NUTRITIONAL STATUS AND STATUS OF VITAMIN D IN PATIENTS WITH STROKE

Starenje uzrokuje brojne tjelesne i psihološke promjene koje mogu utjecati na nutritivne potrebe i nutritivni status. Pacijentovu kvalitetu života uvelike može narušiti i disfagija uzrokovana moždanim udarom. Vitamin D djeluje na mnoge komponente kardiovaskularnog sustava uključujući i regulaciju arterijskog tlaka. Cilj ovog istraživanja bio je utvrditi nutritivni status i status vitamina D kod pacijenata koji su pretrpjeli moždani udar. Očekivane su niže koncentracije vitamina D kod svih pacijenata, posebice kod pretilih u odnosu na slabije i idealno uhranjene. Istraživanje je provedeno na Klinici za neurologiju KBC-a Rijeka, a obuhvatilo je 20 pacijenata oboljelih od moždanog udara u razdoblju od 1. 2. 2017. do 1. 5. 2017. Od metoda za procjenu nutritivnog statusa korištene su antropometrijske metode i biokemijske metode dok je u svrhu procjene nutritivnog rizika korišten upitnik NRS 2002. Uzorak je činilo 80% muškaraca i 20% žena, a najmlađi ispitanik imao je 32 godine. Rezultati antropometrijskih mjerenja pokazali su da polovica ispitanika ima indeks tjelesne mase iznad referentnih vrijednosti te da je abdominalna pretilost prisutna u 90% ispitanika. Upalni parametar (CRP) izmjeren je kod 40% ispitanika. Nedostatak vitamina D u krvi pronađen je u 90% ispitanika što potvrđuje ranije studije i hipotezu kako postoji povezanost između pojavnosti moždanog udara i niskih vrijednosti vitamina D u krvi. U ovom istraživanju nije bilo značajne razlike u koncentraciji vitamina D u krvi pretilih osoba u odnosu na pothranjene i idealno uhranjene. Prema ovom je istraživanju više od polovice pacijenata u nutritivnom riziku stoga bi provedba NRS 2002 kao metode za procjenu rizika trebala biti prvi korak k unapređenju svijesti bolničkog osoblja u vezi s daljnjim prehrambenim intervencijama.Aging causes many physical and psychological changes which can affect dietary needs and nutritional status. Patient's quality of life can be greatly disrupted by dysphagia caused by stroke. Vitamin D affects many compontents of the cardiovascular system including the regulation of arterial blood pressure. The aim of this research was to discover the nutritional status and status of vitamin D in patients who suffered a stroke. Lower concentrations of vitamin D were expected, especially in those patients who are overweight in comparison to the underfed and well-nourished. The research was conducted at Neurological Clinic in Rijeka and it included 20 patients who suffered a stroke in the period from 1st February 2017 to 1st May 2017. The methods, which were used to assess the nutritional status, are anthropometric methods and biochemical methods while we used the questionnaire NRS 2002 in order to assess the nutrition risk. The sample consisted 80% of men and 20% of women, and the youngest one had 32 years. The results of anthropometric measurments indicated that the half of examenees had the index of body weight above the referential values and that abdominal obesity was present in 90% of examenees. Inflamatory parametre (CRP) was gauged in 40% of the examenees. Vitamin D deficiency was found in 90% subjects, as in previous studies, and that confirms the hypothesis that deficiency of vitamin D is connected with high prevalence of stroke. In this research, there was no big difference in the amount of vitamin D present in the blood of overweight people compared to the blood of underfed and well-nourished people. According to this research, more than half of the patients were at nutrition risk, therefore the implementation of NRS 2002 as a method of assessing risk should be the first step towards upgrading the consciousness of the medical staff with regards to further nutritional interventions