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Poststroke nutrition - part 2

Published online by Cambridge University Press:  11 September 2013

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In a nutshell

Malnutrition after stroke is common, and affects recovery. As well as inadequate protein-energy, vitamin D deficiency is often present and contributes to osteoporosis and high fracture rates.

A few RCTs of poststroke supplementation of energy-protein, vit.D and folate/B12 have had quite positive outcomes. More are needed.

Type
Brief Report
Information
Arbor Clinical Nutrition Updates , Volume 321 , April 2010 , pp. 1 - 4
Copyright
Copyright © Cambridge University Press 2010

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References

References:

1. Foley, N. et al. Energy and protein intakes of acute stroke patients. J Nutr Health Aging. 2006 May-Jun;10(3):171–5.Google ScholarPubMed
2. Foley, NC. et al. Which reported estimate of the prevalence of malnutrition after stroke is valid? Stroke. 2009 Mar;40(3):e66–74.CrossRefGoogle ScholarPubMed
3. Chai, J. et al. Prevalence of malnutrition and its risk factors in stroke patients residing in an infirmary. Singapore Med, J. 2008 Apr;49(4):290–6.Google Scholar
4. Jönsson, AC. et al. Weight loss after stroke: a population-based study from the Lund Stroke Register. Stroke. 2008 Mar;39(3):918–23.CrossRefGoogle ScholarPubMed
5. Davis, JP. et al. Impact of premorbid undernutrition on outcome in stroke patients. Stroke. 2004 Aug;35(8):1930–4.CrossRefGoogle ScholarPubMed
6. Gariballa, SE. et al. Influence of nutritional status on clinical outcome after acute stroke. Am J Clin Nutr. 1998 Aug;68(2):275–81.CrossRefGoogle ScholarPubMed
7. FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke. 2003 Jun;34(6):1450–6.CrossRefGoogle Scholar
8. Dávalos, A. et al. Effect of malnutrition after acute stroke on clinical outcome. Stroke. 1996 Jun;27(6):1028–32.CrossRefGoogle ScholarPubMed
9. Finestone, HM. et al. Prolonged length of stay and reduced functional improvement rate in malnourished stroke rehabilitation patients. Arch Phys Med Rehabil. 1996 Apr;77(4):340–5.CrossRefGoogle ScholarPubMed
10. Pennington, CR. Malnutrition in hospital: the case of the stroke patient. Br J Nutr. 1998 Jun;79(6):477–8.CrossRefGoogle ScholarPubMed
11. Ji, L. et al. Protein-energy malnutrition increases activation of the transcription factor, nuclear factor kappaB, in the gerbil hippocampus following global ischemia. J Nutr Biochem. 2008 Nov;19(11):770–7.CrossRefGoogle ScholarPubMed
12. Volkert, D. et al. Undiagnosed malnutrition and nutrition-related problems in geriatric patients. J Nutr Health Aging. 2010;14(5):387–92.CrossRefGoogle ScholarPubMed
13. Ulger, Z. et al. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010 Jan 29.Google Scholar
14. Perry, L. Eating and dietary intake in communication-impaired stroke survivors: a cohort study from acute-stage hospital admission to 6 months post-stroke. Clin Nutr. 2004 Dec;23(6):1333–43.CrossRefGoogle ScholarPubMed
15. Dennis, M. Nutrition after stroke. Br Med Bull. 2000;56(2):466–75.CrossRefGoogle ScholarPubMed
16. Choi-Kwon, S. et al. Nutritional status in acute stroke: undernutrition versus overnutrition in different stroke subtypes. Acta Neurol Scand. 1998 Sep;98(3):187–92.CrossRefGoogle ScholarPubMed
17. Xanthakos, SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin North Am. 2009 Oct;56(5):1105–21.CrossRefGoogle ScholarPubMed
18. García, OP. et al. Impact of micronutrient deficiencies on obesity. Nutr Rev. 2009 Oct;67(10):559–72.CrossRefGoogle ScholarPubMed
19. Aquilani, R. et al. Effect of calorie-protein supplementation on the cognitive recovery of patients with subacute stroke. Nutr Neurosci. 2008 Oct;11(5):235–40.CrossRefGoogle ScholarPubMed
20. Aquilani, R. et al. Protein supplementation may enhance the spontaneous recovery of neurological alterations in patients with ischaemic stroke. Clin Rehabil. 2008 Dec;22(12):1042–50.CrossRefGoogle ScholarPubMed
21. Kidd, PM. Integrated brain restoration after ischemic stroke--medical management, risk factors, nutrients, and other interventions for managing inflammation and enhancing brain plasticity. Altern Med Rev. 2009 Mar;14(1):14–35.Google ScholarPubMed
22. Dziedzic, T. et al. Serum albumin level as a predictor of ischemic stroke outcome. Stroke. 2004 Jun;35(6):e156–8.CrossRefGoogle ScholarPubMed
23. Shin, DH. et al. Albumin therapy in acute stroke patients. J Neurol. 2007 Jul;254(7):870–8.CrossRefGoogle ScholarPubMed
24. Suarez, JI. et al. Effect of human albumin administration on clinical outcome and hospital cost in patients with subarachnoid hemorrhage. J Neurosurg. 2004 Apr;100(4):585–90.CrossRefGoogle ScholarPubMed
25. Aquilani, R. et al. Branched-chain amino acids may improve recovery from a vegetative or minimally conscious state in patients with traumatic brain injury: a pilot study. Arch Phys Med Rehabil. 2008 Sep;89(9):1642–7.CrossRefGoogle ScholarPubMed
26. Carda, S. et al. Osteoporosis after stroke: a review of the causes and potential treatments. Cerebrovasc Dis. 2009;28(2):191–200.CrossRefGoogle ScholarPubMed
27. Nordström, A. et al. Low bone mineral density is an independent risk factor for stroke and death. Cerebrovasc Dis. 2010 Jan;29(2):130–6.CrossRefGoogle ScholarPubMed
28. Mussolino, ME. et al. Low bone mineral density, coronary heart disease, and stroke mortality in men and women: the Third National Health and Nutrition Examination Survey. Ann Epidemiol. 2007 Nov;17(11):841–6.CrossRefGoogle ScholarPubMed
29. Mussolino, ME. et al. Bone mineral density and stroke. Stroke. 2003 May;34(5):e20–2.CrossRefGoogle ScholarPubMed
30. Helman, AD. Stroke prevention - other nutrients. Arb Clin Nutr Upd. 2010 Apr;319:1–6.Google Scholar
31. Marsden, J. et al. Can early onset bone loss be effectively managed in post-stroke patients? An integrative review of the evidence. Age Ageing. 2008 Mar;37(2):142–50.CrossRefGoogle ScholarPubMed
32. Sato, Y. et al. Vitamin D deficiency and osteopenia in the hemiplegic limbs of stroke patients. Stroke. 1996 Dec;27(12):2183–7.CrossRefGoogle ScholarPubMed
33. Sato, Y. et al. Vitamin K deficiency and osteopenia in disuse-affected limbs of vitamin D-deficient elderly stroke patients. Am J Phys Med Rehabil. 1999 Jul-Aug;78(4):317–22.CrossRefGoogle ScholarPubMed
34. Bischoff-Ferrari, HA. et al. Importance of vitamin D and calcium at older age. Int J Vitam Nutr Res. 2008 Dec;78(6):286–92.CrossRefGoogle ScholarPubMed
35. Myint, PK. et al. Hip fractures after stroke and their prevention. QJM. 2007 Sep;100(9):539–45.CrossRefGoogle ScholarPubMed
36. Bast, BA. et al. Preventing hip fracture after stroke. Top Stroke Rehabil. 2007 Jul-Aug;14(4):67–79.CrossRefGoogle ScholarPubMed
37. Takata, S. et al. Disuse osteoporosis. J Med Invest. 2001 Aug;48(3-4):147–56.Google ScholarPubMed
38. Haddaway, MJ. et al. Bone resorption in stroke and institutionalized subjects. Calcif Tissue Int. 2009 Feb;84(2):118–25.CrossRefGoogle ScholarPubMed
39. Sato, Y. et al. Influence of immobilization upon calcium metabolism in the week following hemiplegic stroke. J Neurol Sci. 2000 Apr 15;175(2):135–9.CrossRefGoogle ScholarPubMed
40. Rizzoli, R. et al. Protein intake and bone disorders in the elderly. Joint Bone Spine. 2001 Oct;68(5):383–92.CrossRefGoogle ScholarPubMed
41. Sato, Y. et al. Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in stroke patients. Neurology. 2003 Aug 12;61(3):338–42.Google ScholarPubMed
42. Sato, Y. et al. Amelioration of hemiplegia-associated osteopenia more than 4 years after stroke by 1 alpha-hydroxyvitamin D3 and calcium supplementation. Stroke. 1997 Apr;28(4):736–9.CrossRefGoogle ScholarPubMed
43. Sato, Y. et al. Low-dose vitamin D prevents muscular atrophy and reduces falls and hip fractures in women after stroke: a randomized controlled trial. Cerebrovasc Dis. 2005;20(3):187–92.CrossRefGoogle ScholarPubMed
44. Sato, Y. et al. Effect of folate and mecobalamin on hip fractures in patients with stroke: a randomized controlled trial. JAMA. 2005 Mar 2;293(9):1082–8.CrossRefGoogle ScholarPubMed
45. Perry, L. et al. Implementing evidence-based guidelines for nutrition support in acute stroke. Evid Based Nurs. 2003 Jul;6(3):68–71.CrossRefGoogle ScholarPubMed
46. Westergren, A. Nutrition and its relation to mealtime preparation, eating, fatigue and mood among stroke survivors after discharge from hospital - a pilot study. Open Nurs J. 2008;2:15–20.CrossRefGoogle ScholarPubMed
47. Rabadi, MH. et al. Intensive nutritional supplements can improve outcomes in stroke rehabilitation. Neurology. 2008 Dec 2;71(23):1856–61.CrossRefGoogle ScholarPubMed
48. Adams, H. et al. Guidelines for the early management of patients with ischemic stroke: 2005 guidelines update a scientific statement from the Stroke Council of the American Heart Association/American Stroke Association. Stroke. 2005 Apr;36(4):916–23.CrossRefGoogle ScholarPubMed
49. National Stroke Foundation. Clinical guidelines for stroke rehabilitation and recovery National Health and Medical Research Council, Canberra, 2005.Google Scholar