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Review
. 2018 Dec 7;8(12):218.
doi: 10.3390/brainsci8120218.

Nutrition, Energy Expenditure, Dysphagia, and Self-Efficacy in Stroke Rehabilitation: A Review of the Literature

Adam C Lieber  1 , Estee Hong  2 , David Putrino  3 , Dominic A Nistal  4 , Jonathan S Pan  5 , Christopher P Kellner  6
Affiliations
Review

Nutrition, Energy Expenditure, Dysphagia, and Self-Efficacy in Stroke Rehabilitation: A Review of the Literature

Adam C Lieber et al. Brain Sci. .

Abstract

While significant research has been performed regarding the use of thrombolytic agents and thrombectomy in the setting of acute stroke, other factors, such as nutritional status of stroke patients, is a less explored topic. The topic of nutrition is critical to the discussion of stroke, as up to half of stroke survivors may be considered malnourished at discharge. Dysphagia, old age, restricted upper limb movement, visuospatial impairment, and depression are all important risk factors for malnutrition in this cohort. The purpose of this review is to analyze current literature discussing neuroprotective diets, nutritional, vitamin, and mineral supplementation, dysphagia, and post-stroke coaching in stroke patients.

Keywords: diet and nutrition; dysphagia; intracranial hemorrhage; ischemic stroke; lifestyle; neuroprotection; nutrition; primary prevention; stroke.

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Conflict of interest statement

Christopher P. Kellner has the following disclosures: (1) Director of CME course titled Endoscopic Minimally Invasive Intracerebral Hemorrhage Evacuation funded by Penumbra and (2) Recipient of a Siemens Foundation Research Grant.

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References

    1. Feigin V.L., Forouzanfar M.H., Krishnamurthi R., Mensah G.A., Connor M., Bennett D.A., Moran A.E., Sacco R.L., Anderson L., Truelsen T., et al. Group Global and regional burden of stroke during 1990–2010: Findings from the Global Burden of Disease Study 2010. Lancet. 2014;383:245–254. doi: 10.1016/S0140-6736(13)61953-4. - DOI - PMC - PubMed
    1. D’Elia L., Iannotta C., Sabino P., Ippolito R. Potassium-rich diet and risk of stroke: Updated meta-analysis. Nutr. Metab. Cardiovasc. Dis. 2014;24:585–587. doi: 10.1016/j.numecd.2014.03.001. - DOI - PubMed
    1. He F.J., Nowson C.A., MacGregor G.A. Fruit and vegetable consumption and stroke: Meta-analysis of cohort studies. Lancet. 2006;367:320–326. doi: 10.1016/S0140-6736(06)68069-0. - DOI - PubMed
    1. Shen H.-C., Chen H.-F., Peng L.-N., Lin M.-H., Chen L.-K., Liang C.-K., Lo Y.-K., Hwang S.-J. Impact of nutritional status on long-term functional outcomes of post-acute stroke patients in Taiwan. Arch. Gerontol. Geriatr. 2011;53:e149–e152. doi: 10.1016/j.archger.2010.08.001. - DOI - PubMed
    1. Nip W.F.R., Perry L., McLaren S., Mackenzie A. Dietary intake, nutritional status and rehabilitation outcomes of stroke patients in hospital. J. Hum. Nutr. Diet. 2011;24:460–469. doi: 10.1111/j.1365-277X.2011.01173.x. - DOI - PubMed

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