Malnutrition Risk in Post-Stroke Outpatients: A Cross-Sectional Study

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Prevalence and Predictors of Malnutrition Risk among Post-Stroke Patients in Outpatient Setting: A Cross-Sectional Study
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Hui Jie Wong, Sakinah Harith, Pei Lin Lua, Khairul Azmi Ibrahim


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Prevalence and Predictors of Malnutrition Risk among Post-Stroke Patients in Outpatient Setting: A Cross-Sectional Study

Year: 2020 | Doi: 10.21315/mjms2020.27.4.7

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Malnutrition is prevalent among post-stroke patients, with significant implications for their recovery and overall health outcomes. The study focuses on the prevalence and predictors of malnutrition risk among this population, as well as associated factors influencing their dietary intake. Despite the existing literature on malnutrition in stroke patients during acute or subacute phases, there is limited information regarding those in outpatient rehabilitation settings, particularly in terms of post-discharge monitoring.

Prevalence of Malnutrition Risk

The findings reveal that approximately 40% of the 398 patients studied were classified as high-risk for malnutrition. Key predictors identified include the necessity for tube feeding, loss of appetite, unemployment, wheelchair dependence, and lower body mass index (BMI). Notably, tube feeding emerged as the strongest predictor, with patients undergoing this method being 13 times more likely to face malnutrition risks. Similarly, individuals experiencing loss of appetite were found to be eight times more susceptible. These insights underscore the critical role of comprehensive nutritional assessments and interventions for stroke patients, particularly as they transition from hospital to outpatient care.

Conclusion

The study highlights a pressing need for routine nutritional screening and targeted interventions for post-stroke patients, especially those identified as at-risk. The significant prevalence of malnutrition risk and the associated predictors emphasize the importance of addressing nutritional concerns even after hospital discharge. Continuous monitoring and proactive nutritional strategies in outpatient settings can lead to improved recovery and quality of life for stroke survivors, aligning with broader healthcare goals of enhancing functional recovery and minimizing long-term complications.

FAQ section (important questions/answers):

What was the focus of the study on post-stroke patients?

The study examined the prevalence and predictors of malnutrition risk among post-stroke patients attending outpatient clinics in Malaysia, highlighting the significant nutritional challenges faced by this population.

What were the key findings regarding malnutrition risk prevalence?

Around 40% of the participants were classified as high risk for malnutrition, indicating a high prevalence of malnutrition concerns among post-stroke patients in the outpatient setting.

What factors were significant predictors of malnutrition risk?

Significant predictors included tube feeding, loss of appetite, unemployment status, being wheelchair-bound, and a lower BMI, which emphasized the complexity of malnutrition risk factors in this patient population.

Why is nutritional screening important for stroke patients?

Routine nutritional screening is crucial as it can help identify individuals at risk for malnutrition, allowing for timely interventions that can improve recovery outcomes and overall health after a stroke.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Malnutrition Risk in Post-Stroke Outpatients: A Cross-Sectional Study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Malnutrition:
Malnutrition refers to a condition that arises from an imbalance in nutrient intake, resulting in undernutrition or overnutrition. In the context of post-stroke patients, malnutrition is associated with poor recovery outcomes, increased complications, and prolonged hospital stays. Identifying malnutrition risk is critical for ensuring appropriate dietary management and rehabilitation support.

2) Study (Studying):
A study in this context refers to a systematic investigation aimed at understanding the prevalence and risk factors associated with malnutrition among post-stroke patients. It employs various methodologies, including surveys and nutritional screening tools, to gather data, which contributes to the knowledge base, informing healthcare practices and interventions to enhance patient outcomes.

3) Table:
Tables in the article display derived data, allowing for easy comparison of variables such as demographics, clinical profiles, and nutritional intake across patient groups. They synthesize complex information into understandable formats, facilitating the identification of trends and significant predictors of malnutrition risk, thereby supporting data-driven conclusions.

4) Post:
The term 'post' suggests a temporal phase following a specific event, in this case, post-stroke. This period is crucial as patients often experience ongoing challenges, including malnutrition risk. Understanding post-stroke nutritional status and its effects on recovery is essential for developing targeted interventions that improve long-term health outcomes.

5) Pur:
The term 'poor' denotes insufficient quality or quantity; in this study, it highlights inadequate nutritional intake and associated health outcomes in patients. Poor nutrition can affect recovery rates, increase hospitalization times, and worsen overall health conditions, making it vital for healthcare professionals to address these deficiencies effectively.

6) Hand:
In this context, 'hand' references hand grip strength, a significant measure of functional ability and muscle strength in patients. Assessing hand grip strength helps identify potential malnutrition and physical decline, serving as an important indicator of a patient’s overall health status and their ability to perform daily activities.

7) Measurement:
Measurement refers to the standardized process of quantifying variables such as BMI, nutrient intake, or grip strength. Accurate measurements are integral to assessing nutritional status, identifying malnutrition risk, and monitoring changes over time, enabling healthcare providers to tailor interventions and effectively support patient recovery and rehabilitation.

8) Food:
Food signifies the essential items consumed for nutritional sustenance. In the context of post-stroke patients, the dietary intake of food impacts recovery and health status significantly. Evaluating food choices, portion sizes, and nutrient quality is critical for addressing malnutrition risk and enhancing overall health and wellbeing.

9) Education:
Education in this scenario highlights the role of knowledge and awareness surrounding nutritional needs and health. It refers to the level of education participants have received, which can influence understanding of health information, ability to make informed dietary choices, and compliance with nutritional recommendations for managing malnutrition risk.

10) Rules:
Rules may refer to guidelines or protocols established for nutritional screening and assessment. In clinical settings, adhering to standardized rules ensures consistency in evaluating patient health, risk identification, and the implementation of nutritional interventions, promoting quality care and effective management of malnutrition among stroke patients.

11) Diet:
Diet encompasses the specific foods and beverages consumed by individuals, influencing their nutritional status and health outcomes. In post-stroke patients, an appropriate diet tailored to nutritional needs plays a vital role in recovery, preventing malnutrition, and ensuring adequate energy and nutrient intake for optimal healing and rehabilitation.

12) Disease:
Disease refers to a pathological condition that disrupts normal bodily functions. In the context of this study, it may relate to stroke and associated complications like malnutrition. Understanding the interplay between disease processes and nutritional status is key to managing patient care and improving overall outcomes post-stroke.

13) Shahar (Sahar):
Shahar is a reference to a researcher or contributor involved in the study. Their work may center on nutritional health, contributing to the understanding of dietary needs and interventions necessary for improving outcomes in post-stroke patients. Author contributions also lend credibility to the findings presented in the study.

14) Depression:
Depression is a mental health condition characterized by persistent sadness and loss of interest, significantly affecting a person's quality of life. In post-stroke patients, depression can influence nutritional intake and overall recovery, highlighting the importance of addressing mental health alongside physical rehabilitation to improve holistic patient care.

15) Knowledge:
Knowledge refers to the information and understanding that individuals have regarding their health and nutrition. In the study, it encompasses how well stroke patients comprehend their dietary needs and the importance of proper nutrition, which is essential for making informed choices and following treatment recommendations effectively.

16) Attending:
Attending in this context refers to patients who participate in outpatient clinics for stroke rehabilitation. Their attendance reflects ongoing management of their health and rehabilitation efforts, serving as an opportunity for healthcare professionals to conduct nutritional screenings and tailor dietary interventions for improved recovery outcomes.

17) Anxiety:
Anxiety denotes a state of excessive worry or fear that can affect cognitive and emotional wellbeing. In post-stroke patients, anxiety may contribute to decreased appetite and nutritional intake. Understanding the emotional aspects of recovery is critical for providing comprehensive care that addresses both psychological and nutritional needs.

18) Indian:
Indian indicates cultural and ethnic specificity among the study's participants. Understanding the dietary preferences and nutritional habits of Indian stroke patients can inform the development of culturally appropriate dietary interventions, recognizing the diversity in food choices and habits that may impact health and nutrition post-stroke.

19) Kappa:
Kappa refers to a statistical measure (Kappa statistic) used to assess the agreement between different evaluators or measurements. In the context of this study, Kappa may help quantify the reliability of the malnutrition screening tool or other assessments, indicating the consistency of results across various healthcare providers.

20) Miṇi (Mini):
Mini refers to a shorter or simplified version of an assessment tool, such as the Mini Nutritional Assessment. This tool is designed to quickly evaluate the nutritional status of patients, making it especially useful in clinical settings where time and efficiency are critical in managing health outcomes effectively.

21) Reliability:
Reliability pertains to the consistency and accuracy of a measurement tool or assessment method. In the study, establishing the reliability of the Malnutrition Risk Screening Tool is important to ensure valid results, reinforcing trust in the findings and facilitating effective patient management based on consistent nutritional assessments.

22) Observation:
Observation involves systematically watching and recording behaviors or outcomes in a clinical setting. It is essential for identifying nutritional issues and factors influencing malnutrition risk among post-stroke patients, providing valuable data to inform healthcare decisions and interventions aimed at improving patient nutrition and overall wellbeing.

23) Meeting:
Meeting in this context may refer to gatherings or consultations involving healthcare providers, patients, and caregivers. These meetings are crucial for discussing patient progress, planning nutritional interventions, and ensuring that all stakeholders are aligned in supporting patients’ recovery and addressing their nutritional needs effectively.

24) Landi (Lamdi):
Landi likely refers to a researcher or author whose work contributes to the literature on nutrition and stroke. Their findings or perspectives may provide insight into the complexities of managing nutritional status in stroke patients, enriching the evidence base for understanding and addressing malnutrition risk.

25) Chang:
Chang could signify a contributor or researcher associated with the study. Their role may involve providing expertise on nutritional science, conducting research, or analyzing data related to malnutrition in stroke patients. Such contributions enhance the overall understanding of dietary needs during stroke recovery.

26) Death:
Death represents the ultimate outcome of severe health deterioration, including in cases of malnutrition and complications post-stroke. Understanding the connections between nutritional deficits and increased mortality rates among stroke patients underscores the importance of effective nutritional interventions to enhance survival and quality of life.

27) Kama:
Kama appears to refer to an individual involved in the research, likely contributing to the study's findings or methodologies. Their involvement emphasizes the collaborative efforts necessary in conducting effective research, particularly in the multidisciplinary approach needed to address complex health issues like malnutrition in stroke patients.

28) Paik:
Paik likely denotes a researcher or an author contributing to the study. The insights and findings attributed to their work may significantly enhance understanding of the relationship between nutrition and post-stroke recovery, providing valuable context for implementing effective nutritional management strategies.

29) Sah:
Shah presumably refers to an individual involved in the research project, providing expertise in areas related to nutrition, stroke, or healthcare. Their contributions may be vital in shaping the study's focus on identifying malnutrition risk factors among stroke patients, thus improving clinical practices.

30) Peng:
Peng is another name that indicates a contributor to the study. Their involvement can represent significant research efforts directed towards understanding malnutrition and developing healthcare strategies that cater to the needs of stroke patients, ultimately supporting better recovery and health outcomes.

31) Male:
Male denotes one of the demographic variables among the study participants. Recognizing gender differences in health outcomes and responses to nutritional interventions is essential in tailoring patient-centered care, as male and female patients may have different nutritional needs and risks following a stroke.

32) Discussion:
Discussion sections of research articles synthesize findings and contextualize them within existing literature. It allows researchers to explore implications, limitations, and future directions for research on malnutrition and stroke recovery, supporting evidence-based practices and highlighting areas for further inquiry or intervention.

33) Developing:
Developing refers to the process of creating or enhancing knowledge, strategies, or interventions. In the context of this study, it emphasizes the need for ongoing efforts to establish effective nutritional management practices for post-stroke patients, focusing on identifying risk factors for malnutrition and the development of individualized care plans.

34) Dividing:
Dividing indicates the action of separating or categorizing data or participants into distinct groups for analysis. In the study, dividing patients into low-risk and high-risk malnutrition groups allows for targeted analysis of risk factors and tailored interventions, enhancing the understanding of nutritional challenges faced by different patient demographics.

35) Language:
Language encompasses the communication skills necessary for patients to express their needs and understand health information. Significant in healthcare, effective communication improves patient comprehension regarding their nutritional requirements and fosters better adherence to dietary recommendations, especially among populations with linguistic challenges.

36) Relative:
Relative refers to the concept of comparison between different variables or patient outcomes. In this study, understanding relative risk factors affecting malnutrition among post-stroke patients is crucial for identifying priority areas for intervention and improving clinical outcomes based on comparative analyses.

37) Cancer:
Cancer denotes a significant health condition that may co-occur with stroke and influence nutritional status. The dual impact of cancer and stroke on a patient's nutritional needs necessitates comprehensive management strategies to address malnutrition risk and promote optimal recovery, underscoring the need for integrated approaches in patient care.

38) Reason:
Reason indicates the underlying causes or explanations for observed phenomena. In managing malnutrition among post-stroke patients, identifying reasons for dietary deficiencies and poor intake is critical for developing targeted interventions that address specific needs and improve overall nutritional health.

39) Medium:
Medium might reference the category or level of severity in classifying malnutrition or other health metrics. Understanding the medium impacts of stressors like disease or lifestyle on nutritional intake and health outcomes assists healthcare professionals in tailoring interventions to patients’ varied contexts.

40) Powder:
Powder may refer to nutritional supplements provided in powdered form for patients requiring enhanced caloric intake, especially those on tube feeding. Using powdered supplements represents a practical approach to addressing nutrient deficiencies and ensuring that patients meet their dietary needs post-stroke.

41) Seat (Seated):
Seated suggests a physical position important for conducting various assessments, including measuring height or grip strength. Evaluating patients’ anthropometric data while seated can provide accurate measurements that inform nutritional assessments, crucial for developing an understanding of their health status in rehabilitation.

42) Musha (Musa, Musá):
Musa likely indicates a researcher or contributor involved in the study, highlighting the collaborative nature of research on malnutrition. Their contribution reflects efforts to address significant healthcare challenges faced by post-stroke patients and to foster improvements in intervention strategies through research.

43) Line:
Line may refer to a classification system or methodological approach within the context of the study. Establishing lines of inquiry related to malnutrition risk among post-stroke patients can streamline focus areas for future research, ultimately leading to improved understanding and management of nutritional challenges.

44) Gold (Golden):
Gold commonly signifies an ideal standard. In this study, references to a 'gold standard' could pertain to nutritional assessment methods, suggesting the need for reliable and validated tools to consistently evaluate nutritional status and inform better clinical practices for managing malnutrition in stroke patients.

45) Mud:
Mood reflects the emotional state of individuals, which can influence their overall health and recovery processes. In post-stroke patients, mood disorders such as depression can negatively affect nutritional intake and adherence to dietary recommendations, emphasizing the importance of comprehensive care that addresses both mental and physical health.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Malnutrition Risk in Post-Stroke Outpatients: A Cross-Sectional Study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Loss of appetite, Diabetes mellitus, Statistical analysis, Data analysis, Inclusion criteria, Exclusion criteria, Sample size, Nutritional status, Study population, Body mass index, Dietary Intake, Multivariate analysis, Body mass index (BMI), Study design, Cross-sectional study, Cognitive impairment, BMI, BMI assessment, Nutritional Screening, Stroke patients, Diagnostic accuracy, Prevalence of malnutrition, Functional outcome, Hand grip strength, Weight loss, Tube feeding, Sociodemographic characteristics, Clinical profile, Hospital stay, Anthropometric measurement, Risk factor, Nutritional Assessment, Clinical outcome, Hospital setting, Continuous monitoring, Logistic regression, Comorbid condition, Malnutrition risk, Adjusted odds ratio, Stroke Survivors, Post stroke patients, Multivariable logistic regression, Outpatient Clinic, Univariate analysis, Significant predictor, Rehabilitation phase, Outpatient setting, Malnutrition screening, Screening tool, Dependent variable, Independent variable, Crude odds ratio, Primary caregiver, Demographic characteristic.

Concepts being referred in other categories, contexts and sources.

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