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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The long-term nutritional status in stroke patients and its predictive factors
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The long-term nutritional status in stroke patients and its predictive factors

机译：脑卒中患者长期营养状况及其影响因素

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Background Malnutrition is common in the first few months after stroke and contributes to a poor overall outcome. We analyzed long-term weight changes and their predictive factors. Methods A total of 71 first-ever stroke patients were included in the study and examined (1) their weight on admission to the acute stroke unit (usual weight [UW]), on admission to the rehabilitation unit, on discharge from the rehabilitation unit, and then 1 year or more after the stroke (median time: 2.5 years), (2) the presence of malnutrition after stroke, and (3) possible predictive factors, namely, sociodemographic factors, clinical characteristics (concerning the stroke, the patient's current neurologic status and the presence of diabetes mellitus and depression), and the present nutritional state (including eating difficulties, anorexia, and changes in food intake and food preferences). Results Body weight fell (4.0 kg) during the patients' stay in the stroke unit, increased moderately in the rehabilitation unit (2.0 kg), and returned to the UW by the long-term measurement. However, at the last observation, 40.1% of the patients weighed markedly less than their UW, 38.0% weighed markedly more, and 21.1% were relatively stable. Predictors of weight change were a change in preferences for sweet food products and a change in food intake. Malnutrition was frequent (47.9%) and associated with reduced food intake, residence in an institution, and diabetes mellitus. Conclusions Malnutrition was highly prevalent, with an important role of change in food intake and food preferences, which could result from brain lesions and specific regimens. Living in an institution needs consideration, as its negative effects can be prevented.
机译：背景营养不良在中风后的头几个月中很常见，并且导致总体预后不良。我们分析了长期体重变化及其预测因素。方法共有71名首发中风患者入选本研究，并进行了以下检查：（1）入院后的体重（通常体重[UW]），入院后的体重，出院后的体重，然后在中风后1年或更长时间（中位时间：2.5年），（2）中风后是否存在营养不良以及（3）可能的预测因素，即社会人口统计学因素，临床特征（关于中风，患者的疾病当前的神经系统状况以及是否存在糖尿病和抑郁症，以及当前的营养状况（包括进食困难，厌食症以及食物摄入量和食物偏好的变化）。结果患者在中风病房停留期间体重下降了（4.0 kg），在康复病房体重下降了（2.0 kg），并通过长期测量返回到UW。但是，在最后一次观察中，有40.1％的患者体重显着低于其UW，38.0％的患者体重显着增加，而21.1％的患者相对稳定。体重变化的预测因素是甜食产品偏好的改变和食物摄入量的改变。营养不良很常见（47.9％），与食物摄入减少，在机构中居住和糖尿病有关。结论营养不良非常普遍，对食物摄入和食物偏好的改变具有重要作用，这可能是由于脑部病变和特定疗法引起的。在机构中生活需要加以考虑，因为可以避免其负面影响。

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