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Stroke Research and Treatment
Volume 2018, Article ID 1297846, 8 pages
https://doi.org/10.1155/2018/1297846
Review Article

The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke

Atlanta VA Medical Center and Emory University School of Medicine, Atlanta, GA, USA

Correspondence should be addressed to Monica C. Serra; ude.yrome@arresm

Received 6 July 2017; Accepted 29 August 2017; Published 11 January 2018

Academic Editor: David Vaudry

Copyright © 2018 Monica C. Serra. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. Center for Disease Control and Prevention. Stroke Facts, http://www.cdc.gov/stroke/facts.htmAvailable from.
  2. S. E. Gariballa, “Nutritional factors in stroke,” British Journal of Nutrition, vol. 84, no. 1, pp. 5–17, 2000. View at Publisher · View at Google Scholar · View at Scopus
  3. M. Dennis, “Poor nutritional status on admission predicts poor outcomes after stroke observational data from the food trial,” Stroke, vol. 34, no. 6, pp. 1450–1455, 2003. View at Publisher · View at Google Scholar · View at Scopus
  4. W. N. Kernan, S. E. Inzucchi, C. Sawan, R. F. MacKo, and K. L. Furie, “Obesity: A stubbornly obvious target for stroke prevention,” Stroke, vol. 44, no. 1, pp. 278–286, 2013. View at Publisher · View at Google Scholar · View at Scopus
  5. P. Benzinger, K. Rapp, H. H. König et al., “Risk of osteoporotic fractures following stroke in older persons,” Osteoporosis International, vol. 26, no. 4, pp. 1341–1349, 2015. View at Publisher · View at Google Scholar · View at Scopus
  6. L. Perry, “Eating and dietary intake in communication-impaired stroke survivors: a cohort study from acute-stage hospital admission to 6 months post-stroke,” Clinical Nutrition, vol. 23, no. 6, pp. 1333–1343, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. S. Zinn, T. K. Dudley, H. B. Bosworth, H. M. Hoenig, P. W. Duncan, and R. D. Horner, “The effect of poststroke cognitive impairment on rehabilitation process and functional outcome,” Archives of Physical Medicine and Rehabilitation, vol. 85, no. 7, pp. 1084–1090, 2004. View at Publisher · View at Google Scholar · View at Scopus
  8. E. J. Benjamin, M. J. Blaha, S. E. Chiuve, M. Cushman, S. R. Das, and R. Deo, “Heart disease and stroke statistics-2017 update: a report from the american heart association,” Circulation, vol. 135, no. 10, pp. e146–e603, 2017. View at Google Scholar
  9. N. C. Foley, K. L. Salter, J. Robertson, R. W. Teasell, and M. G. Woodbury, “Which reported estimate of the prevalence of malnutrition after stroke is valid?” Stroke, vol. 40, no. 3, pp. e66–74, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. A. M. Barrett and T. Muzaffar, “Spatial cognitive rehabilitation and motor recovery after stroke,” Current Opinion in Neurology, vol. 27, no. 6, pp. 653–658, 2014. View at Publisher · View at Google Scholar · View at Scopus
  11. A.-C. Jöonsson, I. Lindgren, B. Norrving, and A. Lindgren, “Weight loss after stroke: A population-based study from the lund stroke register,” Stroke, vol. 39, no. 3, pp. 918–923, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. M. C. Serra, C. E. Hafer-Macko, F. M. Ivey, R. F. Macko, and A. S. Ryan, “Impact of serum nutritional status on physical function in African American and Caucasian stroke survivors,” Stroke Research and Treatment, vol. 2014, Article ID 174308, 2014. View at Publisher · View at Google Scholar · View at Scopus
  13. A. S. Detsky, J. R. McLaughlin, J. P. Baker et al., “What is subjective global assessment of nutritional status?” Journal of Parenteral and Enteral Nutrition, vol. 11, no. 1, pp. 8–13, 1987. View at Publisher · View at Google Scholar · View at Scopus
  14. B. Vellas, H. Villars, G. Abellan, ME. Soto, Y. Rolland, Y. Guigoz et al., “Overview of the MNA—Its history and challenges,” The Journal of Nutrition, Health & Aging, vol. 10, no. 6, pp. 456–463, 2006. View at Google Scholar
  15. L. Peters, C. O'Connor, I. Giroux, R. Teasell, and N. Foley, “Screening and assessment of nutritional status following stroke: Results from a national survey of registered dietitians in Canada,” Disability and Rehabilitation, vol. 37, no. 26, pp. 2413–2417, 2015. View at Publisher · View at Google Scholar · View at Scopus
  16. J. M. Bauer, T. Vogl, S. Wicklein, J. Trögner, W. Mühlberg, and C. C. Sieber, “Comparison of the mini nutritional assessment, subjective global assessment, and nutritional risk screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients,” Zeitschrift für Gerontologie und Geriatrie, vol. 38, no. 5, pp. 322–327, 2005. View at Publisher · View at Google Scholar · View at Scopus
  17. L. Perry and S. McLaren, “An exploration of nutrition and eating disabilities in relation to quality of life at 6 months post-stroke,” Health and Social Care in the Community, vol. 12, no. 4, pp. 288–297, 2004. View at Publisher · View at Google Scholar · View at Scopus
  18. A. Westergren, “Nutrition and its relation to mealtime preparation, eating, fatigue and mood among stroke survivors after discharge from hospital—a pilot study,” The Open Nursing Journal, vol. 2, pp. 15–20, 2008. View at Publisher · View at Google Scholar
  19. P. K. Brynningsen, E. M. Damsgaard, and S. E. Husted, “Improved nutritional status in elderly patients 6 months after stroke,” The Journal of Nutrition, Health & Aging, vol. 11, no. 1, pp. 75–79, 2007. View at Google Scholar
  20. K. Axelsson, K. Asplund, A. Norberg, and S. Eriksson, “Eating problems and nutritional status during hospital stay of patients with severe stroke,” Journal of the Academy of Nutrition and Dietetics, vol. 89, no. 8, pp. 1092–1096, 1989. View at Google Scholar · View at Scopus
  21. R. L. Aptaker, E. J. Roth, G. Reichhardt, M. E. Duerden, and C. E. Levy, “Serum albumin level as a predictor of geriatric stroke rehabilitation outcome,” Arch Phys Med Rehabil, vol. 75, no. 1, pp. 80–84, Jan 1994. View at Google Scholar
  22. H.-C. Shen, H.-F. Chen, L.-N. Peng et al., “Impact of nutritional status on long-term functional outcomes of post-acute stroke patients in Taiwan,” Archives of Gerontology and Geriatrics, vol. 53, no. 2, pp. e149–e152, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. L. R. Sheffler, J. S. Knutson, D. Gunzler, and J. Chae, “Relationship between body mass index and rehabilitation outcomes in chronic stroke,” American Journal of Physical Medicine & Rehabilitation, vol. 91, no. 11, pp. 951–956, 2012. View at Publisher · View at Google Scholar · View at Scopus
  24. G. S. Alexopoulos, B. S. Meyers, R. C. Young, S. Campbell, D. Silbersweig, and M. Charlson, “‘Vascular depression’ hypothesis,” Archives of General Psychiatry, vol. 54, no. 10, pp. 915–922, 1997. View at Publisher · View at Google Scholar · View at Scopus
  25. Food and Nutrition Board: Institue of Medicine. Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids, National Academies Press, Washington, DC, USA, 2005. View at Publisher · View at Google Scholar
  26. Food and Nutrition Board IoM, National Academies. Dietary Reference Intakes: Recommended Dietary Allowances and Adequate Intakes, Vitamins 2014.
  27. “U.S. Department of Health and Human Services and U.S. Department of Agriculture,” Dietary Guidelines for Americans 2015-2020. 2015; http://health.gov/dietaryguidelines/2015/guidelines/.
  28. C. Jacobsson, K. Axelsson, B. I. Wenngren, and A. Norberg, “Eating despite severe difficulties: Assessment of poststroke eating,” Journal of Clinical Nursing, vol. 5, no. 1, pp. 23–31, 1996. View at Publisher · View at Google Scholar · View at Scopus
  29. S. Paradiso, T. Ohkubo, and R. G. Robinson, “Vegetative and psychological symptoms associated with depressed mood over the first two years after stroke,” International Journal of Psychiatry in Medicine, vol. 27, no. 2, pp. 137–157, 1997. View at Publisher · View at Google Scholar · View at Scopus
  30. S. K. Ostwald, J. Wasserman, and S. Davis, “Medications, comorbidities, and medical complications in stroke survivors: The cares study,” Rehabilitation Nursing, vol. 31, no. 1, pp. 10–14, 2006. View at Publisher · View at Google Scholar · View at Scopus
  31. American Heart Association, Older Americans and Cardiovascular Diseases, Statistical Fact Sheet, 2013, https://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319574.pdf.
  32. A. S. Ryan, C. L. Dobrovolny, G. V. Smith, K. H. Silver, and R. F. Macko, “Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients,” Archives of Physical Medicine and Rehabilitation, vol. 83, no. 12, pp. 1703–1707, 2002. View at Publisher · View at Google Scholar · View at Scopus
  33. M. De Sant’Anna, L. C. Eboli, J. G. Silva et al., “Resting metabolic rate analysis in chronic hemiparesis patients,” Neurology International, vol. 6, no. 4, pp. 66–69, 2014. View at Publisher · View at Google Scholar · View at Scopus
  34. M. C. Serra and C. E. Hafer-Macko, “Reduced resting metabolic rate in adults with hemiparetic chronic stroke,” Journal of Neurology & Neurophysiology, vol. 06, no. 06, 2015. View at Publisher · View at Google Scholar
  35. A. Leone and P. B. Pencharz, “Resting energy expenditure in stroke patients who are dependent on tube feeding: A pilot study,” Clinical Nutrition, vol. 29, no. 3, pp. 370–372, 2010. View at Publisher · View at Google Scholar · View at Scopus
  36. Z. Tieges, G. Mead, M. Allerhand et al., “Sedentary behavior in the first year after stroke: A longitudinal cohort study with objective measures,” Archives of Physical Medicine and Rehabilitation, vol. 96, no. 1, pp. 15–23, 2015. View at Publisher · View at Google Scholar · View at Scopus
  37. J. Redfern, C. McKevitt, R. Dundas, A. G. Rudd, and C. D. A. Wolfe, “Behavioral risk factor prevalence and lifestyle change after stroke: A prospective study,” Stroke, vol. 31, no. 8, pp. 1877–1881, 2000. View at Publisher · View at Google Scholar · View at Scopus
  38. S. Y. Jang, Y.-I. Shin, D. Y. Kim et al., “Effect of obesity on functional outcomes at 6 months post-stroke among elderly Koreans: A prospective multicentre study,” BMJ Open, vol. 5, no. 12, Article ID e008712, 2015. View at Publisher · View at Google Scholar · View at Scopus
  39. W. Doehner, J. Schenkel, S. D. Anker, J. Springer, and H. Audebert, “Overweight and obesity are associated with improved survival, functional outcome, and stroke recurrence after acute stroke or transient ischaemic attack: Observations from the tempis trial,” European Heart Journal, vol. 34, no. 4, pp. 268–277, 2013. View at Publisher · View at Google Scholar · View at Scopus
  40. K. Vemmos, G. Ntaios, K. Spengos et al., “Association between obesity and mortality after acute first-ever stroke: The obesity-stroke paradox,” Stroke, vol. 42, no. 1, pp. 30–36, 2011. View at Publisher · View at Google Scholar · View at Scopus
  41. L. M. Donini, E. Poggiogalle, S. Migliaccio, A. Pinto, C. Lubrano, and A. Lenzi, “Sarcopenic obesity: correlation with clinical, functional, and psychological status in a rehabilitation setting,” Journal of Food and Nutrition Sciences, vol. 5, no. 20, pp. 2020–2031, 2014. View at Publisher · View at Google Scholar
  42. J. Kanis, A. Oden, and O. Johnell, “Acute and long-term increase in fracture risk after hospitalization for stroke,” Stroke, vol. 32, no. 3, pp. 702–706, 2001. View at Publisher · View at Google Scholar · View at Scopus
  43. S. Pouwels, A. Lalmohamed, B. Leufkens et al., “Risk of hip/femur fracture after stroke: A population-based case-control study,” Stroke, vol. 40, no. 10, pp. 3281–3285, 2009. View at Publisher · View at Google Scholar · View at Scopus
  44. C.-H. Wu, T.-H. Liou, P.-L. Hsiao, Y.-C. Lin, and K.-H. Chang, “Contribution of ischemic stroke to hip fracture risk and the influence of gender difference,” Archives of Physical Medicine and Rehabilitation, vol. 92, no. 12, pp. 1987–1991, 2011. View at Publisher · View at Google Scholar · View at Scopus
  45. A. Fisher, W. Srikusalanukul, M. Davis, and P. Smith, “Poststroke hip fracture: prevalence, clinical characteristics, mineral-bone metabolism, outcomes, and gaps in prevention,” Stroke Research and Treatment, Article ID 641943, 2013. View at Publisher · View at Google Scholar · View at Scopus
  46. Y. Sato, T. Asoh, I. Kondo, and K. Satoh, “Vitamin D deficiency and risk of hip fractures among disabled elderly stroke patients,” Stroke, vol. 32, no. 7, pp. 1673–1677, 2001. View at Publisher · View at Google Scholar · View at Scopus
  47. Y. Sato, J. Iwamoto, and Y. Honda, “An open-label trial comparing alendronate and alphacalcidol in reducing falls and hip fractures in disabled stroke patients,” Journal of Stroke and Cerebrovascular Diseases, vol. 20, no. 1, pp. 41–46, 2011. View at Publisher · View at Google Scholar · View at Scopus
  48. Y. Sato, Y. Fujimatsu, M. Kikuyama, M. Kaji, and K. Oizumic, “Influence of immobilization on bone mass and bone metabolism in hemiplegic elderly patients with a long-standing stroke,” Journal of the Neurological Sciences, vol. 156, no. 2, pp. 205–210, 1998. View at Publisher · View at Google Scholar · View at Scopus
  49. G. Yavuzer, S. Ataman, N. Süldür, and M. Atay, “Bone mineral density in patients with stroke,” International Journal of Rehabilitation Research, vol. 25, no. 3, pp. 235–239, 2002. View at Publisher · View at Google Scholar · View at Scopus
  50. D. Uluduz, MM. Adil, B. Rahim, WI. Gilani, HA. Rahman, and SI. Gilani, “Vitamin D deficiency and osteoporosis in stroke survivors: an analysis of National Health and Nutritional Examination Survey (NHANES),” Journal of Vascular and Interventional Neurology, vol. 7, no. 1, pp. 23–28, May 2014. View at Google Scholar
  51. Y. Sato, T. Tsuru, K. Oizumi, and M. Kaji, “Vitamin K deficiency and osteopenia in disuse-affected limbs of vitamin D-deficient elderly stroke patients,” American Journal of Physical Medicine & Rehabilitation, vol. 78, no. 4, pp. 317–322, 1999. View at Publisher · View at Google Scholar · View at Scopus
  52. M. C. Pascoe, S. G. Crewther, L. M. Carey, K. Noonan, D. P. Crewther, and T. Linden, “Homocysteine as a potential biochemical marker for depression in elderly stroke survivors,” Food and Nutrition Research, vol. 56, 2012. View at Google Scholar · View at Scopus
  53. V. Fratoni and M. L. Brandi, “B vitamins, Homocysteine and bone health,” Nutrients, vol. 7, no. 4, pp. 2176–2192, 2015. View at Publisher · View at Google Scholar · View at Scopus
  54. F. Garbagnati, G. Cairella, A. De Martino et al., “Is antioxidant and n-3 supplementation able to improve functional status in poststroke patients? Results from the nutristroke trial,” Cerebrovascular Disease, vol. 27, no. 4, pp. 375–383, 2009. View at Publisher · View at Google Scholar · View at Scopus
  55. A. Westergren, I. R. Hallberg, and O. Ohlsson, “Nursing assessment of dysphagia among patients with stroke,” Scandinavian Journal of Caring Sciences, vol. 13, no. 4, pp. 274–282, 1999. View at Publisher · View at Google Scholar · View at Scopus
  56. A. M. Abbatecola, A. Cherubini, J. M. Guralnik et al., “Plasma polyunsaturated fatty acids and age-related physical performance decline,” Rejuvenation Research, vol. 12, no. 1, pp. 25–32, 2009. View at Publisher · View at Google Scholar · View at Scopus
  57. I. Reinders, R. A. Murphy, X. Song et al., “Polyunsaturated fatty acids in relation to incident mobility disability and decline in gait speed; the age, gene/environment susceptibility-reykjavik study,” European Journal of Clinical Nutrition, vol. 69, no. 4, pp. 489–493, 2015. View at Publisher · View at Google Scholar · View at Scopus
  58. S. Jeromson, I. J. Gallagher, S. D. R. Galloway, and D. L. Hamilton, “Omega-3 fatty acids and skeletal muscle health,” Marine Drugs, vol. 13, no. 11, pp. 6977–7004, 2015. View at Publisher · View at Google Scholar · View at Scopus
  59. G. L. Jensen, “Inflammation: roles in aging and sarcopenia,” Journal of Parenteral and Enteral Nutrition, vol. 32, no. 6, pp. 656–659, 2008. View at Publisher · View at Google Scholar · View at Scopus
  60. D. J. Millward, “Nutrition and sarcopenia: Evidence for an interaction,” Proceedings of the Nutrition Society, vol. 71, no. 4, pp. 566–575, 2012. View at Publisher · View at Google Scholar · View at Scopus
  61. N. M. Broomfield, T. J. Quinn, A. H. Abdul-Rahim, M. R. Walters, and J. J. Evans, “Depression and anxiety symptoms post-stroke/TIA: prevalence and associations in cross-sectional data from a regional stroke registry,” BMC Neurology, vol. 14, no. 1, article 198, 2014. View at Publisher · View at Google Scholar · View at Scopus
  62. J. R. Hibbeln, “Fish consumption and major depression,” The Lancet, vol. 351, no. 9110, p. 1213, 1998. View at Google Scholar · View at Scopus
  63. W. Kohatsu, “Nutrition and Depression,” Explore: The Journal of Science and Healing, vol. 1, no. 6, pp. 474–476, 2005. View at Publisher · View at Google Scholar · View at Scopus
  64. W. Yue, L. Xiang, Y.-J. Zhang, Y. Ji, and X. Li, “Association of serum 25-Hydroxyvitamin D with symptoms of depression after 6 Months in stroke patients,” Neurochemical Research, vol. 39, no. 11, pp. 2218–2224, 2014. View at Publisher · View at Google Scholar · View at Scopus
  65. D. W. Eyles, S. Smith, R. Kinobe, M. Hewison, and J. J. McGrath, “Distribution of the Vitamin D receptor and 1α-hydroxylase in human brain,” Journal of Chemical Neuroanatomy, vol. 29, no. 1, pp. 21–30, 2005. View at Publisher · View at Google Scholar · View at Scopus
  66. S. Paolucci, G. Antonucci, M. G. Grasso et al., “Post-stroke depression, antidepressant treatment and rehabilitation results: a case-control study,” Cerebrovascular Disease, vol. 12, no. 3, pp. 264–271, 2001. View at Publisher · View at Google Scholar · View at Scopus
  67. D.-H. Ahn, Y.-J. Lee, J.-H. Jeong, Y.-R. Kim, and J.-B. Park, “The effect of post-stroke depression on rehabilitation outcome and the impact of caregiver type as a factor of post-stroke depression,” Annals of Rehabilitation Medicine, vol. 39, no. 1, pp. 74–80, 2015. View at Publisher · View at Google Scholar · View at Scopus
  68. G. J. Hankey, A. H. Ford, Q. Yi et al., “Effect of B vitamins and lowering homocysteine on cognitive impairment in patients with previous stroke or transient ischemic attack: A prespecified secondary analysis of a randomized, placebo-controlled trial and meta-analysis,” Stroke, vol. 44, no. 8, pp. 2232–2239, 2013. View at Publisher · View at Google Scholar · View at Scopus
  69. N. Paker, D. Buǧdayc, D. Tekdş, B. Kaya, and Ç. Dere, “Impact of cognitive impairment on functional outcome in stroke,” Stroke Research and Treatment, Article ID 652612, 2010. View at Publisher · View at Google Scholar · View at Scopus
  70. R. Clarke, A. D. Smith, K. A. Jobst, H. Refsum, L. Sutton, and P. M. Ueland, “Folate, vitamin B12, and serum total homocysteine levels in confirmed Alzheimer disease,” JAMA Neurology, vol. 55, no. 11, pp. 1449–1455, 1998. View at Publisher · View at Google Scholar · View at Scopus
  71. P. Quadri, C. Fragiacomo, R. Pezzati et al., “Homocysteine, folate, and vitamin B-12 in mild cognitive impairment, Alzheimer disease, and vascular dementia,” American Journal of Clinical Nutrition, vol. 80, no. 1, pp. 114–122, 2004. View at Google Scholar · View at Scopus
  72. T. S. Rao, M. R. Asha, B. N. Ramesh, and K. S. Rao, “Understanding nutrition, depression and mental illnesses,” Indian Journal of Psychiatry, vol. 50, no. 2, pp. 77–82, 2008. View at Publisher · View at Google Scholar
  73. H. Kim, G. Kim, W. Jang, S. Y. Kim, and N. Chang, “Association between intake of B vitamins and cognitive function in elderly Koreans with cognitive impairment,” Nutrition Journal , vol. 13, no. 1, article 118, pp. 1–11, 2014. View at Publisher · View at Google Scholar
  74. R. O. Akinyemi, L. Allan, M. O. Owolabi et al., “Profile and determinants of vascular cognitive impairment in African stroke survivors: the CogFAST Nigeria study,” Journal of the Neurological Sciences, vol. 346, no. 1-2, pp. 241–249, 2014. View at Publisher · View at Google Scholar · View at Scopus
  75. J. G. Robinson, N. Ijioma, and W. Harris, “Omega-3 fatty acids and cognitive function in women,” Women's Health (London, England), vol. 6, no. 1, pp. 119–134, 2010. View at Publisher · View at Google Scholar · View at Scopus
  76. M. González-Gross, A. Marcos, and K. Pietrzik, “Nutrition and cognitive impairment in the elderly,” British Journal of Nutrition, vol. 86, no. 3, pp. 313–321, 2001. View at Publisher · View at Google Scholar · View at Scopus
  77. M. C. Serra, “Dietary intake and intervention in chronic stroke: review of the evidence,” Journal of Neurology & Neurophysiology, vol. 8, no. 4, 437 pages, 2017. View at Publisher · View at Google Scholar