Clinical trial NCT06208969: The Effect of Nutrition Counseling on Nutritional Status in Stroke Patients
Official title: Comparison of Intensive and Standard Nutrition Counseling in Monitoring the Nutritional Status of Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke, Acute
Malnutrition
Old Age; Debility
Keywords: malnutrition
older
Lead sponsor: Ege University
Sponsor class: OTHER
First posted: 2024-01-17
Enrollment: 61
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Malnutrition Risk
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
measure: BMI
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
measure: Calf Circumference Measurement
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
measure: Malnutrition
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
measure: Mid Upper Arm Circumference
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
measure: Mid Upper Arm Muscle Area
timeFrame: Hospitalization (up to day 5), first month after discharge, third month after discharge
Secondary outcomes:
measure: Functional Status
timeFrame: last day of hospitalization, first month after discharge, third month after discharge
measure: Disability
timeFrame: last day of hospitalization, first month after discharge, third month after discharge
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Ege University
Study officials:
affiliation: Ege University
name: Sevnaz Sahin, Assoc Prof
role: STUDY_DIRECTOR
References: