Ikuto Otsuki1, Nobuaki Himuro2, Hiroomi Tatsumi3, Mitsuru Mori4, Yoshimasa Niiya5, Yukihiro Kumeta1, Michiaki Yamakage6. 1. Department of Anesthesia, Otaru General Hospital, Otaru, Japan. 2. Department of Public Health, Sapporo Medical University School of Medicine, Sapporo, Japan. 3. Department of Intensive Care Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan. 4. Department of Health Science, Hokkaido Chitose College of Rehabilitation, Chitose, Japan. 5. Department of Neurosurgery, Otaru General Hospital, Otaru, Japan. 6. Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Abstract
AIM: The aim of the present study was to investigate the effects of individualized nutritional treatment on the activities of daily living of acute stroke patients. METHODS: This was a randomized controlled study. The eligibility criteria were acute stroke, age >65 years and the presence of malnutrition risk. Between September 2016 and December 2017, 128 patients were assigned to either the standard or intensive group (individualized nutritional treatment). The intensive group received energy that was calculated using the Harris-Benedict equation. The main outcome measures were the total functional independence measurement gain from the time of assignment to the time of discharge from the recovery hospital or at 3 months after the stroke onset, and motor and cognitive functional independence measurement gains. RESULTS: Compared with the standard group, the intensive group had significantly higher median energy intake (P < 0.001); significantly greater functional independence measurement gains in the total score (42 vs. 22; P = 0.02) and motor subscore (P = 0.01), but similar cognitive subscore. CONCLUSION:Individualized nutritional treatment improved the activities of daily living of older acute stroke patients with malnutrition risk. Geriatr Gerontol Int 2019; ••: ••-••.
RCT Entities:
AIM: The aim of the present study was to investigate the effects of individualized nutritional treatment on the activities of daily living of acute strokepatients. METHODS: This was a randomized controlled study. The eligibility criteria were acute stroke, age >65 years and the presence of malnutrition risk. Between September 2016 and December 2017, 128 patients were assigned to either the standard or intensive group (individualized nutritional treatment). The intensive group received energy that was calculated using the Harris-Benedict equation. The main outcome measures were the total functional independence measurement gain from the time of assignment to the time of discharge from the recovery hospital or at 3 months after the stroke onset, and motor and cognitive functional independence measurement gains. RESULTS: Compared with the standard group, the intensive group had significantly higher median energy intake (P < 0.001); significantly greater functional independence measurement gains in the total score (42 vs. 22; P = 0.02) and motor subscore (P = 0.01), but similar cognitive subscore. CONCLUSION: Individualized nutritional treatment improved the activities of daily living of older acute strokepatients with malnutrition risk. Geriatr Gerontol Int 2019; ••: ••-••.
Authors: Christine Baldwin; Marian Ae de van der Schueren; Hinke M Kruizenga; Christine Elizabeth Weekes Journal: Cochrane Database Syst Rev Date: 2021-12-21
Authors: Viviënne Huppertz; Sonia Guida; Anne Holdoway; Stefan Strilciuc; Laura Baijens; Jos M G A Schols; Ardy van Helvoort; Mirian Lansink; Dafin F Muresanu Journal: Front Neurol Date: 2022-02-01 Impact factor: 4.003
Authors: M Visser; N Mendonça; C Avgerinou; T Cederholm; A J Cruz-Jentoft; S Goisser; E Kiesswetter; H M Siebentritt; D Volkert; G Torbahn Journal: Eur Geriatr Med Date: 2022-03-12 Impact factor: 3.269