Results of a Pilot Trial of a Lifestyle Intervention for Stroke Survivors: Healthy Eating and Lifestyle after Stroke

Towfighi, Amytis; Cheng, Eric M.; Hill, Valerie; Barry, Frances; Lee, Martin; Valle, Natalie; Mittman, Brian; Ayala-Rivera, Monica; Moreno, Lilian; Espinosa, Annaliese; Dombish, Heidi; Wang, Debbie; Ochoa, Dina; Chu, Allison; Atkins, Michal; Vickrey, Barbara G.

doi:10.1016/j.jstrokecerebrovasdis.2020.105323

Cited by 22 publications

(62 citation statements)

References 25 publications

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“…Table 1 shows the characteristics of the 13 included studies. The studies involved people with dementia (six studies [31][32][33][34][35][36]), people with multiple sclerosis (four studies [37][38][39][40]), stroke survivors (two studies [41,42]), and people with Parkinson's disease (one study [43]). The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34].…”

Section: Study Detailsmentioning

confidence: 99%

“…The studies involved people with dementia (six studies [31][32][33][34][35][36]), people with multiple sclerosis (four studies [37][38][39][40]), stroke survivors (two studies [41,42]), and people with Parkinson's disease (one study [43]). The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34]. Eight of the studies compared an intervention group to a comparator group/s, in either a quasi-controlled trial [32], a randomized [35] or non-randomized cluster trial [34], or a randomized controlled trial [33,36,39,41,42].…”

Section: Study Detailsmentioning

confidence: 99%

“…The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34]. Eight of the studies compared an intervention group to a comparator group/s, in either a quasi-controlled trial [32], a randomized [35] or non-randomized cluster trial [34], or a randomized controlled trial [33,36,39,41,42]. Five studies did not have a comparator group [31,37,38,40,43].…”

Section: Study Detailsmentioning

confidence: 99%

“…Five studies did not have a comparator group [31,37,38,40,43]. Of the eight studies with comparator groups, six enlisted treatment as usual/waitlist control groups [33][34][35][36]41,42], and three had active comparator groups [32,33,39]. One study had two comparator groups: one treatment as usual group, and one active comparator group [33].…”

Section: Study Detailsmentioning

confidence: 99%

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Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

2022

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The nutrition recommendation for most common neurological diseases is to follow national dietary guidelines. This is to mitigate malnutrition, reduce the risk of diet-related diseases, and to help manage some common symptoms, including constipation. Nutrition education programs can support people in adhering to guidelines; hence the aim of this scoping review was to explore what programs have been implemented for adults with neurological diseases. We conducted this review according to a published a priori protocol. From 2555 articles screened, 13 were included (dementia n = 6; multiple sclerosis n = 4; stroke survivors n = 2; Parkinson’s n = 1). There were no programs for epilepsy, Huntington’s, and motor neurone disease. Program duration and number of sessions varied widely; however, weekly delivery was most common. Just over half were delivered by dietitians. Most did not report using a behavior change theory. Commonly used behavior change techniques were instruction on how to perform a behavior, credible source, and behavioral practice/rehearsal. Evidence of nutrition education programs for adults with neurological diseases is lacking. Of those that are published, many do not meet best practice principles for nutrition education regarding delivery, educator characteristics, and evaluation. More programs aligning with best practice principles are needed to assess characteristics that lead to behavior change.

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Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

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Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

2022

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“…30 More recently, Towfighi et al examined the Healthy Eating and Lifestyle After Stroke program, and also reported no difference in HbA1c between groups. 31 Although this program included similar components to Stroke Coach, it was delivered in a group format and lacked the individualized coaching that our study participants appreciated. Furthermore, our finding may also be explained by the reduced fat consumption by individuals in Stroke Coach compared to Memory Training, considering evidence of an association between fat consumption and HbA1c.…”

Section: Discussionmentioning

confidence: 99%

Telehealth coaching to improve self-management for secondary prevention after stroke: A randomized controlled trial of Stroke Coach

Sakakibara

Lear

Barr

et al. 2021

International Journal of Stroke

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Background: Stroke Coach is a lifestyle coaching telehealth program to improve self-management of stroke risk factors. Aims: To examine the efficacy of Stroke Coach on lifestyle behaviour and risk factor control among community-living stroke survivors within one-year post stroke. Methods: Participants were randomized to Stroke Coach or an attention control Memory Training group. Lifestyle behaviour was measured using the Health Promoting Lifestyle Profile II. Secondary outcomes included specific behavioural and cardiometabolic risk factors, health-related quality of life (HRQoL), cognitive status, and depressive symptoms. Measurements were taken at baseline, post-intervention (6 months), and retention (12 month). Linear mixed-effects models were used to test the study hypotheses (p<0.05). All analyses were intention-to-treat. Results: The mean age of the Stroke Coach (n=64) and Memory Training (n=62) groups was 67.2 and 69.1 years, respectively. The majority of participants (n = 100) had mild stroke (modified Rankin Scale = 1 or 2), were active, with controlled blood pressure (mean = 129/79 mmHg) at baseline. At post-intervention, there were no significant differences in lifestyle (b = -2.87; 95%CI -8.03 to 2.29; p=0.28). Glucose control, as measured by HbA1c (b = 0.17; 95%CI 0.17 to 0.32; p=0.03), and HRQoL, measured using SF-36 Physical Component Summary (b = -3.05; 95%CI -5.88 to -0.21; p=0.04), were significantly improved in Stroke Coach compared to Memory Training, and the improvements were maintained at retention. Conclusion: Stroke Coach did not improve lifestyle behaviour, however, there were improvements to HbA1c and HRQoL among community-living stroke survivors with mild stroke-related disability. (ClinicalTrials.gov identifier: NCT02207023)

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Joint association of modifiable lifestyle and metabolic health status with incidence of cardiovascular disease and all-cause mortality: a prospective cohort study

Zuo

Chen

et al. 2021

Endocrine

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Purpose: We investigated the joint associations of modi able lifestyle and metabolic factors with incident cardiovascular disease and all-cause mortality.Methods: This study included 94,831 participants (men, 79.76%; median age, 51.60 [43.47-58.87]) without a history of cardiovascular disease at baseline from Kailuan study during 2006 to 2007 and followed them until new-onset cardiovascular disease event, death or December 31, 2017. Baseline metabolic health status was assessed by Adult Treatment Panel-III criteria and ve lifestyle factors was collected using a self-reported questionnaire. We performed Cox proportional hazards models to evaluate the joint associations.Results: During a median follow-up of 11.03 years, we observed 6,590 cardiovascular disease events and 9,218 all-cause mortality. Participants within more metabolic risk components and least healthy lifestyle had the highest cardiovascular disease risk (hazard ratio 2.06 [95% CI 1.77-2.39]) and mortality risk (hazard ratio 1.53 [95% CI 1.31-1.78]), as compared with the less metabolic risk components and most healthy lifestyle group. Compared with the most healthy lifestyle, the hazard ratio of cardiovascular disease for participants with least healthy lifestyle was 1.26 (95% CI 1.17-1.37) in the category with low metabolic risk, 1.16 (95% CI 1.03-1.31) and 1.07 (95% CI 0.90-1.27) for those with medium and high metabolic risk, respectively.Conclusions: We showed that healthy lifestyle was associated with a lower risk of cardiovascular disease and there was no signi cant interaction between metabolic risk and healthy lifestyle. Our results indicated that healthy lifestyle should be promoted even for people with high metabolic risk. IntrodutionCardiovascular disease (CVD) is one of the leading causes of death worldwide and remains the great threat to public global health(1). Clinical therapy has been proven to be bene cial, but may have adverse effects, and often making functional recovery incomplete(2). Therefore, primary prevention is considered the most effective strategy in controlling CVD and its consequences(3). Some previous studies have shown that both healthy lifestyle and metabolic health status could reduce the risk of CVD and all-cause mortality(4-8).In most previous studies, lifestyle or metabolic factors have been consider individually, although those factors are typically correlated with one another. Recent studies and meta-analyses have consistently reported that combined lifestyle factors were associated with a markedly lower incidence of cardiometabolic abnormalities(9-12). While few studies described the relative relationship of lifestyle factors with risk of CVD, subtypes of CVD and all-cause mortality across a population at different degrees of metabolic risk, and whether different degrees of metabolic status affect the e cacy of lifestyle was inconclusive(7). Whereas some studies have reported that the lifestyle modi cation is effective in

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Results of a Pilot Trial of a Lifestyle Intervention for Stroke Survivors: Healthy Eating and Lifestyle after Stroke

Cited by 22 publications

References 25 publications

Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

Telehealth coaching to improve self-management for secondary prevention after stroke: A randomized controlled trial of Stroke Coach

Joint association of modifiable lifestyle and metabolic health status with incidence of cardiovascular disease and all-cause mortality: a prospective cohort study

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