The Effect of Nutrition Counseling on Nutritional Status in Stroke Patients

Comparison of Intensive and Standard Nutrition Counseling in Monitoring the Nutritional Status of Stroke Patients

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.

Study Overview

• Status: Completed
• Conditions: Malnutrition; Stroke, Acute; Old Age; Debility
• Intervention / Treatment: Behavioral: intensive 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.

• Study Type: Interventional
• Enrollment (Actual): 61
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • İzmir, Turkey
    • Ege University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: intensive nutrition counseling; Five-stage nutrition counseling vith educational materials was carried out during hospitalization in the intensive nutrition counseling. Telephone interviews were conducted at the 2nd week and 2nd month after discharge.	Behavioral: intensive nutrition counseling; individualized regular nutrition education
Active Comparator: standard nutrition counseling; Routine nutritional counseling was applied. Interviewed only at admission and at discharge if patient is consulted.	Behavioral: intensive nutrition counseling; individualized regular nutrition education

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Malnutrition Risk	Malnutrition risk status according to MUST	Hospitalization (up to day 5), first month after discharge, third month after discharge
BMI	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	Hospitalization (up to day 5), first month after discharge, third month after discharge
Calf Circumference Measurement	The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees.	Hospitalization (up to day 5), first month after discharge, third month after discharge
Malnutrition	Malnutrition diagnosis according to GLIM criteria	Hospitalization (up to day 5), first month after discharge, third month after discharge
Mid Upper Arm Circumference	Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna.	Hospitalization (up to day 5), first month after discharge, third month after discharge
Mid Upper Arm Muscle Area	Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness)	Hospitalization (up to day 5), first month after discharge, third month after discharge

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Status	Functional status was evaluated according to the Barthel Activities of Daily Living İndex	last day of hospitalization, first month after discharge, third month after discharge
Disability	Disability was evaluated according to The Modified Rankin Scale	last day of hospitalization, first month after discharge, third month after discharge

Collaborators and Investigators

• Sponsor: Ege University
• Investigators: Study Director: Sevnaz Sahin, Assoc Prof, Ege University

Study record dates

Study Major Dates

• Study Start (Actual): March 7, 2021
• Primary Completion (Actual): May 4, 2022
• Study Completion (Actual): November 15, 2023

Study Registration Dates

• First Submitted: December 2, 2023
• First Submitted That Met QC Criteria: January 6, 2024
• First Posted (Actual): January 17, 2024

Study Record Updates

• Last Update Posted (Actual): January 17, 2024
• Last Update Submitted That Met QC Criteria: January 6, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: malnutrition; older
• Additional Relevant MeSH Terms: Pathologic Processes; Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Nutrition Disorders; Stroke; Frailty; Malnutrition
• Other Study ID Numbers: 20-3.1T/14

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No