Nutritional intake is associated with activities of daily living and complications in older inpatients with stroke

Geriatrics & Gerontology International
Yoji KokuraKeisuke Maeda

Abstract

There is no consensus on energy intake in the acute stage and how it relates to improvement in activities of daily living (ADL) in geriatric stroke patients. We examined whether energy intake after admission is related to improvement in ADL and complications. This retrospective cohort study evaluated the data from stroke inpatients at five acute care hospitals, including the mean daily energy intake during the first week after admission. Patients were categorized into two groups based on their daily energy intake; cases where the energy intake per day reached the basal energy expenditure calculated by the Harris-Benedict equation were designated as the intake energy sufficiency group. Patient characteristics were compared between groups. We assessed ADL using the Functional Independence Measure; a secondary outcome was the presence of complications. Of the 192 participants (mean age 79.6 ± 7.6 years) included in the study, 131 patients were admitted for cerebral infarction, 58 for intracerebral hemorrhage and three for subarachnoid hemorrhage. Of the two groups, that with an energy sufficiency had a greater gain in total Functional Independence Measure (median 27 and 9, respectively; P = 0.001) and a lower complication rate (6....Continue Reading

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Citations

Jul 22, 2020·Geriatrics & Gerontology International·Eiji Kose, Hidetaka Wakabayashi
Sep 18, 2020·European Geriatric Medicine·Keita TsutsumiuchiHiroshi Shamoto
Apr 24, 2019·Nutrients·Aurélien LathuilièreChristophe E Graf
Jan 17, 2021·Nutrition·Saori NakaharaKeisuke Maeda
Mar 7, 2021·Nutrients·Akio Shimizu The Japanese Working Group On Sarcopenic Dysphagia

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