The Effect of Nutritional Status on Quality of Life in Patients with Subacute and Early Chronic Stroke: A Pilot Study

ABS TRACT Objective:The aim of this pilot study was to evaluate the nutritional status of patients with subacute and early chronic stroke, using multidimensional methods such as clinical, biochemical, anthropometric, and ultrasonography (USG) and to determine whether these parameters are related to the quality of life (QoL), and functionality.Material and Methods: This cross-sectional study included 33 patients who were hospitalized for stroke rehabilitation between January 2016 and January 2018.The patients were evaluated in respect of nutritional level using biochemical tests, anthropometric measurements [body mass index, arm circumference, triceps skinfold (TSF), leg circumference], and USG.The relationships between the Stroke Impact Scale (SIS) and the biochemical test, anthropometric, and USG measurement results were analyzed.Results: The USG measurements of healthy rectus femoris (RF) thickness and healthy RF area were found to be related to the total SIS score (r=0.399,p=0.013; r=0.476, p=0.027 respectively).Anthropometrically, only TSF was associated with the communication subdomain, and total protein, albumin, and creatinine levels were associated with some specific subdomains (p<0.05).Non-hemiparetic RF thickness and area were independent risk factors for total SIS score, serum albumin level was an independent factor for mobility, and serum creatinine level was an independent factor for hand function, and participation (p<0.05).Conclusion: The nutritional status of patients with stroke may have an effect on QoL and functionality.Therefore, to be able to improve QoL and functionality, subacute and chronic stroke patients should be evaluated in respect of malnutrition using multidimensional methods such as clinical and biochemical tests, and anthropometric and USG measurements.