Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Human Nutrition and Health, Faculty of Food and Human Sciences, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi.
Pan Afr Med J. 2020 Nov 23;37:258. doi: 10.11604/pamj.2020.37.258.16929. eCollection 2020.
stroke survivors are at risk of malnutrition due to inadequate dietary intake, as a result of neurological disorders causing dysphagia, depression and impaired ability to self-feed. There is paucity of information on nutritional status of stroke survivors after discharge from hospital care, hence, this study sought to determine the nutritional risk markers among stroke out-patients at the Neurology Clinic of Komfo Anokye Teaching Hospital, Kumasi, Ghana.
a cross-sectional study was conducted among 106 stroke survivors at Komfo Anokye Teaching Hospital, Kumasi, Ghana. Nutritional status of stroke survivors was assessed, using body mass index (BMI) and mid upper arm circumference (MUAC). Biochemical and haematological nutrition indicators including total serum protein, serum albumin, total lymphocyte count, uric acid and haemoglobin were also determined. Independent t-test and ANOVA were used to test differences between mean values.
the mean age of study participants was 58.47±14.2 years, with 56% being females. Overall, 96 (88.7%) of the participants had malnutrition, of whom 66 (68.8%) were undernourished, while 30 (31.2%) had overnutrition. It was also found that 38.7% of the participants were anaemic, based on haemoglobin levels. Using mean BMI, stroke survivors who had been discharged over five years were significantly overweight (p = 0.010).
there was high level of malnutrition among stroke out-patients in this study. The most common nutrition-related problem in the stroke survivors studied was anaemia. Findings from this study suggest the need for nutrition intervention strategies to address the high burden of malnutrition among the stroke survivors.
由于神经紊乱导致吞咽困难、抑郁和自我进食能力受损，中风幸存者的饮食摄入不足，存在营养不良的风险。出院后中风幸存者的营养状况信息有限，因此，本研究旨在确定加纳库马西科福阿南科耶教学医院神经科门诊中风患者的营养风险标志物。
在加纳库马西科福阿南科耶教学医院对 106 名中风幸存者进行了横断面研究。使用体重指数（BMI）和上臂中部周长（MUAC）评估中风幸存者的营养状况。还测定了总血清蛋白、血清白蛋白、总淋巴细胞计数、尿酸和血红蛋白等生化和血液营养指标。使用独立 t 检验和 ANOVA 检验均值之间的差异。
研究参与者的平均年龄为 58.47±14.2 岁，其中 56%为女性。总体而言，96（88.7%）名参与者存在营养不良，其中 66（68.8%）名参与者存在营养不足，而 30（31.2%）名参与者存在营养过剩。根据血红蛋白水平，还发现 38.7%的参与者贫血。使用平均 BMI，出院五年以上的中风幸存者明显超重（p=0.010）。
本研究中中风门诊患者存在较高水平的营养不良。在研究的中风幸存者中，最常见的营养相关问题是贫血。本研究结果表明，需要采取营养干预策略来解决中风幸存者的营养不良负担过重问题。
