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Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana

INTRODUCTION: 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...

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Autores principales: Chauwa, Lloyd, Appiah, Collins Afriyie, Nsiah, Kwabena, Sarfo, Fred Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864258/
https://www.ncbi.nlm.nih.gov/pubmed/33598073
http://dx.doi.org/10.11604/pamj.2020.37.258.16929
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author Chauwa, Lloyd
Appiah, Collins Afriyie
Nsiah, Kwabena
Sarfo, Fred Stephen
author_facet Chauwa, Lloyd
Appiah, Collins Afriyie
Nsiah, Kwabena
Sarfo, Fred Stephen
author_sort Chauwa, Lloyd
collection PubMed
description INTRODUCTION: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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.
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spelling pubmed-78642582021-02-16 Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana Chauwa, Lloyd Appiah, Collins Afriyie Nsiah, Kwabena Sarfo, Fred Stephen Pan Afr Med J Research INTRODUCTION: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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. The African Field Epidemiology Network 2020-11-23 /pmc/articles/PMC7864258/ /pubmed/33598073 http://dx.doi.org/10.11604/pamj.2020.37.258.16929 Text en Copyright: Lloyd Chauwa et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Chauwa, Lloyd
Appiah, Collins Afriyie
Nsiah, Kwabena
Sarfo, Fred Stephen
Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title_full Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title_fullStr Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title_full_unstemmed Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title_short Nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in Ghana
title_sort nutritional risk markers among stroke out-patients at the neurology clinic of a teaching hospital in ghana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864258/
https://www.ncbi.nlm.nih.gov/pubmed/33598073
http://dx.doi.org/10.11604/pamj.2020.37.258.16929
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