Nutritional status of post-acute stroke patients during rehabilitation phase in hospital

Malnutrition is highly prevalent among stroke patients during post-acute rehabilitation phase and may give a negative effect on rehabilitation and impair recovery. However, to date, there is no reported study in Malaysia investigating the nutritional status of stroke patients during rehabilitation p...

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Main Authors: Chong, Chin Weun, Nazirah Hasnan, Lydia Abdul Latif, Hazreen Abdul Majid
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2019
Online Access:http://journalarticle.ukm.my/13061/
http://journalarticle.ukm.my/13061/1/15%20Chong%20Chin%20Weun.pdf
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author Chong, Chin Weun
Nazirah Hasnan,
Lydia Abdul Latif,
Hazreen Abdul Majid,
author_facet Chong, Chin Weun
Nazirah Hasnan,
Lydia Abdul Latif,
Hazreen Abdul Majid,
author_sort Chong, Chin Weun
building UKM Institutional Repository
collection Online Access
description Malnutrition is highly prevalent among stroke patients during post-acute rehabilitation phase and may give a negative effect on rehabilitation and impair recovery. However, to date, there is no reported study in Malaysia investigating the nutritional status of stroke patients during rehabilitation phase. Thus, this paper aims to report the preliminary results of nutritional assessment for a randomized controlled trial at baseline. All participating patients were assessed for anthropometric measurements, nutritional status using validated Mini Nutrition Assessment (MNA), 24 h diet recall, and handgrip strength. Demographic data, biochemical profiles and functional outcomes (Modified Barthel Index Score, Motor Assessment Scale) were obtained from patients’ medical record. From a total of 45 post-acute stroke patients at baseline, 24.4% of them were malnourished during admission to rehabilitation ward and 66.7% of the patients were at risk of malnutrition. Mean dietary intake and protein intake of the patients were 1489 ± 297 kcal/day and 66.1 ± 17.2 g/day, respectively. Mean handgrip strength for the patients was 17.9 ± 8.1 kg. Weight, body mass index, serum albumin, handgrip strength, Modified Barthel Index and Motor Assessment Scale score were positively correlated with MNA score (p<0.05), but no correlation was found for the dietary intake (r=0.163, p=0.285) and protein intake (r=0.288, p=0.055). This preliminary result showed that stroke patients are particularly at risk of malnutrition or malnourished during the rehabilitation period. Therefore, early identification of malnutrition for stroke patients is important for a successful rehabilitation program.
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spelling oai:generic.eprints.org:130612019-06-20T14:37:55Z http://journalarticle.ukm.my/13061/ Nutritional status of post-acute stroke patients during rehabilitation phase in hospital Chong, Chin Weun Nazirah Hasnan, Lydia Abdul Latif, Hazreen Abdul Majid, Malnutrition is highly prevalent among stroke patients during post-acute rehabilitation phase and may give a negative effect on rehabilitation and impair recovery. However, to date, there is no reported study in Malaysia investigating the nutritional status of stroke patients during rehabilitation phase. Thus, this paper aims to report the preliminary results of nutritional assessment for a randomized controlled trial at baseline. All participating patients were assessed for anthropometric measurements, nutritional status using validated Mini Nutrition Assessment (MNA), 24 h diet recall, and handgrip strength. Demographic data, biochemical profiles and functional outcomes (Modified Barthel Index Score, Motor Assessment Scale) were obtained from patients’ medical record. From a total of 45 post-acute stroke patients at baseline, 24.4% of them were malnourished during admission to rehabilitation ward and 66.7% of the patients were at risk of malnutrition. Mean dietary intake and protein intake of the patients were 1489 ± 297 kcal/day and 66.1 ± 17.2 g/day, respectively. Mean handgrip strength for the patients was 17.9 ± 8.1 kg. Weight, body mass index, serum albumin, handgrip strength, Modified Barthel Index and Motor Assessment Scale score were positively correlated with MNA score (p<0.05), but no correlation was found for the dietary intake (r=0.163, p=0.285) and protein intake (r=0.288, p=0.055). This preliminary result showed that stroke patients are particularly at risk of malnutrition or malnourished during the rehabilitation period. Therefore, early identification of malnutrition for stroke patients is important for a successful rehabilitation program. Penerbit Universiti Kebangsaan Malaysia 2019-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/13061/1/15%20Chong%20Chin%20Weun.pdf Chong, Chin Weun and Nazirah Hasnan, and Lydia Abdul Latif, and Hazreen Abdul Majid, (2019) Nutritional status of post-acute stroke patients during rehabilitation phase in hospital. Sains Malaysiana, 48 (1). pp. 129-135. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid48bil1_2019/KandunganJilid48Bil1_2019.html
spellingShingle Chong, Chin Weun
Nazirah Hasnan,
Lydia Abdul Latif,
Hazreen Abdul Majid,
Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title_full Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title_fullStr Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title_full_unstemmed Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title_short Nutritional status of post-acute stroke patients during rehabilitation phase in hospital
title_sort nutritional status of post-acute stroke patients during rehabilitation phase in hospital
url http://journalarticle.ukm.my/13061/
http://journalarticle.ukm.my/13061/
http://journalarticle.ukm.my/13061/1/15%20Chong%20Chin%20Weun.pdf