Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/144
Title: Acute stroke patients not meeting their nutrition requirements: Investigating the effect of an enriched environment on nutrition
Authors: Grimley, Rohan 
Robertson, S. T.
Rosbergen, Ingrid 
Anstey, Chris 
Issue Date: May-2017
Publisher: Elsevier
Source: Robertson ST, Grimley RS, Anstey C, Rosbergen IC. Acute stroke patients not meeting their nutrition requirements: Investigating nutrition within the enriched environment. Clin Nutr. 2020 May;39(5):1470-1477. doi: 10.1016/j.clnu.2019.06.009. Epub 2019 Jun 12. PMID: 31235416. Form
Pages: 12
Journal: International Journal of Stroke
Abstract: Background: Malnutrition is common after stroke. We investigated nutritional intake and outcomes within a study of enriched environment in an acute stroke unit. Methods: We performed a before-after study. Usual care participants had meals in their room whilst enriched environment participants were provided the opportunity of communal mealtimes. Both groups received nutritional supplementation if indicated. Breakfast and lunch meals were observed and remaining intake calculated using food charts. Nutrition requirements were calculated for total energy (ratio method) and protein (1 g/kg) and proportion of requirements met (%). Malnutrition was assessed using the Subjective Global Assessment and admission and discharge weights. Stepwise multivariable logistic regression was performed to assess predictors of nutritional outcomes, adjusting for intervention group, age, gender, stroke type and severity, length of stay, admission weight, and dietary modification. Results: Neither usual care (n=30, age 76.0±12.8) or enriched environment (n=30, age 76.7±12.1) met daily requirements for energy (70.7%±16.8 vs. 70.7%±17.3, p=0.94) or protein (73.2%±18.6 vs. 69.8%±17.3, p=0.70). Mean weight dropped (0.92 kg usual vs. 0.64 kg enriched) and malnutrition rates increased: usual care (3.3% to 26.6%) and enriched (6.6% to 13.3%). Predictors of malnutrition on discharge in logistic regression models were: length of stay (p<0.01), and protein (P<0.01) or energy intake (p<0.05). Lower rates of malnutrition in the enriched environment group became non-significant when length of stay was included in the model. Conclusion: Overall, acute stroke patients were not meeting nutritional requirements and losing weight. The enriched environment had no effect on nutritional intake.L618235930
DOI: 10.1016/j.clnu.2019.06.009
1115
Resources: /search/results?subaction=viewrecord&from=export&id=L618235930http://dx.doi.org/10.1177/1747493017720548
Keywords: adultbody weight;caloric intake;clinical article;clinical assessment;controlled study;diet supplementation;female;gender;human;length of stay;male;malnutrition;meal;nutritional requirement;stroke patient;stroke unit
Type: Article
Appears in Sites:Sunshine Coast HHS Publications

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