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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: 15 November 2024 | Viewed by 1120

Special Issue Editor


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Guest Editor
IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy
Interests: post-stroke recovery; rehabilitation; diet; nutrition; nutrients
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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

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Keywords

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

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Published Papers (1 paper)

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Research

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 741
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
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