Individual, nutritional support prevents undernutrition, increases muscle strength and improves QoL among elderly at nutritional risk hospitalized for acute stroke: A randomized, controlled trial

Ha, Lisa; Hauge, Truls; Spenning, Anne Bente; Iversen, Per Ole

doi:10.1016/j.clnu.2010.01.011

Cited by 122 publications

(124 citation statements)

References 25 publications

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“…222,228,229 There is limited evidence that nutritional intervention that targets undernourished stroke patients may improve short-term outcomes, including response to rehabilitation. 230,231 A small RCT (n=124) suggested that individual counseling for acute stroke patients at nutritional risk (ie, BMI <20 kg/m 2 , recent weight loss, or poor intake) or who are undernourished may prevent weight loss and improve quality of life and motor function at 3 months. 231 Longterm trials are not available.…”

Section: Nutritionmentioning

confidence: 99%

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Kernan¹,

Ovbiagele²,

Black³

et al. 2014

Stroke

3,942

1,326

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The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage secondary prevention for these patients. Evidence-based recommendations are provided for control of risk factors, intervention for vascular obstruction, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke. Recommendations are also provided for the prevention of recurrent stroke in a variety of specific circumstances, including aortic arch atherosclerosis, arterial dissection, patent foramen ovale, hyperhomocysteinemia, hypercoagulable states, antiphospholipid antibody syndrome, sickle cell disease, cerebral venous sinus thrombosis, and pregnancy. Special sections address use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines.

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Section: Nutritionmentioning

confidence: 99%

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Kernan¹,

Ovbiagele²,

Black³

et al. 2014

Stroke

3,942

1,326

View full text Add to dashboard Cite

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“…Os resultados de preensão manual, os idosos apresentaram valores médios de força de preensão abaixo da normalidade tanto para mão esquerda, quanto para mão direita, exceto o grupo 2 para mão esquerda 34 . Este resultado é bastante preocupante uma vez que a força de preensão palmar é utilizada em quase todas as tarefas realizadas durante o dia e sua mensuração e avaliação é de suma importância, pois fornece um índice objetivo da integridade funcional dos membros superiores 35,36 . A perda de força muscular com o passar dos anos vem sendo associada com o aumento da imponderação de incapacidade funcional 37 .…”

Section: Discussionunclassified

A influência da composição corporal na força de homens idosos brasileiros

Pereira

Prestes

Melo

et al. 2015

Rev Bras Med Esporte

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RESUMOIntrodução: A população de idosos representa 10% do total da população brasileira. A diminuição da musculatura esquelética é provavelmente a alteração mais significativa, sendo associada à idade e algumas enfermidades, e é determinante na perda da força muscular. Objetivo: Avaliar a relação entre composição corporal e a força de preensão palmar de homens idosos brasileiros. Método: Quarenta e seis homens com idade igual ou superior a 60 anos foram divididos em 4 grupos de acordo com a percentagem de gordura e valor de massa magra. Foram definidas as medianas para %G = 28,65 e massa magra = 54,35 kg. Para as avaliações utilizou-se teste de bioimpedância elétrica e dinamômetro de preensão palmar. Resultados: Observam-se diferenças significativas entre os quatro grupos quanto à massa magra e percentil de massa gorda (p≥0,05), caracterizando as especificidades de cada grupo quanto às variáveis analisadas. Conclusão: Os resultados demonstram que os níveis de força de preensão palmar não dependem unicamente da massa magra, mas também %G, em que a correlação entre massa magra e percentual de gordura pode indicar uma melhor ou pior condição para realizar o esforço isométrico de preensão manual.Palavras-chave: idoso, força da mão, composição corporal. ABSTRACT Introduction: The senior population constitutes 10% of the total Brazilian population. The decrease of skeletal muscle is probably the most significant alteration, being associated with age and some illnesses, and it is determinant in the loss

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“…3,11,13,23,36,37 When the proportion of patients who were screened for nutritional risk increased in period II, the proportion of patients at nutritional risk decreased. Although this change was not statistically significant, it might indicate increased screening of persons who appeared to be well nourished to nurses and therefore were not formally screened during period I.…”

Section: Discussionmentioning

confidence: 99%

Full Implementation of Screening for Nutritional Risk and Dysphagia in an Acute Stroke Unit

Kampman

Eltoft

Karaliute

et al. 2015

The Neurohospitalist

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Background and Purpose: In patients with acute stroke, undernutrition and aspiration pneumonia are associated with increased mortality and length of hospital stay. Formal screening for nutritional risk and dysphagia helps to ensure optimal nutritional management in all patients with stroke and to reduce the risk of aspiration in patients with dysphagia. We developed a national guideline for nutritional and dysphagia screening in acute stroke, which was introduced in our stroke unit on June 1, 2012. The primary objective was to audit adherence to the guideline and to achieve full implementation. Second, we assessed the prevalence of nutritional risk and dysphagia. Methods: We performed a chart review to assess performance of screening for nutritional risk and dysphagia in all patients with stroke hospitalized for ≥ 48 hours between June 1, 2012, and May 31, 2013. Next we applied a ''clinical microsystems approach'' with rapid improvement cycles and audits over a 6-month period to achieve full implementation. Results: The chart review showed that nutritional risk screening was performed in 65% and swallow testing in 91% of eligible patients (n ¼ 185). Proactive implementation resulted in >95% patients screened (n ¼ 79). The overall prevalence of nutritional risk was 29%, and 23% of the patients failed the initial swallow test. Conclusions: Proactive implementation is required to obtain high screening rates for nutritional risk and swallowing difficulties using validated screening tools. The proportion of patients at nutritional risk and the prevalence of dysphagia at initial swallow test were in the lower range of previous reports.

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Individual, nutritional support prevents undernutrition, increases muscle strength and improves QoL among elderly at nutritional risk hospitalized for acute stroke: A randomized, controlled trial

Cited by 122 publications

References 25 publications

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

A influência da composição corporal na força de homens idosos brasileiros

Full Implementation of Screening for Nutritional Risk and Dysphagia in an Acute Stroke Unit

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