Evaluation of nutritional status of patients referred with stroke

Year 2024, Volume: 41 Issue: 2, 346 - 350, 19.05.2024

Pouya Vakilipour Alireza Ala Sarvin Sanaie Zahra Panajzadeh Rouzbeh Rajaei Ghafouri Samad Shams Vahdati

Abstract

A better understanding of stroke pathogenesis through the identification of stroke risk and protective factors can lead to new strategies for stroke prevention. This study investigates the diet of stroke patients and whether there is a relationship between the diet pattern and their age, gender, recurrence of stroke, mortality, and duration of hospitalization. This is a cross-sectional prospective study that included all stroke patients referred to the emergency department between April 2022 and June 2022. The daily diet and demographic characteristics of patients were collected. 100 patients (65% men) were included. According to the statistical analysis, type of oil, and sugar consumption were correlated with the gender of patients (p values of .001 and.014, respectively). Also, correlations between age of patients and number of meals consumed in a day, grain serving, meat consumption and serving, and fruit serving were detected (p values of.030,.001,.0009,.003, and.043, respectively). Additionally, correlations between mortality and the number of meals in a day, meat consumption, and fruit serving were found (p values of .011, .033, and .033, respectively). Our study found that the number of meals consumed in a day, grain servings, meat consumption, and fruit servings in elderly patients is less than in young ones. Additionally, in patients, a higher number of meals consumed in a day, meat consumption, and fruit servings are detected. In stroke patients, women consume liquid oil, while men consume solid oil. Additionally, sugar consumption in male patients is higher than in female patients.

Keywords

stroke, demography, nutritional status

Ethical Statement

IR.TBZMED.REC.1401.472

Supporting Institution

Tabriz University of medical sciences

Project Number

69210

References

• Kastorini CM, Milionis HJ, Kantas D, et al. Adherence to the mediterranean diet in relation to ischemic stroke nonfatal events in nonhypercholesterolemic and hypercholesterolemic participants: Results of a case/case-control study. Angiology 2012; 63(7): 509-515.
• Liu Y, Wang H, Bai B, et al. Trends in unhealthy lifestyle factors among adults with stroke in the united states between 1999 and 2018. J Clin Med 2023; 12(3).
• Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics-2018 update: A report from the american heart association. Circulation 2018; 137(12): e67-e492.
• Colpani V, Baena CP, Jaspers L, et al. Lifestyle factors, cardiovascular disease and all-cause mortality in middle-aged and elderly women: A systematic review and meta-analysis. Eur J Epidemiol 2018; 33(9): 831-845.
• Lloyd-Jones DM, Hong Y, Labarthe D, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: The american heart association's strategic impact goal through 2020 and beyond. Circulation 2010; 121(4): 586-613.
• Kernan WN, Ovbiagele B, Black HR, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke 2014; 45(7): 2160-2236.
• Foroughi M, Akhavanzanjani M, Maghsoudi Z, et al. Stroke and nutrition: A review of studies. Int J Prev Med 2013; 4(Suppl 2): S165-179.
• Sherzai A, Heim LT, Boothby C, et al. Stroke, food groups, and dietary patterns: A systematic review. Nutr Rev 2012; 70(8): 423-435.
• Johnsen SP, Overvad K, Stripp C, et al. Intake of fruit and vegetables and the risk of ischemic stroke in a cohort of danish men and women. Am J Clin Nutr 2003; 78(1): 57-64.
• Gillman MW, Cupples LA, Gagnon D, et al. Protective effect of fruits and vegetables on development of stroke in men. JAMA 1995; 273(14): 1113-1117.
• Liang W, Lee AH, Binns CW, et al. Soy consumption reduces risk of ischemic stroke: A case-control study in southern china. Neuroepidemiology 2009; 33(2): 111-116.
• Kokubo Y, Iso H, Ishihara J, et al. Association of dietary intake of soy, beans, and isoflavones with risk of cerebral and myocardial infarctions in japanese populations: The japan public health center-based (jphc) study cohort i. Circulation 2007; 116(22): 2553-2562.
• Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. Dash collaborative research group. N Engl J Med 1997; 336(16): 1117-1124.
• Fung TT, Chiuve SE, McCullough ML, et al. Adherence to a dash-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 2008; 168(7): 713-720.
• Fung TT, Stampfer MJ, Manson JE, et al. Prospective study of major dietary patterns and stroke risk in women. Stroke 2004; 35(9): 2014-2019.
• Fung TT, Rexrode KM, Mantzoros CS, et al. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation 2009; 119(8): 1093-1100.