Association between poor nutritional status and severe depression in Korean cerebral infarction patients

作者：Lim Hyun Jung; Choue Ryowon^*

来源：Nutritional Neuroscience, 2012, 15(1): 25-30.

DOI：10.1179/1476830511Y.0000000023

• Cerebral infarction
• Mini-nutritional assessment
• Nutritional status
• Depression
• South Korea

Objective: The purpose of this study was to assess the association between cerebral infarction (CI), nutritional status, and depression. %26lt;br%26gt;Methods: Subjects with and without CI (n = 146; 73 CI vs. 73 non-CI) were recruited from Kyung Hee University Medical Center (Seoul, Korea) and were matched according to age and gender. The subjects%26apos; medical histories, health-related behavioral habits, food intake, nutritional assessment, and depression status were analyzed. %26lt;br%26gt;Results: The prevalence of hypertension or diabetes were much higher in subjects in the CI group than in the non-CI group (P %26lt; 0.001). Subjects with CI registered lower dietary intakes of potassium, dietary fiber, fish, fruits, and vegetables than non-CI subjects (P %26lt; 0.05). By the mini-nutritional assessment (MNA) classification, malnutrition affected 57.5% of subjects in the CI group, but none of the subjects in the non-CI group (P %26lt; 0.001). The average Beck depression inventory (BDI) score was 43.6 +/- 7.7 points in the CI group and 20.6 +/- 13.1 points in the non-CI group (P %26lt; 0.001). Higher MNA scores (well-nourished status) were inversely associated with CI prevalence (odds ratio (OR) = 0.23; 95% CI: 0.07, 0.79) after controlling for age, gender, medical history, and health-related factors, whereas BDI was not associated with CI prevalence (OR = 1.32; 95% CI: 0.90, 1.94). %26lt;br%26gt;Discussion: CI patients had several comorbidities, inappropriate health-related behavioral habits, malnourished status, and severe depression prior to CI onset. Indices of well-nourished status were inversely associated with CI. Accordingly, it would be desirable to develop a protocol for medical nutrition therapy in CI patients to improve nutritional status.

• 出版日期2012-1