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KMID : 1024720180080010043
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Geriatric Rehabilitation
2018 Volume.8 No. 1 p.43 ~ p.52
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Nutritional Status and Factors Affecting Nutritional Status in Stroke Patients: A Cross-sectional Study
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Jeong Hye-Won
Jang Ae-Ri
Lee Jeong-Eun
Han Soo-Jeong
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Abstract
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Objectives: To investigate the nutritional status of patients after stroke and to determine the factors affecting nutritional status in stroke.
Methods: We recruited 85 stroke patients within 3 months of stroke. Nutritional status was evaluated according to the mini-nutritional assessment (MNA) score (adequate nutritional status, > 23.5; malnutrition, < 17; and at risk of malnutrition, 17?23.5). In addition, prevalence of malnutrition by feeding type (oral feeding, tube feeding, and both) was studied. Also, factors affecting the nutritional condition such as age, sex, height, weight, Body Mass Index (BMI), duration from onset to evaluation, Korean version of Mini-Mental State Examination (K-MMSE) score, Korean version of Modified Barthel Index (K-MBI), location of brain lesion, impaired limb side, and feeding type were investigated by bivariate correlation and multiple regression.
Results: According to the MNA, 27 patients (32%) exhibited malnutrition, and 44 (52%) were at risk of malnutrition status. Comparison of the patients by feeding type revealed a malnutrition rate of 2 (7.4%) in the oral-feeding group, 13 (48.1%) in the tube-feeding group, and 12 (44.4%) in dual feeding group. In bivariate correlation, age, weight, BMI, K-MMSE score, K-MBI score, and feeding types were associated with nutritional status in stroke patient. In multiple regression analysis, K-MBI score and feeding type were associated with poor nutritional status (p < 0.05).
Conclusion: In stroke patients, the risk of malnutrition is high; therefore, careful monitoring is important. In particular, malnutrition is significantly associated K-MBI score and feeding types. The low level of activities of daily living and dysphagia were affecting nutritional status in stroke within 3 months.
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KEYWORD
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Stroke, Nutrition, Mini-nutritional assessment score, Relating factors
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