Bailey Ryan R, Neri Alfonso L, Serra Monica C
Department of Occupational and Recreational Therapies, University of Utah, Salt Lake City, UT, USA; School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; Geriatric Research Education and Clinical Center, South Texas Veterans Health Care System, San Antonio, TX, USA; Division of Geriatrics, Gerontology & Palliative Medicine and the Sam & Ann Barshop Institute for Longevity & Aging Studies, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Am J Lifestyle Med. 2022 Nov 10;18(1):21-34. doi: 10.1177/15598276221138080. eCollection 2024 Jan-Feb.
To identify and summarize studies that have implemented dietary behavior interventions and reported dietary outcomes in community-dwelling adult stroke survivors. Scoping Review; Not applicable. Participants: Studies eligible for review included peer-reviewed studies describing both a dietary intervention and a dietary outcome among community-dwelling stroke survivors published between January 2000 and June 2022. We identified 14 articles that included both a dietary behavior intervention and a dietary outcome. All studies (5 pilot randomized controlled trials (RCTs), 6 non-pilot RCTs, 3 cohort studies) delivered multimodal health behavior interventions that included a dietary component. Interventions were delivered weekly to every other month and lasted for 1-24 months. Most studies did not use standardized assessments to assess dietary outcomes; however, 8 studies reported improvement in dietary outcomes. This review provides support for the efficacy of dietary behavior interventions in stroke survivors. Variability in intervention format and assessment measures across studies impedes the ability to conduct meta-analyses of outcomes to inform research knowledge and clinical practice. Additional research is needed to determine mechanisms-of-action for dietary behavior change in stroke survivors.
识别并总结已实施饮食行为干预并报告社区居住成年中风幸存者饮食结果的研究。范围综述；不适用。参与者：符合综述条件的研究包括2000年1月至2022年6月期间发表的描述社区居住中风幸存者饮食干预和饮食结果的同行评审研究。我们确定了14篇既包括饮食行为干预又包括饮食结果的文章。所有研究（5项试点随机对照试验（RCT）、6项非试点RCT、3项队列研究）均提供了包括饮食成分的多模式健康行为干预。干预措施每周至每两个月进行一次，持续1至24个月。大多数研究未使用标准化评估来评估饮食结果；然而，8项研究报告了饮食结果有所改善。本综述为饮食行为干预对中风幸存者的疗效提供了支持。各研究之间干预形式和评估措施的差异阻碍了对结果进行荟萃分析以指导研究知识和临床实践的能力。需要进一步研究以确定中风幸存者饮食行为改变的作用机制。
