The Effect of Nutrition Counseling on Nutritional Status in Stroke Patients

Malnutrition Clinical Trial

Official title:

Comparison of Intensive and Standard Nutrition Counseling in Monitoring the Nutritional Status of Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06208969
• Other study ID #: 20-3.1T/14
• Status: Completed
• Phase: N/A
• Start date: March 7, 2021
• Est. completion date: November 15, 2023

Study information

• Verified date: January 2024
• Source: Ege University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 61
• Est. completion date: November 15, 2023
• Est. primary completion date: May 4, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Being admitted to Ege University Faculty of Medicine Hospital Neurology Intensive Care or Clinic with the diagnosis of acute stroke

• The patient agrees to participate in the study

• Hospital stay for more than 3 days

Exclusion Criteria:

• Active malignancy, dementia, terminal illness, tetraplegia, severe metabolic disorder

• Failure to obtain written consent indicating that they agreed to participate in the study.

• The patient did not come for a check-up during the 3-month follow-up period

• The patient's stay is longer than 30 days

Related Conditions & MeSH terms

• Frailty
• Malnutrition
• Old Age; Debility
• Stroke
• Stroke, Acute

Intervention

Behavioral:
• intensive nutrition counseling
individualized regular nutrition education

Locations

Country	Name	City	State
Turkey	Ege University	Izmir

Sponsors (1)

Lead Sponsor	Collaborator
Ege University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Malnutrition Risk	Malnutrition risk status according to MUST	Hospitalization (up to day 5), first month after discharge, third month after discharge
Primary	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
Primary	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
Primary	Malnutrition	Malnutrition diagnosis according to GLIM criteria	Hospitalization (up to day 5), first month after discharge, third month after discharge
Primary	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
Primary	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
Secondary	Functional Status	Functional status was evaluated according to the Barthel Activities of Daily Living Index	last day of hospitalization, first month after discharge, third month after discharge
Secondary	Disability	Disability was evaluated according to The Modified Rankin Scale	last day of hospitalization, first month after discharge, third month after discharge