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Nutrients
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Nutritional Assessment and Management of Patients in the Rehabilitation Units
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Nutritional Assessment and Management of Patients in the Rehabilitation Units

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (15 November 2024) | Viewed by 2082

Special Issue Editor

Dr. Mariacristina Siotto

E-Mail Website
Guest Editor
IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy
Interests: post-stroke recovery; rehabilitation; diet; nutrition; nutrients
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Many patients face significant physical and psychological disability following discharge after illness. They are often malnourished, a condition associated with poor outcomes, and nutrition remains problematic, particularly in the early phases of patients' recovery. Yet nutrition rehabilitation, the process of restoring or optimizing nutritional status following illness, is seldom prioritized. Malnutrition is associated with worse outcomes in rehabilitation patients; however, appropriate malnutrition assessment and management for this population has not been well investigated.

Accurate identification and management of malnutrition is essential, so that patient outcomes can be improved and resources used efficaciously. This Special Issue provides a platform for researchers to discuss “Nutritional Assessment and Management of Patients in the Rehabilitation Units” with the aim of helping to promote the development of this field. Discussions on diagnostic or prognostic biomarkers of nutritional status of these patients are also accepted. In the present Special Issue, we welcome original articles and narrative and systematic reviews.

Dr. Mariacristina Siotto
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nutritional assessment
  • nutritional management
  • malnutrition
  • nutrition biomarker
  • rehabilitation
  • clinical nutrition

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Published Papers (2 papers)

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Research

16 pages, 1686 KiB  
Article
Malnutrition Diagnosis and Food Consumption in Subacute Post-Stroke Patients During Rehabilitation
by Mariacristina Siotto, Alessandro Guerrini, Carola Cocco, Marco Germanotta, Alessio Fasano, Valeria Cipollini, Laura Cortellini, Arianna Pavan, Sabina Insalaco, Erika Antonacci, Elisabetta Ruco, Rita Mosca, Adriana Graziosi, Piera Spatola, Maria Rosaria Malanga, Biagio Campana and Irene Giovanna Aprile
Nutrients 2024, 16(21), 3589; https://doi.org/10.3390/nu16213589 - 22 Oct 2024
Viewed by 723
Abstract
Background: Stroke survivors frequently encounter malnutrition, adversely impacting clinical outcomes. Nevertheless, malnutrition and food consumption in post-stroke patients have not been frequently assessed, and their correlation with rehabilitation outcomes remains inadequately explored. The objective of this observational study was to evaluate malnutrition at [...] Read more.
Background: Stroke survivors frequently encounter malnutrition, adversely impacting clinical outcomes. Nevertheless, malnutrition and food consumption in post-stroke patients have not been frequently assessed, and their correlation with rehabilitation outcomes remains inadequately explored. The objective of this observational study was to evaluate malnutrition at admission in these patients, assess food consumption during a six-week rehabilitation program, and analyze their correlation with rehabilitation outcomes. Methods: Subacute post-stroke patients were evaluated at admission (T0) and after a six-week rehabilitation treatment (T1). At T0, we assessed clinical and demographic characteristics, and we diagnosed malnutrition according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. Weight, BMI, hematochemical parameters, and activities of daily living with the modified Barthel Index (mBI) were evaluated at both T0 and T1; recovery was registered as a change in the mBI (ΔmBI = mBIT1 − mBIT0). Patients’ food consumption was recorded through visual plate waste estimation of three meals a day, 5 days a week, for six weeks of hospitalization for rehabilitation. Results: A total of 109 patients completed the study (51 women, mean age 69 ± 11). According to the GLIM criteria, 105 of these patients were at risk of malnutrition, while 43 were malnourished, with 15 severely malnourished. Malnourished patients wasted more food, with respect to non-malnourished patients, as measured by visual plate waste of total meals (25 ± 17% vs. 15 ± 14%; p = 0.001) and reached a lower ΔmBI. A linear regression analysis found a significant correlation between the ΔmBI, the waste of a “second dish”, which contained mainly protein, and serum albumin at admission, even after controlling for age. Conclusions: Malnutrition assessed with the GLIM criteria at admission and food consumption are two important nutritional parameters to evaluate in post-stroke patients hospitalized for rehabilitation due to their association with recovery. Full article
(This article belongs to the Special Issue Nutritional Assessment and Management of Patients in the Rehabilitation Units)
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15 pages, 602 KiB  
Article
Relationship between Improvement in Physical Activity and Three Nutritional Assessment Indicators in Patients Admitted to a Convalescent Rehabilitation Ward
by Yusuke Tamamura, Chihiro Hachiuma, Michiko Matsuura, Sumiko Shiba and Toshio Nishikimi
Nutrients 2024, 16(15), 2531; https://doi.org/10.3390/nu16152531 - 2 Aug 2024
Viewed by 892
Abstract
We investigated the relationship between three nutritional indicators, the Mini Nutritional Assessment-Short Form (MNA-SF), Geriatric Nutritional Risk Index (GNRI), and Controlling Nutrition Status (CONUT), and physical activity at discharge in patients admitted to convalescent rehabilitation wards. The study included 1601 patients (77 ± [...] Read more.
We investigated the relationship between three nutritional indicators, the Mini Nutritional Assessment-Short Form (MNA-SF), Geriatric Nutritional Risk Index (GNRI), and Controlling Nutrition Status (CONUT), and physical activity at discharge in patients admitted to convalescent rehabilitation wards. The study included 1601 patients (77 ± 12 years, male 46.2%) discharged from convalescent rehabilitation wards between April 2018 and September 2023. MNA-SF, GNRI, and CONUT scores were obtained on admission. Patients were divided into two groups according to their level of Functional Independence Measure (FIM) walk score at discharge. The walking group (n = 1181, FIM walk score ≥ 5, 76 ± 13 years, male 47.2%) was significantly younger than the wheelchair group (n = 420, 79 ± 12 years, FIM walk score < 5, male 43.8%) and had significantly higher MNA-SF (6.5 ± 2.5 vs. 4.7 ± 2.4) and GNRI (93.1 ± 12.4 vs. 86.7 ± 10.9) scores and significantly lower CONUT (3.1 ± 2.3 vs. 3.9 ± 2.3) scores than the wheelchair group (all p < 0.01). Multivariate logistic regression analysis showed that age, handgrip strength, Functional Oral Intake Scale, and MNA-SF score were independently associated with walking ability at discharge (all p < 0.01). In addition, MNA-SF scores were independently associated with Rehabilitation Effectiveness. These results suggest that nutritional status, particularly MNA-SF scores on admission, is associated with improvement of physical activity at discharge. Full article
(This article belongs to the Special Issue Nutritional Assessment and Management of Patients in the Rehabilitation Units)
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