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February 11, 2026British Journal Of Nutrition0 citations

Nutritional support strategies for patients with dysphagia after stroke: Comparison of dehydration risk between intermittent tube feeding and thickened feeding

MLM LiHYHairong YuMLM Li

Key Points

  • The study aims to compare the effects of intermittent tube feeding and thickened feeding on dehydration status and quality of life in dysphagic patients post-stroke.
  • Prospective observational study design
  • 48 patients with dysphagia after stroke divided into two feeding groups
  • Treatments were administered for 2 weeks
  • Evaluations included plasma osmotic pressure, NRS for thirst, FOIS for swallowing, and SWAL-QOL for quality of life
  • Intermittent tube feeding group showed better improvement in dehydration and thirst than the thickened feeding group (P<0.05)
  • Both feeding methods improved FOIS and SWAL-QOL scores after treatment (P<0.05)
  • Intermittent tube feeding enhanced swallowing function and overall quality of life for patients

Abstract

Abstract This study is a prospective observational study to systematically compare the effects of intermittent tube feeding and thickened feeding on dehydration status, thirst degree and quality of life in patients with dysphagia after stroke. A total of 48 patients with dysphagia after stroke were selected and divided into intermittent tube feeding group (24 cases) and thickened feeding group (24 cases). The grouping was based on the nutritional intake mode after clinical decision-making. Participants were selected from the Affiliated Brain Hospital of Nanjing Medical University and the First Affiliated Hospital of Nanjing Medical University. All enrolled patients received conventional treatment and nursing measures and were treated for 2 weeks. The dehydration status was evaluated by plasma osmotic pressure. The degree of thirst is evaluated by the Numerical Rate Scale (NRS). Total protein and hemoglobin are used to assess nutritional status; The Functional Oral Intake Scale (FOIS) assesses swallowing function; The Swallowing Quality of Life Scale (SWAL-QOL) was used to assess the quality of life. After 2 weeks of treatment, the improvement in dehydration and thirst in intermittent tube feeding group was better than that in thickened feeding group (P<0.05). The FOIS and SWAL-QOL scores of both groups of patients improved compared with those before treatment (P<0.05). Intermittent tube feeding can improve the dehydration status of patients with dysphagia after stroke, relieve thirst, and enhance swallowing function and quality of life. The study may provide a more comprehensive basis for the selection of clinical nutritional support plans.

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Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/698c1bdc267fb587c655dcb9https://doi.org/10.1017/s000711452510617x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Graded nutritional interventions in patients with dysphagia after stroke: an assessment of the effectiveness of therapeutic strategies for different swallowing functions2024
  2. 2Dysphagia in Ischaemic Stroke Patients: One Centre Retrospective Study2024 · 9 citations
  3. 3Effect of Intermittent Oro-Esophageal Tube Feeding in Bulbar Palsy After Ischemic Stroke: A Randomized Controlled Study2024 · 12 citations
  4. 4[Should fluids thickeners still be used for patients with swallowing problerms?]2024 · 1 citations
  5. 5The relationship between feeding modes and quality of life among patients with post-stroke dysphagia: an observational study2025