Nutrition
Volume 26, Issue 7 , Pages 766-771 , July 2010

Nutritional status assessed by the Patient-Generated Subjective Global Assessment (PG-SGA) is associated with qualities of diet and life in Korean cerebral infarction patients

  • Hyun Jung Lim, Ph.D., R.D.

      Affiliations

    • Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin-si, Gyeonggi-do, Korea
  • ,
  • Ryowon Choue, Ph.D.

      Affiliations

    • Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin-si, Gyeonggi-do, Korea
    • Research Institute of Clinical Nutrition, Kyung Hee University, Seoul, Korea
    • Corresponding Author InformationCorresponding author. Tel.: +82-2-961-0769; fax: +82-2-965-8904.

Received 15 January 2009 ,Accepted 1 October 2009.

References 

  1. National Statistical Office of Korea. Population projections in 2006. Daejeon, Korea: Korean National Statistical Office; 2006.
  2. Lee HS. A study on factors causing health conditions and the burden of medical expenses to the elderly. J Korean Geriatr Soc. 2004;24:163–179
  3. National Statistical Office of Korea. 2005 Annual data report, census population and population projection. Daejeon, Korea: Korean National Statistical Office; 2006.
  4. Kwon S, Hartzema AG, Duncan PW, Min-Lai S. Disability measures in stroke: relationship among the Barthel Index, the Functional Independence Measure, and the Modified Rankin Scale. Stroke. 2004;35:918–923
  5. De Frias CM, Tuokko H, Rosenberg T. Caregiver physical and mental health predicts reactions to caregiving. Aging Ment Health. 2005;9:331–336
  6. Yoo SH, Kim JS, Kwon SU, Yun SC, Koh JY, Kang DW. Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients. Arch Neurol. 2008;65:39–43
  7. Crary MA, Carnaby-Mann GD, Miller L, Antonios N, Silliman S. Dysphagia and nutritional status at the time of hospital admission for ischemic stroke. J Stroke Cerebrovasc Dis. 2006;15:164–171
  8. FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke. 2003;34:1450–1456
  9. Davis JP, Wong AA, Schluter PJ, Henderson RD, O'Sullivan JD, Read SJ. Impact of premorbid undernutrition on outcome in stroke patients. Stroke. 2004;35:1930–1934
  10. Gariballa SE, Parker SG, Taub N, Castleden CM. Influence of nutritional status on clinical outcome after acute stroke. Am J Clin Nutr. 1998;68:275–281
  11. Dávalos A, Ricart W, Gonzalez-Huix F, Soler S, Marrugat J, Molins A, et al. Effect of malnutrition after acute stroke on clinical outcome. Stroke. 1996;27:1028–1032
  12. Park MH, Park YS, Park YS, Choi YS. Studies on family caregiving, clothing and nutrition of disabled elderly—food behavior and nutrition of elderly with cerebrovascular disease. J Korean Home Econ Assoc. 1991;29:85–95
  13. Sullivan DH, Sun S, Walls RC. Protein–energy undernutrition among elderly hospitalized patients: a prospective study. JAMA. 1999;281:2013–2019
  14. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status?. JPEN. 1987;11:8–13
  15. Martineau J, Bauer JD, Isenring E, Cohen S. Malnutrition determined by the patient-generated subjective global assessment is associated with poor outcomes in acute stroke patients. Clin Nutr. 2005;24:1073–1077
  16. Ottery F. Patient-generated subjective global assessment. In:  McCallum P,  Polisena C editor. The clinical guide to oncology nutrition. Chicago, IL: American Dietetic Association; 2000;p. 11–23
  17. Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996;12(Suppl):S15–S19
  18. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M. Dietary diversity in the US population, NHANES II, 1976–1980. J Am Diet Assoc. 1991;91:1526–1531
  19. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs-Smith J. The effects of variety in food choices on dietary quality. J Am Diet Assoc. 1987;87:897–903
  20. Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index–International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133:3476–3484
  21. Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke. 1999;30:1362–1369
  22. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42:703–709
  23. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–571
  24. Westergren A, Karlsson S, Andersson P, Ohlsson O, Hallberg IR. Eating difficulties, need for assisted eating, nutritional status and pressure ulcers in patients admitted for stroke rehabilitation. J Clin Nurs. 2001;10:257–269
  25. Davis JP, Wong AA, Schluter PJ, Henderson RD, O'Sullivan JD, Read SJ. Impact of premorbid undernutrition on outcome in stroke patients. Stroke. 2004;35:1930–1934
  26. Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr. 2002;56:779–785
  27. Poungvarin N. Stroke in the developing world. Lancet. 1998;352(Suppl III):III19–III22
  28. Moon HK, Kim EG. Food intake patterns of Koreans by the economic status using 1998 Korean National Health and Nutrition Survey. Korean J Nutr. 2004;37:316–328
  29. Oh HM, Yoon JS. Health and nutritional status of industrial workers. Korean J Commun Nutr. 2000;5:13–22
  30. Drewnowski A, Henderson SA, Shore AB, Fischler C, Preziosi P, Hercberg S. Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc. 1996;96:663–669
  31. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society; 2005;
  32. Kim IS, Yu HH, Seo ES, Seo EA, Lee HJ. A study on the dietary quality assessment among the elderly in jeonju area. Korean J Nutr. 2002;35:352–367
  33. Tur JA, Romaguera D, Pons A. The Diet Quality Index–International (DQI-I): is it a useful tool to evaluate the quality of the Mediterranean diet?. Br J Nutr. 2005;93:369–376
  34. Lee SH, Chang NS. Effectiveness of nutrition education on dietary habits and diet quality in the weight loss and weight gain groups in college women. Korean J Nutr. 2007;40:463–474
  35. Choi-Kwon S, Kim JS. Lifestyle factors and risk of stroke in Seoul, Korea. J Stoke Cerebrovasc Dis. 1998;7:414–420
  36. Carod-Artal J, Egido JA, González JL, Varela de Seijas E. Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit. Stroke. 2000;31:2995–3000
  37. Gargano JW, Reeves MJ. Paul Coverdell National Acute Stroke Registry Michigan Prototype Investigators. Sex differences in stroke recovery and stroke-specific quality of life: results from a statewide stroke registry. Stroke. 2007;38:2541–2548
  38. Ewert T, Stucki G. Validity of the SS-QOL in Germany and in survivors of hemorrhagic or ischemic stroke. Neurorehabil Neural Repair. 2007;21:161–168
  39. Aprile I, Piazzini DB, Bertolini C, Caliandro P, Pazzaglia C, Tonali P, et al. Predictive variables on disability and quality of life in stroke outpatients undergoing rehabilitation. Neurol Sci. 2006;27:40–46
  40. Gillen R, Eberhardt TL, Tennen H, Affleck G, Groszmann Y. Screening for depression in stroke: Relationship to rehabilitation efficiency. J Stroke Cerebrovasc Dis. 1999;8:300–306
  41. Catapano F, Galderisi S. Depression and cerebral stroke. J Clin Psychiatry. 1990;51:S9–12
  42. Astrom M, Adolfsson R, Asplund K. Major depression in stroke patients. A 3-year longitudinal study. Stroke. 1993;24:976–982

 This work was supported by a grant from the Kyung Hee University Post-Doctoral fellowship in 2009 (KHU-20090455).

PII: S0899-9007(09)00427-4

doi: 10.1016/j.nut.2009.10.003

Nutrition
Volume 26, Issue 7 , Pages 766-771 , July 2010