Guest guest Posted January 16, 2008 Report Share Posted January 16, 2008 Another Duh - as if we didn't know this! Sadly, it wasn't RDs doing the research! Jan Patenaude In a message dated 1/15/2008 10:13:56 A.M. Mountain Standard Time, fivestar@... writes: Colleagues, the following is FYI and does not necessarily reflect my own opinion. I have no further knowledge of the topic. If you do not wish to receive these posts, set your email filter to filter out any messages coming from @nutritionucanlivewith.com and the program will remove anything coming from me. --------------------------------------------------------- Public release date: 14-Jan-2008 http://www.eurekalert.org/pub_releases/2008-01/jaaj-usp011008.php Contact: Dong-Wha Kang dwkang@... JAMA and Archives Journals Undernourished stroke patients may have more complications, worse outcomes Patients who are undernourished when they enter the hospital with an acute ischemic stroke—the most common type of stroke, in which blood flow to the brain is blocked—are likely to remain undernourished in the hospital and may have worse clinical outcomes, according to a report in the January issue of Archives of Neurology, one of the JAMA/Archives journals. “Although undernutrition [a deficiency in overall calories or one or more nutrients] is common in medical, geriatric and stroke patients, its treatment has received little attention,†the authors write as background information in the article. “Because undernutrition may influence clinical outcomes, it is important to assess nutritional status and treat undernutrition particularly during acute stage of stroke.†Sung-Hee Yoo, R.N., M.S., and colleagues at the University of Ulsan College of Medicine, Seoul, Korea, studied 131 acute ischemic stroke patients who underwent assessments of their nutritional status within 24 hours of hospital admission and again one week after their symptoms began. Complications were assessed immediately after admission to the hospital and continuously until patients left the hospital or transferred to a rehabilitation unit. Clinical outcomes were measured three months later. Of the patients, 16 (12.2 percent) were insufficiently nourished when they were admitted to the hospital and 26 (19.8 percent) were undernourished after one week. Undernutrition at hospital admission was associated with undernutrition one week later and complications following the stroke, while undernutrition at one week predicted poor outcomes after three months. “These results suggest that patients undernourished at admission do not recover well with general hospital diets and are more likely to have poststroke complications and that undernourished patients during hospitalization are more likely to develop poor functional outcomes,†the authors write. “Strategic nutritional support, particularly in patients with baseline undernutrition, may improve clinical outcomes after acute ischemic stroke,†they conclude. (Arch Neurol. 2008;65[1]:39-43. Available pre-embargo to the media at www.jamamedia.org.) Editor’s Note: This study was supported by a grant from the Korean Ministry of Health and Welfare, a grant from the Korea Health 21 R & D Project, Ministry of Health and Welfare, Republic of Korea, and a grant from the Brain Research Center of the 21st Century Frontier Research Program funded by the Ministry of Science and Technology of Korea. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc. Editorial: Nutritional Support Could Improve Recovery Following Stroke “The undernourished state may represent another modifiable physiological risk factor, like hyperglycemia and fever, that when actively treated leads to improved outcomes,†write Neeraj Badjatia, M.D., and S. V. Elkind, M.D., M.S., of the Columbia University Medical Center, New York, in an accompanying editorial. “This article is the latest in a series of studies representing current thinking about the potential value of nutritional support for stroke patients in the acute care setting,†they continue. “Providing adequate caloric intake early in the course after ischemic stroke may now be seen as a therapeutic intervention used to minimize disease severity, reduce complications and favorably affect patient outcomes. In the end, factors related to overall amount, content, route and timing may determine whether nutritional support improves outcomes or is ineffective.†### (Arch Neurol. 2008;65[1]:15-16. -- ne Holden, MS, RD < fivestar@... > " Ask the Parkinson Dietitian " http://www.parkinson.org/ " Eat well, stay well with Parkinson's disease " " Parkinson's disease: Guidelines for Medical Nutrition Therapy " http://www.nutritionucanlivewith.com/ Yahoo! Groups Links Jan Patenaude, RD Director of Medical Nutrition Signet Diagnostic Corporation (Mountain Time) (toll free) Fax: DineRight4@... Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel Syndrome, Migraine, Fibromyalgia and more, caused by food sensitivity IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and telephone ( toll free) and destroy the transmitted information. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. **************Start the year off right. Easy ways to stay in shape. http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2008 Report Share Posted January 17, 2008 In a message dated 1/17/2008 6:24:34 A.M. Mountain Standard Time, fivestar@... writes: > Another Duh - as if we didn't know this! Well, I thought the same thing, and we can certainly take that stand -- but I receive a surprising lot of offlist thank-yous. I think working in such completely different areas exposes us to quite different information. Folks in Public health, Food Service, Clinical, Hospice have indepth experience and information that doesn't always overlap, and sometimes welcome the data from other areas. Just my 2 cents....... - ne Hi ne, Oh, you should know me by now - I truly appreciate your posts. . . the duh was for everybody else. If working in those areas at all, or even in training to become an RD, we should know that malnutrition increase complications! Didn't mean any offense! Sorry if it came off that way! Jan Jan Patenaude, RD, CLT Consultant, Writer, Speaker Director of Medical Nutrition Signet Diagnostic Corporation (Mountain Time) (toll free) Fax: DineRight4@... Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel Syndrome, Migraine, Fibromyalgia and more, caused by food sensitivity IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and telephone ( toll free) and destroy the transmitted information. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. **************Start the year off right. Easy ways to stay in shape. http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2008 Report Share Posted January 17, 2008 Dineright4@... wrote: > > > Another Duh - as if we didn't know this! Well, I thought the same thing, and we can certainly take that stand -- but I receive a surprising lot of offlist thank-yous. I think working in such completely different areas exposes us to quite different information. Folks in Public health, Food Service, Clinical, Hospice have indepth experience and information that doesn't always overlap, and sometimes welcome the data from other areas. Just my 2 cents....... - ne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2008 Report Share Posted January 17, 2008 > Oh, you should know me by now - I truly appreciate your posts. . . the duh > was for everybody else. If working in those areas at all, or even in training > to become an RD, we should know that malnutrition increase complications! Heh, yeh, very true! - ne Quote Link to comment Share on other sites More sharing options...
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