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Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
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The Relationship Between Controlling Nutritional Status Score and Physical Function and Dependency Level in Stroke
Sedef Ersoy1, Nurdan Paker1, Büşra Şirin Ahısha1
1Department of Physical Medicine and Rehabilitation, University of Health Sciences, Istanbul Physical Therapy and Rehabilitation Education and Research Hospital, Istanbul 34186, Turkey.
Nutrients
|December 11, 2025
Summary
Patients with better nutritional status, assessed by the Controlling Nutritional Status (CONUT) score, showed greater functional recovery after stroke rehabilitation. Severe malnutrition was linked to limited gains, highlighting the importance of nutritional assessment.
Area of Science:
- Neurology
- Nutritional Science
- Rehabilitation Medicine
Background:
- Stroke is a leading cause of long-term disability.
- Nutritional status is crucial for recovery after stroke.
- The Controlling Nutritional Status (CONUT) score is a tool to assess nutritional risk.
Purpose of the Study:
- To investigate the relationship between nutritional status (CONUT score) and functional recovery in stroke patients undergoing rehabilitation.
- To assess the impact of different levels of malnutrition risk on functional outcomes.
Main Methods:
- An observational study included 113 stroke patients.
- Nutritional status was evaluated using the CONUT score.
- Functional independence was measured by the Modified Barthel Index (mBI) at admission and discharge.
- Patients were categorized into four CONUT score groups: normal, mild, moderate, and severe malnutrition risk.
Main Results:
- A significant portion of patients (46.0%) were at mild risk of malnutrition.
- CONUT score showed negative correlations with albumin, total protein, LDL, and total cholesterol.
- Patients in normal, mild, and moderate malnutrition risk groups showed significant functional improvement (mBI scores), unlike the severe risk group.
Conclusions:
- While no statistically significant association was found between CONUT score and mBI outcomes, a trend suggests better nutritional status correlates with greater functional improvement.
- Patients with severe malnutrition risk exhibited limited functional gains during inpatient rehabilitation.
- Early nutritional screening using tools like the CONUT score may aid in planning stroke rehabilitation.
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