The Effect of Nutrition Counseling on Nutritional Status in Stroke Patients

Not Applicable

Completed

• Conditions: Stroke, Acute; Malnutrition; Old Age; Debility
• Interventions: Behavioral: intensive nutrition counseling

• Registration Number: NCT06208969
• Lead Sponsor: Ege University

Brief Summary

The purpose of this study is to investigate the effect of intensive nutrition counseling on nutritional status and functional recovery in stroke patients over the age of 65, compared to standard nutrition counseling.

Detailed Description

Stroke is the second most common cause of death in the world; It is the third cause of disability that causes serious loss of function and affects patients' daily activities. The rapid aging of society increases the negative impact of stroke on health and limited health resources. 9-35% of patients hospitalized with the diagnosis of acute stroke have malnutrition. However, in the first two weeks after hospitalization, malnutrition rates approximately double within two weeks of hospitalization. Although nutrition is a physiological need, it is also a social activity. Nutritional practices that meet nutritional needs during the disease process may contribute to the functional recovery of patients, the reduction of complications, and survival, as well as contributing to the quality of life of patients, independent of the disease. In terms of malnutrition risk, monitoring and treatment are recommended during the acute and discharge periods. There is a need for studies on the framework and effects of effective nutritional treatment. In order for nutrition treatment practices after discharge to achieve their goals, caregivers need to be trained effectively on this subject. Therefore, the aim of this study is to examine the effects of intensive nutrition counseling to stroke patients over the age of 65 on nutritional and functional status.

Study Timeline

• Study Start: 2021-03-07
• Primary Completion: 2022-05-04
• Study Completion: 2023-11-15
• Study First Submitted: 2023-12-02
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-06
• Last Update Submitted: 2024-01-06
• Study First Posted: 2024-01-17
• Last Update Posted: 2024-01-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

• Being admitted to Ege University Faculty of Medicine Hospital Neurology Intensive Care or Clinic with the diagnosis of acute stroke
• The patient agrees to participate in the study
• Hospital stay for more than 3 days

Exclusion Criteria

• Active malignancy, dementia, terminal illness, tetraplegia, severe metabolic disorder
• Failure to obtain written consent indicating that they agreed to participate in the study.
• The patient did not come for a check-up during the 3-month follow-up period
• The patient's stay is longer than 30 days

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
intensive nutrition counseling	intensive nutrition counseling	Five-stage nutrition counseling vith educational materials was carried out during hospitalization in the intensive nutrition counseling. Telephone interviews were conducted at the 2nd week and 2nd month after discharge.
standard nutrition counseling	intensive nutrition counseling	Routine nutritional counseling was applied. Interviewed only at admission and at discharge if patient is consulted.

Primary Outcome Measures

Name	Time	Method
BMI	Hospitalization (up to day 5), first month after discharge, third month after discharge	Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters. If BMI\<22 kg/m2, it is considered low
Mid Upper Arm Muscle Area	Hospitalization (up to day 5), first month after discharge, third month after discharge	Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness)
Calf Circumference Measurement	Hospitalization (up to day 5), first month after discharge, third month after discharge	The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees.
Malnutrition	Hospitalization (up to day 5), first month after discharge, third month after discharge	Malnutrition diagnosis according to GLIM criteria
Mid Upper Arm Circumference	Hospitalization (up to day 5), first month after discharge, third month after discharge	Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna.
Malnutrition Risk	Hospitalization (up to day 5), first month after discharge, third month after discharge	Malnutrition risk status according to MUST

Secondary Outcome Measures

Name	Time	Method
Functional Status	last day of hospitalization, first month after discharge, third month after discharge	Functional status was evaluated according to the Barthel Activities of Daily Living İndex
Disability	last day of hospitalization, first month after discharge, third month after discharge	Disability was evaluated according to The Modified Rankin Scale

Trial Locations

Locations (1)

Ege University; 🇹🇷 İzmir, Turkey