Feeding dependence and nutritional status after acute stroke

Area of Science:

• Gerontology
• Nutritional Science
• Neurology

Background:

• Acute stroke significantly impacts the nutritional status and functional independence of elderly patients.
• Protein-energy malnutrition is a concern in geriatric populations, particularly post-stroke.

Purpose of the Study:

• To assess the nutritional status of elderly patients following an acute stroke.
• To investigate the relationship between nutritional status and the need for feeding assistance.

Main Methods:

• A cohort of 50 elderly patients (≥70 years) admitted from home were studied.
• Nutritional parameters (weight index, skinfold, muscle circumference, serum proteins, body composition via bioimpedance) and functional condition were assessed.
• Food and fluid intake were monitored over 9 weeks post-admission.

Main Results:

• Four patients presented with protein-energy malnutrition on admission.
• Patients requiring feeding assistance had lower serum albumin and body cell mass, and were more anergic.
• Immobility and feeding dependence correlated with a decrease in body cell mass during recovery.

Conclusions:

• Low serum albumin and anergy are prevalent in elderly acute stroke patients with impaired function.
• Body fat is utilized for energy needs during recovery, while immobility contributes to muscle mass loss.