Nutrition Guidelines for Stroke Patients and Recovery
Introduction
A stroke occurs when blood flow to part of the brain is
interrupted, preventing oxygen and nutrients from reaching brain cells,
resulting in damage and death of cells. Strokes require emergency care to
minimize further effects. Afterwards, implementing lifestyle changes like
nutrition helps prevent recurrence and aids recovery. Certain dietary choices
help reduce contributors to strokes like high cholesterol, hypertension, and
excess weight. Understanding optimal nutrition empowers stroke patients’
rehabilitation.
Causes of Strokes
Strokes arise either from arteries getting blocked or
bursting open. Ischemic strokes making up 80% of cases involve obstruction of
brain arteries from clots or plaque. Hemorrhagic strokes stem from ruptured
vessels often due to uncontrolled hypertension or blood thinners overuse.
Mini-strokes or transient ischemic attacks (TIAs) arise from temporary reduced
brain blood flow. Genetics and lifestyle largely determine stroke risk.
Controlling contributing factors lowers vulnerability. [1]
Signs and Symptoms
The FAST method assesses stroke symptoms related to the
face, arms, speech and time. Main signs are muscle weakness on one side,
trouble speaking, vision issues, severe headache, dizziness, exhaustion and
confusion. Symptoms depend on the damaged area and stroke type. Rapid
evaluation ensures urgent care to prevent extensive effects. [2]
Healthy Eating for Stroke Patients
As survivors face repeat stroke risks, implementing dietary
changes aids rehabilitation and prevention. Nutrition supporting heart and blood
vessel health while lowering cholesterol, blood pressure and weight minimizes
recurrence odds. Guidelines include: [3]
Limiting Saturated Fats
Consume less than 10% of calories from saturated fat by
opting for low or non-fat dairy, removing skin from poultry and limiting
processed meats like bacon and sausage. [3]
Restricting Fats
Keep total fat intake under 30% of calories by favoring
roasting, grilling, steaming over frying and limiting oils in cooking. [3]
Reducing Cholesterol
Limit cholesterol to 300mg daily by avoiding organ meats
like liver and egg yolks and consuming more fruits, vegetables and fish. [3]
Drinking Green and Black Tea
Rich in flavonoids, 3 daily cups reduce cholesterol,
hypertension and stroke chances by improving blood vessel function. [4]
Eating Pomegranates
Pomegranates deliver antioxidants and phytosterols lowering
cholesterol absorption for protection. [4]
Preventing Strokes
While genetic risks persist for some groups, focusing on
controllable factors substantially reduces stroke vulnerability through
lifestyle change and medical management of contributing conditions.
Lowering Blood Pressure
Limiting sodium to 1500mg daily prevents hypertension.
Avoiding cheese, processed meats and increasing produce intake regulates
pressure. Adding fish protein further aids vasodilation for decreased risk. [5]
Weight and Diabetes Control
Reaching healthy body weight via improved diet and
controlled calories minimizes metabolic conditions promoting strokes like
diabetes. Lowering sugar intake and achieving normal blood glucose and HbA1c
levels is key. [5]
Quitting Smoking
Smoke chemicals thicken blood, increasing arterial plaques.
Consult physicians about medications and nicotine patches to defeat cravings
and quit smoking to avoid strokes. [5]
Conclusion
Via nutrition and lifestyle changes reducing stroke risk
factors like hypertension, high cholesterol, excess weight and smoking,
patients prevent recurrences after strokes, along with disability and
dependence. Implementing healthy sustainable dietary strategies promotes
maximal recovery.
References
[1] Rodrigues, F. B., Neves, J. B., Caldeira, D., Ferro, J. M., Ferreira, J. J., & Costa, J. (2016). Endovascular treatment versus medical care alone for ischaemic stroke: systematic review and meta-analysis. BMJ (Clinical research ed.), 353, i1754.
[2] Norrving, B., & Kissela, B. (2013). The global burden of stroke and need for a continuum of care. Neurology, 80(3 Supplement 2), S5–S12.
[3] Liyanage-Gamage, T., & Rajapakse, S. (2019). Effects of Nutrition on Stroke Recovery. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 28(8), 2314–2321
[4] Khalesi, S., Irwin, C., & Schubert, M. (2015). Flaxseed consumption may reduce blood pressure: a systematic review and meta-analysis of controlled trials. The Journal of nutrition, 145(4), 758–765.
[5] Kernan, W.N., Ovbiagele, B., Black, H.R. et al. (2014).
Guidelines for the prevention of stroke in patients with stroke and transient
ischemic attack: a guideline for healthcare professionals from the American
Heart Association/American Stroke Association. Stroke, 45, 2160-2236.