Oliveira Sofia, Martins Beatriz, Pereira Paula, Silva Maria Leonor
Nutrition Sciences Student, Egas Moniz Center for Interdisciplinar Research (CiiEM), Egas Moniz School of Health & Science, Caparica, Portugal.
H&TRC-Health and Technology Research Center, Lisbon, Portugal.
Front Nutr. 2024 Nov 20;11:1474328. doi: 10.3389/fnut.2024.1474328. eCollection 2024.
Stroke is a major cause of morbidity and mortality worldwide, often leading to complications such as malnutrition, dysphagia, and sarcopenia. We present the case of a 78-year-old male with a history of ischemic stroke and multiple comorbidities, who was underweight and weakened. Over a 10-month follow-up period, a percutaneous endoscopic gastrostomy (PEG) tube was placed, and nutritional management was carried out based on biochemical and nutritional status assessments. Anthropometric and blood biochemical parameters confirmed the need to adjust protein and energy intake to the patient's requirements. Personalized nutritional intervention, including a caloric surplus and dietary adjustments, resulted in weight gain, improved muscle mass and biochemical blood parameters. This case report highlights the comprehensive nutritional management of a post-stroke patient to improve outcomes and quality of life.
中风是全球发病和死亡的主要原因，常导致营养不良、吞咽困难和肌肉减少症等并发症。我们报告一例78岁男性病例，他有缺血性中风病史且合并多种疾病，体重过轻且身体虚弱。在10个月的随访期内，放置了经皮内镜下胃造口术（PEG）管，并根据生化和营养状况评估进行营养管理。人体测量和血液生化参数证实需要根据患者需求调整蛋白质和能量摄入。个性化营养干预，包括热量盈余和饮食调整，使体重增加，肌肉量改善，血液生化参数也得到改善。本病例报告强调了对中风后患者进行全面营养管理以改善预后和生活质量。
