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Completed

NCT Number: NCT06208969

The Effect of Nutrition Counseling on Nutritional Status in Stroke Patients

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.

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Key information

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

intensive nutrition counseling

Behavioral

individualized regular nutrition education

Primary outcomes

  1. Malnutrition Risk

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    Malnutrition risk status according to MUST

  2. BMI

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters. If BMI<22 kg/m2, it is considered low

  3. Calf Circumference Measurement

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    The widest part of the calf was measured from the non-paralyzed side in a sitting position with 90 degrees.

  4. Malnutrition

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    Malnutrition diagnosis according to GLIM criteria

  5. Mid Upper Arm Circumference

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    Mid upper arm circumference is measured at the midpoint between the acromion and olecranon processes on the shoulder blade and the ulna.

  6. Mid Upper Arm Muscle Area

    Time frame: Hospitalization (up to day 5), first month after discharge, third month after discharge

    Mid upper arm muscle area is calculated using the standard formula= Mid Upper Arm Circumference-(3.14 x Triceps skinfold thickness)

Secondary outcomes

  1. Functional Status

    Time frame: last day of hospitalization, first month after discharge, third month after discharge

    Functional status was evaluated according to the Barthel Activities of Daily Living İndex

  2. Disability

    Time frame: last day of hospitalization, first month after discharge, third month after discharge

    Disability was evaluated according to The Modified Rankin Scale

Sponsors and collaborators

Lead sponsor

Ege University

Other

Registry information

Official study title

Comparison of Intensive and Standard Nutrition Counseling in Monitoring the Nutritional Status of Stroke Patients

Important dates

Study start
2021
Primary completion
2022
Study completion
2023
First posted
Jan 17, 2024
Registry last updated
Jan 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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