PD448
PREVENTION OF RECURRENT STROKE
F. Liao1,*, Y.-T. Yen2, Y.-T. Tsai3
1Department of Dietetics, 2Department of Nursing, 3Department of Neurology, National Taiwan University Hospital Yunlin Branch, Douliu , Taiwan, Province of China
Rationale: Active treatment and effective control of blood glucose, blood pressure, and blood lipids reduce the risk of recurrent stroke among patients with stoke and improve their quality of life.
Methods: Participants consisted of hospitalized patients diagnosed with stroke. During hospitalization, physicians referred eligible patients to dietitians, and patients who consented to receive educational intervention were enrolled in the study. A total of 68 valid cases were included. Each participant received one session of education on dietary management and self-care behaviors during hospitalization and successfully completed outpatient follow-up. The study period spanned from August 2023 to October 2025, and the nutrition education intervention and follow-up period lasted three months.
Results: Among the 68 hospitalized patients with stroke who received dietary education, 53 were male and 15 were female, with a mean age of 66 ± 8 years. Their mean height was 162 ± 0 cm, mean body weight was 68 ± 5 kg, and mean body mass index was 25 ± 9 kg/m². The outcomes observed after the intervention are detailed below. HbA1c decreased from 9.4 ± 4% to 7.3 ± 5% (p = 0.000). T-Chol decreased from 187.2 ± 0 mg/dL to 142.0 ± 1 mg/dL (p = 0.000), and LDL declined from 116.1 ± 3 mg/dL to 75.1 ± 4 mg/dL (p = 0.000). TG decreased from 162.7 ± 0 mg/dL to 132.1 ± 7 mg/dL (p = 0.003), while HDL increased from 39.8 ± 2 mg/dL to 46.0 ± 5 mg/dL (p = 0.001). The results showed that, following medication treatment, diet, and self-care behavior education intervention, patients with stroke had significant improvements in HbA1c, cholesterol, LDL, TG, and HDL, all reaching statistical significance.
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Conclusion: For patients with stroke, strengthening treatment with medication, actively arranging rehabilitation, and providing personalized nutrition treatment plans, dietary planning, and lifestyle adjustments can reduce the risk of cardiovascular disease and the occurrence of recurrent stroke.
Disclosure of Interest: None declared