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Weight loss after stroke: a population-based study from the Lund Stroke Register.

Jönsson, Ann-Cathrin LU ; Lindgren, Ingrid LU ; Norrving, Bo LU and Lindgren, Arne LU (2008) In Stroke; a journal of cerebral circulation 39(3). p.918-923
Abstract
BACKGROUND AND PURPOSE:

Data on the prevalence and indicators of weight loss in population-based groups of stroke survivors are scarce. We aimed to find the predictors and indicators of weight loss >3 kg as a possible marker of malnutrition after stroke.

METHODS:

We registered weight at baseline, after 4 months, and 1 year later in 305 survivors from a population-based cohort of first-ever stroke patients. Characteristics of the patients were registered at baseline and follow-ups, including glycosylated hemoglobin at baseline and follow-up II, eating difficulties at both follow-ups, and screening for depression at follow-up II. We used univariate and multivariate analyses to find baseline predictors and... (More)
BACKGROUND AND PURPOSE:

Data on the prevalence and indicators of weight loss in population-based groups of stroke survivors are scarce. We aimed to find the predictors and indicators of weight loss >3 kg as a possible marker of malnutrition after stroke.

METHODS:

We registered weight at baseline, after 4 months, and 1 year later in 305 survivors from a population-based cohort of first-ever stroke patients. Characteristics of the patients were registered at baseline and follow-ups, including glycosylated hemoglobin at baseline and follow-up II, eating difficulties at both follow-ups, and screening for depression at follow-up II. We used univariate and multivariate analyses to find baseline predictors and follow-up indicators related to weight loss >3 kg from baseline.

RESULTS:

Among the 305 patients, 60% were male, the mean age was 72.5 years, and mean body mass index was 25.8 kg/m(2). The main stroke types were cerebral infarction (89%), intracerebral hemorrhage (7%), and subarachnoid hemorrhage (4%). Weight loss >3 kg was found in 74 (24%) patients (mean, -6.6 kg) after 4 months and in 79 patients (26%; mean, -8.3 kg) 1 year later. Severe stroke and elevated glycosylated hemoglobin levels were baseline predictors of weight loss >3 kg. Indicators associated with short-term weight loss (at follow-up I) were eating difficulties, low prealbumin value, and dependence (Barthel Index), whereas indicators associated with long-term weight loss (follow-up II) were eating difficulties, hemorrhagic stroke, and low prealbumin value.

CONCLUSIONS:

Weight loss >3 kg after stroke indicates the need for closer observation regarding nutritional status. Monitoring of body weight may be useful, particularly among patients with severe stroke, eating difficulties, low prealbumin values, and impaired glucose metabolism (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
albumin, glycosylated hemoglobin, nursing care, malnutrition, outcome, prealbumin, stroke care, weight loss
in
Stroke; a journal of cerebral circulation
volume
39
issue
3
pages
918 - 923
publisher
American Heart Association
external identifiers
  • pmid:18239168
  • wos:000253542800029
  • scopus:41249085978
ISSN
1524-4628
DOI
10.1161/STROKEAHA.107.497602
language
English
LU publication?
yes
id
2cdbf209-e108-44a5-b817-d31f1a3dc1cf (old id 1042378)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18239168?dopt=Abstract
date added to LUP
2008-03-05 11:34:10
date last changed
2017-08-27 04:38:22
@article{2cdbf209-e108-44a5-b817-d31f1a3dc1cf,
  abstract     = {BACKGROUND AND PURPOSE: <br>
<br>
Data on the prevalence and indicators of weight loss in population-based groups of stroke survivors are scarce. We aimed to find the predictors and indicators of weight loss &gt;3 kg as a possible marker of malnutrition after stroke.<br>
<br>
METHODS: <br>
<br>
We registered weight at baseline, after 4 months, and 1 year later in 305 survivors from a population-based cohort of first-ever stroke patients. Characteristics of the patients were registered at baseline and follow-ups, including glycosylated hemoglobin at baseline and follow-up II, eating difficulties at both follow-ups, and screening for depression at follow-up II. We used univariate and multivariate analyses to find baseline predictors and follow-up indicators related to weight loss &gt;3 kg from baseline.<br>
<br>
RESULTS: <br>
<br>
Among the 305 patients, 60% were male, the mean age was 72.5 years, and mean body mass index was 25.8 kg/m(2). The main stroke types were cerebral infarction (89%), intracerebral hemorrhage (7%), and subarachnoid hemorrhage (4%). Weight loss &gt;3 kg was found in 74 (24%) patients (mean, -6.6 kg) after 4 months and in 79 patients (26%; mean, -8.3 kg) 1 year later. Severe stroke and elevated glycosylated hemoglobin levels were baseline predictors of weight loss &gt;3 kg. Indicators associated with short-term weight loss (at follow-up I) were eating difficulties, low prealbumin value, and dependence (Barthel Index), whereas indicators associated with long-term weight loss (follow-up II) were eating difficulties, hemorrhagic stroke, and low prealbumin value.<br>
<br>
CONCLUSIONS: <br>
<br>
Weight loss &gt;3 kg after stroke indicates the need for closer observation regarding nutritional status. Monitoring of body weight may be useful, particularly among patients with severe stroke, eating difficulties, low prealbumin values, and impaired glucose metabolism},
  author       = {Jönsson, Ann-Cathrin and Lindgren, Ingrid and Norrving, Bo and Lindgren, Arne},
  issn         = {1524-4628},
  keyword      = {albumin,glycosylated hemoglobin,nursing care,malnutrition,outcome,prealbumin,stroke care,weight loss},
  language     = {eng},
  month        = {01},
  number       = {3},
  pages        = {918--923},
  publisher    = {American Heart Association},
  series       = {Stroke; a journal of cerebral circulation},
  title        = {Weight loss after stroke: a population-based study from the Lund Stroke Register.},
  url          = {http://dx.doi.org/10.1161/STROKEAHA.107.497602},
  volume       = {39},
  year         = {2008},
}