Acasa > Reviste de specialitate > Dietetician.ro > Rolul şi importanţa consilierii nutriţionale la pacienţii cu atac vascular cerebral
REVIEW

Rolul şi importanţa consilierii nutriţionale la pacienţii cu atac vascular cerebral

 The role and importance of nutritional counselling in stroke patients

Remus Sebastian Şipoş, Emese Orban

First published: 20 decembrie 2023

Editorial Group: MEDICHUB MEDIA

DOI: 10.26416/Diet.4.4.2023.9095

Abstract

Stroke is a condition that can be caused by a number of modifiable and non-modifiable risk factors. Modifiable risk factors include a range of chronic diseases, such as diabetes, hyperlipidemia, hypertension and poor diet. In all these cases, nutritional counselling would be that related medical act that not only has the potential to improve the patient’s quality of life but can be a prophylactic medical act for stroke. As for the patient who has already suffered a stroke, for him, the appropriate nutritional counselling adapted to the degree of neurological deficit monitored post-stroke may represent the patient’s chance for a good prognosis in terms of not only quality of life but also survival rate. In view of this, including nutritional counselling in the list of medical services supported by the national health insurance system should be a natural decision, similar to the way medical rehabilitation through physiotherapy, or home health care, is funded. Personalized nutritional counselling for patients is a patient’s right to be provided in an assisted way, both to maintain and improve their health and to reduce healthcare expenditure.
 

Keywords
stroke, nutritional counselling, related medical act

Rezumat

Atacul vascular cerebral (AVC) reprezintă o patologie a cărei apariţie poate fi generată de o serie de factori de risc modificabili şi nemodificabili. Printre factorii de risc modificabili se numără atât o serie de boli cronice, precum diabetul zaharat, hiperlipidemiile sau hipertensiunea arterială, cât şi o dietă inadecvată. În toate aceste cazuri, consilierea nutriţională ar reprezenta acel act medical conex care nu doar că are potenţialul de a ameliora calitatea vieţii pacientului, dar poate reprezenta un act medical profilactic pentru atacul vascular cerebral. În ceea ce priveşte pacientul care a suferit deja un atac vascular cerebral, consilierea nutriţională adecvată şi adaptată gradului de deficit neurologic monitorizat post-AVC poate reprezenta şansa lui pentru un prognostic bun în ceea ce priveşte nu doar calitatea vieţii, dar şi rata de supravieţuire a acestuia. Având în vedere aceste aspecte, includerea consilierii nutriţionale în lista serviciilor medicale susţinute de sistemul naţional de asigurări de sănătate ar trebui să fie o decizie firească, similară modului în care este finanţată recuperarea medicală prin kinetoterapie sau îngrijirile medicale la domiciliu. Consilierea nutriţională personalizată a pacientului este un drept de care acesta poate să dispună într-un mod asistat atât în scopul menţinerii, respectiv ameliorării stării de sănătate, cât şi al reducerii cheltuielilor din sistemul sanitar.
 

Cuvinte cheie
atac vascular cerebral consiliere nutriţională act medical conex

Bibliografie

  1. Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020;21(20):7609.
  2. Kelly-Hayes M. Influence of age and health behaviors on stroke risk: Lessons from longitudinal studies. J Am Geriatr Soc. 2010;58:S325–S328.
  3. Appelros P, Stegmayr B, Terént A. Sex dierences in stroke epidemiology: A systematic review. Stroke. 2009;40:1082–1090.
  4. Addo J, Ayerbe L, Mohan KM, Crichton S, Sheldenkar A, Chen R, Wolfe CD, McKevitt C. Socioeconomic status and stroke: An updated review. Stroke. 2012;43:1186–1191.
  5. Musuka TD, Wilton SB, Traboulsi M, Hill MD. Diagnosis and management of acute ischemic stroke: Speed is critical. CMAJ. 2015;187:887–893.
  6. Broughton BR, Reutens DC, Sobey CG. Apoptotic mechanisms after cerebral ischemia. Stroke. 2009;40:e331–e339.
  7. Flaherty ML, Woo D, Haverbusch M, Sekar P, Khoury J, Sauerbeck L, et al. Racial variations in location and risk of intracerebral hemorrhage. Stroke. 2005;36:934–937.
  8. George MG, Tong X, Kuklina EV, Labarthe DR. Trends in stroke hospitalizations and associated risk factors among children and young adults, 1995-2008. Ann. Neurol. 2011;70:713–721.
  9. Cruz-Flores S, Rabinstein A, Biller J, Elkind MS, Grith P, Gorelick PB, et al. Racial-ethnic disparities in stroke care: The american experience: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42:2091–2116.
  10. Seshadri S, Beiser A, Pikula A, Himali JJ, Kelly-Hayes M, Debette S, DeStefano AL, Romero JR, Kase CS, Wolf PA. Parental occurrence of stroke and risk of stroke in their children: The Framingham study. Circulation. 2010;121:1304–1312.
  11. Collins R, Peto R, MacMahon S, Hebert P, Fiebach NH, Eberlein KA, et al. Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: Overview of randomised drug trials in their epidemiological context. Lancet. 1990;335:827–838.
  12. Vermeer SE, Sandee W, Algra A, Koudstaal PJ, Kappelle LJ, Dippel DW. Dutch TIA Trial Study Group. Impaired glucose tolerance increases stroke risk in nondiabetic patients with transient ischemic attack or minor ischemic stroke. Stroke. 2006;37:1413–1417.
  13. Banerjee C, Moon YP, Paik MC, Rundek T, Mora-McLaughlin C, Vieira JR, Sacco RL, Elkind MS. Duration of diabetes and risk of ischemic stroke: The Northern Manhattan Study. Stroke. 2012;43:1212–1217.
  14. Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: The Framingham Study. Stroke. 1991;22:983–988.
  15. Denti L, Cecchetti A, Annoni V, Merli MF, Ablondi F, Valenti G. The role of lipid profile in determining the risk of ischemic stroke in the elderly: A case-control study. Arch Gerontol Geriatr. 2003;37:51–62.
  16. Gill JS, Zezulka AV, Shipley MJ, Gill SK, Beevers DG. Stroke and alcohol consumption. N Engl JMed. 1986;315:1041–1046.
  17. Esse K, Fossati-Bellani M, Traylor A, Martin-Schild S. Epidemic of illicit drug use, mechanisms of action/addiction and stroke as a health hazard. Brain Behav. 2011;1:44–54.
  18. Kaku DA, Lowenstein DH. Emergence of recreational drug abuse as a major risk factor for stroke in young adults. Ann Intern Med. 1990;113:821–827.
  19. Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke. BMJ. 1989;298:789–794.
  20. Larsson SC, Orsini N, Wolk A. Dietary potassium intake and risk of stroke: A dose-response meta-analysis of prospective studies. Stroke. 2011;42:2746–2750.
  21. He J, Ogden LG, Vupputuri S, Bazzano LA, Loria C, Whelton PK. Dietary sodium intake and subsequent risk of cardiovascular disease in overweight adults. JAMA. 1999;282:2027–2034.
  22. Corrigan ML, Escuro AA, Celestin J, Kirby DF. Nutrition in the stroke patient. Nutr Clin Pract. 2011;26(3):242-252.
  23. Finestone HM, Greene-Finestone LS. Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. CMAJ. 2003;169(10):1041-1044.
  24. National Dysphagia Diet Task Force. National Dysphagia Diet: Standardization for Optimal Care. Chicago, IL: American Dietetic Association; 2002:10-20.
  25. Murray J, Doeltgen S, Miller M, Scholten I. A Descriptive Study of the Fluid Intake, Hydration, and Health Status of Rehabilitation Inpatients without Dysphagia Following Stroke. J Nutr Gerontol Geriatr. 2015;34(3):292-304.
Citeşte mai mult

Articole din ediţiile anterioare

ARTICOLE ORIGINALE | Ediţia 1 1 / 2023

Alternative terapeutice în epilepsie

Emese Orban, Remus Şipoş

Epilepsia, fiind una din cele mai frecvente boli neurologice, cu o distribuţie bimodală la grupele de vârstă afectate (5-9 ani şi în jurul vârstei ...

28 aprilie 2023