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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Online ISSN 1973-9095
Aquilani R. 1, Galli M. 3, Guarnaschelli C. 2, Fugazza G. 1, Lorenzoni M. 2, Varalda E. 4, Arrigoni N. 2, Achilli M. P. 2, Zelaschi G. P. 2, Crespi M. G. 3, Baiardi P. 5, Mariani P. 3
1 Servizio di Fisiopatologia Metabolico Nutrizionale e Nutrizione Clinica;
2 Divisione di Recupero e Rieducazione Funzionale II, Unità Spinale, Fondazione S. Maugeri, IRCCS, Centro Medico - Montescano;
3 Divisione di Recupero e Rieducazione Funzionale, Fondazione S. Maugeri, IRCCS, Centro Medico - Tradate;
4 Sezione Day Hospital, Divisione di Recupero e Rieducazione Funzionale, Fondazione S. Maugeri, IRCCS, Centro Medico - Montescano;
5 Servizio di Informatica Medica, Fondazione S. Maugeri, IRCCS, Centro Medico - Pavia, Italy
BACKGROUND: Malnutrition is known to impair functional outcome and prolong the hospital stay of rehabilitation patients with stroke. The aim of this study was to establish the prevalence of malnutrition in self-feeding patients with stroke and to investigate the adequacy of their food intake.
METHODS: One hundred and fifty self-feeding patients with stroke were considered (85 M + 65 W; 60 ± 11 yrs, 30 ± 10 days from the acute event; 45.3% with right and 54.7% with left hemiplegia). Each patient underwent the following evaluations: a) anthropometry to diagnose the malnutrition; b) resting energy expenditure (REE by indirect calorimetry, standard protocol); c) calorie and macronutrient intakes by using 3 — day food diaries; d) 24 hr urinary nitrogen excretion to measure nitrogen balance (NB).
RESULTS: Forty-five patients (=30%) were diagnosed as malnourished. Inadequacies in calorie (Kcal-I/REE≤110%), protein (<0.8 g/kg/day) and in carbohydrate (<140 g/d) intake were found, respectively in 60, 50, 38.6% of all the patients with stroke. A negative NB was observed in more than 50% of patients. Food intake inadequacy was significantly greater in malnourished than in normally nourished patients.
CONCLUSIONS: The prevalence of malnutrition in self feeding rehabilitation patients with stroke is high and a self-feeding status is not synonymous with normal food intake. Nutritional evaluations should be routinely made in patients with the sequelae of cerebrovascular accidents.