Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin-si, Gyeonggi-do, Korea.
Nutrition. 2010 Jul-Aug;26(7-8):766-71. doi: 10.1016/j.nut.2009.10.003. Epub 2010 Jan 15.
Assessment of the nutritional status of patients with cerebral infarction (CI) is important because their nutritional status influences disease outcome. The purpose of this study was to assess the nutritional status of patients with CI using the scored Patient-Generated Subjective Global Assessment (PG-SGA) and to investigate the relation of the quality of their diet and life with their nutritional status.
Seventy-three patients with CI were recruited from Kyung Hee University Oriental Medical Center in Seoul, Korea, from May to July 2007. The subjects' PG-SGA, dietary quality (Dietary Diversity Score, Dietary Variety Score, and Diet Quality Index-International), and quality of life (Stroke-Specific Quality of Life, modified Barthel Index, and Beck Depression Inventory) were investigated.
The patients were classified by PG-SGA categories as well nourished (26.0%), moderately malnourished (49.3%), or severely malnourished (24.7%). Quality of diet assessed by the Dietary Diversity Score and Dietary Variety Score was significantly lower in severely malnourished patients (P < 0.001). The overall dietary quality expressed by the Diet Quality Index-International was significantly greater in the well-nourished group, followed by the moderately malnourished and severely malnourished groups. Quality of life assessed by the Stroke-Specific Quality of Life and modified Barthel Index was significantly lower in the malnourished group (P < 0.05). Quality of diet (P < 0.001) and life (P < 0.05) in patients with CI were significantly correlated with their nutritional status.
The PG-SGA is a useful nutritional assessment tool for patients with CI with stable vital signs. When patients with CI were categorized according to their PG-SGA score, well-nourished patients demonstrated better diet quality and better quality of life.
评估脑梗死（CI）患者的营养状况非常重要，因为其营养状况会影响疾病的结局。本研究旨在使用经过评分的患者主观整体评估（PG-SGA）评估 CI 患者的营养状况，并探讨其饮食和生活质量与营养状况的关系。
2007 年 5 月至 7 月，我们在韩国首尔庆熙大学东方医学中心招募了 73 名 CI 患者。对患者的 PG-SGA、饮食质量（饮食多样性评分、饮食种类评分和饮食质量指数-国际）和生活质量（中风特异性生活质量量表、改良巴氏指数和贝克抑郁量表）进行了调查。
根据 PG-SGA 类别，患者被分为营养良好（26.0%）、中度营养不良（49.3%）或重度营养不良（24.7%）。重度营养不良患者的饮食质量（饮食多样性评分和饮食种类评分）明显较低（P<0.001）。通过饮食质量指数-国际评估的整体饮食质量在营养良好组中显著较高，其次是中度营养不良组和重度营养不良组。营养不良组的生活质量（中风特异性生活质量量表和改良巴氏指数）明显较低（P<0.05）。CI 患者的饮食质量（P<0.001）和生活质量（P<0.05）与他们的营养状况显著相关。
PG-SGA 是一种用于评估生命体征稳定的 CI 患者的有用的营养评估工具。当根据 PG-SGA 评分对 CI 患者进行分类时，营养良好的患者表现出更好的饮食质量和更好的生活质量。
