The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke
Background. Despite evidence that many of the consequences of stroke that hinder recovery (i.e., obesity, muscle atrophy, and functional declines) have nutritionally modifiable behavior components, little attention has been focused on the significance of nutrition beyond the acute phase of stroke. O...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2018/1297846 |
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| _version_ | 1832555525043126272 |
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| author | Monica C. Serra |
| author_facet | Monica C. Serra |
| author_sort | Monica C. Serra |
| collection | DOAJ |
| description | Background. Despite evidence that many of the consequences of stroke that hinder recovery (i.e., obesity, muscle atrophy, and functional declines) have nutritionally modifiable behavior components, little attention has been focused on the significance of nutrition beyond the acute phase of stroke. Objective. This literature review summarizes the evidence for and against the influence of nutrition on optimal recovery and rehabilitation in chronic (>6 months) stroke. Results. The literature, which is mainly limited to cross-sectional studies, suggests that a suboptimal nutritional status, including an excess caloric intake, reduced protein intake, and micronutrient deficiencies, particularly the B-vitamins, vitamin D, and omega 3 fatty acids, may have deleterious effects on metabolic, physical, and psychological functioning in chronic stroke survivors. Conclusions. Careful evaluation of dietary intake, especially among those with eating disabilities and preexisting malnutrition, may aid in the identification of individuals at increased nutritional risk through which early intervention may benefit recovery and rehabilitation and prevent further complications after stroke. |
| format | Article |
| id | doaj-art-3c1c15f3145841388801e819e7c7c9e6 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-3c1c15f3145841388801e819e7c7c9e62025-02-03T05:47:54ZengWileyStroke Research and Treatment2090-81052042-00562018-01-01201810.1155/2018/12978461297846The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of StrokeMonica C. Serra0Atlanta VA Medical Center and Emory University School of Medicine, Atlanta, GA, USABackground. Despite evidence that many of the consequences of stroke that hinder recovery (i.e., obesity, muscle atrophy, and functional declines) have nutritionally modifiable behavior components, little attention has been focused on the significance of nutrition beyond the acute phase of stroke. Objective. This literature review summarizes the evidence for and against the influence of nutrition on optimal recovery and rehabilitation in chronic (>6 months) stroke. Results. The literature, which is mainly limited to cross-sectional studies, suggests that a suboptimal nutritional status, including an excess caloric intake, reduced protein intake, and micronutrient deficiencies, particularly the B-vitamins, vitamin D, and omega 3 fatty acids, may have deleterious effects on metabolic, physical, and psychological functioning in chronic stroke survivors. Conclusions. Careful evaluation of dietary intake, especially among those with eating disabilities and preexisting malnutrition, may aid in the identification of individuals at increased nutritional risk through which early intervention may benefit recovery and rehabilitation and prevent further complications after stroke.http://dx.doi.org/10.1155/2018/1297846 |
| spellingShingle | Monica C. Serra The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke Stroke Research and Treatment |
| title | The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke |
| title_full | The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke |
| title_fullStr | The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke |
| title_full_unstemmed | The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke |
| title_short | The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke |
| title_sort | importance of assessing nutritional status to ensure optimal recovery during the chronic phase of stroke |
| url | http://dx.doi.org/10.1155/2018/1297846 |
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