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...

Full description

Bibliographic Details
Main Authors: Chong, Chin Weun, Hasnan, Nazirah, Abdul Latif, Lydia, Majid, Hazreen Abdul
Format: Article
Published: Penerbit Universiti Kebangsaan Malaysia 2019
Subjects:
_version_ 1796961771464949760
author Chong, Chin Weun
Hasnan, Nazirah
Abdul Latif, Lydia
Majid, Hazreen Abdul
author_facet Chong, Chin Weun
Hasnan, Nazirah
Abdul Latif, Lydia
Majid, Hazreen Abdul
author_sort Chong, Chin Weun
collection UM
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. © 2019 Penerbit Universiti Kebangsaan Malaysia. All Rights Reserved.
first_indexed 2024-03-06T05:59:06Z
format Article
id um.eprints-23175
institution Universiti Malaya
last_indexed 2024-03-06T05:59:06Z
publishDate 2019
publisher Penerbit Universiti Kebangsaan Malaysia
record_format dspace
spelling um.eprints-231752021-05-25T03:19:45Z http://eprints.um.edu.my/23175/ Nutritional Status of Post-Acute Stroke Patients during Rehabilitation Phase in Hospital Chong, Chin Weun Hasnan, Nazirah Abdul Latif, Lydia Majid, Hazreen Abdul R Medicine 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. © 2019 Penerbit Universiti Kebangsaan Malaysia. All Rights Reserved. Penerbit Universiti Kebangsaan Malaysia 2019 Article PeerReviewed Chong, Chin Weun and Hasnan, Nazirah and Abdul Latif, Lydia and Majid, Hazreen Abdul (2019) Nutritional Status of Post-Acute Stroke Patients during Rehabilitation Phase in Hospital. Sains Malaysiana, 48 (1). pp. 129-135. ISSN 0126-6039, DOI https://doi.org/10.17576/jsm-2019-4801-15 <https://doi.org/10.17576/jsm-2019-4801-15>. https://doi.org/10.17576/jsm-2019-4801-15 doi:10.17576/jsm-2019-4801-15
spellingShingle R Medicine
Chong, Chin Weun
Hasnan, Nazirah
Abdul Latif, Lydia
Majid, Hazreen Abdul
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
topic R Medicine
work_keys_str_mv AT chongchinweun nutritionalstatusofpostacutestrokepatientsduringrehabilitationphaseinhospital
AT hasnannazirah nutritionalstatusofpostacutestrokepatientsduringrehabilitationphaseinhospital
AT abdullatiflydia nutritionalstatusofpostacutestrokepatientsduringrehabilitationphaseinhospital
AT majidhazreenabdul nutritionalstatusofpostacutestrokepatientsduringrehabilitationphaseinhospital