Energy intake during the acute phase and changes in femoral muscle thickness in older hemiplegic inpatients with stroke

Kokura, Yoji; Kato, Masaaki; Taniguchi, Yoko; Kimoto, Kazuhito; Okada, Yoshie

doi:10.1016/j.nut.2019.110582

Cited by 28 publications

(21 citation statements)

References 29 publications

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“…In a previous study on acute stroke patients, the energy sufficient group (median: 21.5 kcal/kg/day) had a higher ADL recovery than the deficient group (median: 10.3 kcal/kg/day) [18]. Acute stroke patients with inadequate energy intake (median: 11.6 kcal/kg/day) reported more loss of quadriceps muscle on the non-paralyzed side than those with adequate energy intake (median: 24.0 kcal/kg/day) [19]. Therefore, the cut-off point of this study supports the findings of previous studies.…”

Section: Discussionmentioning

confidence: 95%

“…The NIHSS score at admission was 5 (2)(3)(4)(5)(6)(7)(8)(9) points. The median length of hospital stay was 19 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) days. The median rehabilitation time was 60.4 (45.8-76.0) min/day.…”

Section: Resultsmentioning

confidence: 99%

“…In a previous study on acute stroke patients, high energy intake in the early phase after onset resulted in significant improvements in ADL [24]. Kokura et al measured energy intake for one week after admission and compared it with the basal energy expenditure calculated using the Harris-Benedict equation [19]. They reported that the energy-sufficient group had a higher FIM gain at discharge than the energy-deficient group, and many patients had improved nutritional status.…”

Section: Discussionmentioning

confidence: 99%

“…They reported that the energy-sufficient group had a higher FIM gain at discharge than the energy-deficient group, and many patients had improved nutritional status. However, only 39.1% of patients were energy-sufficient, indicating that many acute stroke patients had inadequate energy intake [19]. Malnutrition is present in 26.4% and 35% of acute stroke patients in the first and second week after admission, respectively [1].…”

Section: Discussionmentioning

confidence: 99%

“…Based on a previous study [19], we reviewed diet records to quantify the mean daily nutritional intake during the first week after admission to the acute care hospital. Oral intake was measured by the experienced nurses using visual estimation.…”

Section: Nutrition Intakementioning

confidence: 99%

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Nutrition in the First Week after Stroke Is Associated with Discharge to Home

Sato¹,

Yoshimura²,

Abe³

2021

Nutrients

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Malnutrition is associated with poor clinical outcomes in stroke patients. The effect of early nutritional intake after admission on home discharge is unclear. We evaluated the impact of energy intake in the first week of hospitalization of acute stroke patients on home discharge and activities of daily living (ADL). A retrospective cohort study was conducted with 201 stroke patients admitted to an acute care hospital in Japan. The energy and protein intake during the first week were evaluated. Multivariate models were used to estimate variables related to discharge destination and ADL at discharge. The cut-off point of nutritional intake for determining the discharge destination was evaluated using the receiver operating characteristic curve. Out of 163 patients included in the analysis, 89 (54.6%) and 74 (45.4%) were discharged home and elsewhere, respectively. Those discharged home had higher energy and protein intake than those discharged elsewhere. In multiple regression analysis, energy intake was independently associated with ADL at discharge and home discharge (odds ratio 1.146). Those with energy intake >20.7 kcal/kg/day had higher ADL at discharge and more patients discharged home than those with energy intake <20.7 kcal/kg/day. Energy intake during the first week affected home discharge in acute stroke patients.

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Section: Discussionmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Nutrition Intakementioning

confidence: 99%

See 3 more Smart Citations

Nutrition in the First Week after Stroke Is Associated with Discharge to Home

Sato¹,

Yoshimura²,

Abe³

2021

Nutrients

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Association of medial gastrocnemius adiposity with poststroke severe malnutrition and functional performance of activities of daily living in older patients: A prospective analysis

et al. 2022

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Background: Relationships among medial gastrocnemius intramuscular adipose tissue, nutrition status, and functional outcomes of patients after a stroke are unknown. This study was conducted to determine the relationship between nutrition status and gastrocnemius intramuscular adipose tissue and whether medial gastrocnemius intramuscular adipose tissue affects functional outcomes of older patients after a stroke.Methods: This prospective cohort study included 217 patients with stroke. Nutrition status was evaluated by the Global Leadership Initiative on Malnutrition. The medial gastrocnemius intramuscular adipose tissue was assessed using ultrasound echographic intensity. Multivariate linear regression analysis was used to determine the relationship between nutrition status at admission and medial gastrocnemius intramuscular adipose tissue. Furthermore, we examined the influence of medial gastrocnemius intramuscular adipose tissue on the Functional Independence Measure (FIM)-motor score at discharge and FIM-motor efficiency, which indicates FIM-motor changes during the hospital stay.Results: Severe malnutrition had a positive influence on medial gastrocnemius intramuscular adipose tissue on the nonparalyzed side (β = 0.175; P = 0.044). Additionally, the medial gastrocnemius intramuscular adipose tissue on the nonparalyzed side was negatively correlated with the FIM-motor score at discharge (β = −0.102; P = 0.005) and FIM-motor efficiency (β = −0.273; P = 0.005).

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