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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intensive nutrition counseling | Experimental | 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 | Active Comparator | Routine nutritional counseling was applied. Interviewed only at admission and at discharge if patient is consulted. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intensive nutrition counseling | Behavioral | individualized regular nutrition education |
|
| Measure | Description | Time Frame |
|---|---|---|
| Malnutrition Risk | Malnutrition risk status according to MUST | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| BMI | 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 | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| Calf Circumference Measurement | The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees. | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| Malnutrition | Malnutrition diagnosis according to GLIM criteria | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| Mid Upper Arm Circumference | Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna. | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| Mid Upper Arm Muscle Area | Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness) | Hospitalization (up to day 5), first month after discharge, third month after discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Status | Functional status was evaluated according to the Barthel Activities of Daily Living Ä°ndex | last day of hospitalization, first month after discharge, third month after discharge |
| Disability |
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Inclusion Criteria:
Exclusion Criteria:
over 65 years old
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| Name | Affiliation | Role |
|---|---|---|
| Sevnaz Sahin, Assoc Prof | Ege University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ege University | Izmir | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D044342 | Malnutrition |
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Disability was evaluated according to The Modified Rankin Scale
| last day of hospitalization, first month after discharge, third month after discharge |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |