323.
37. Шодиев И. А., Исмаилова З. З., Кумахова А. Х., Ва- нюшина И. А., Федоров С. В., Шварцев А. О., Свиридов С. В. Sipping as a mode of correction of proteincalorie deficiency in intensive care unit patients // Анестезиология и реаниматология, 4, 2008, стр. 31–33.
38. Фломин Ю. В. Нутритивная поддержка у пациентов с инсультом: современный междисциплинарный подход и клиническая практика Ин- сультного центра клиники «Оберіг». Український неврологічний журнал. – 2017. – № 1. – С. 7–16.
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For citations:
Akhmadeeva L.R., Naprienko M.V., Lazovaya O.S., Zagidullina G.S., Timirova A.F., Gizatullin R.Kh., Smekalkina L.V. Rehabilitation after stroke: nutritional status and its correction. Medical alphabet. 2020;1(11):17-20. (In Russ.) https://doi.org/10.33667/2078-5631-2020-11-17-20
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