Nutritional Status in Subacute Stroke Patients Under Rehabilitation 2.0

NCT ID: NCT06096350

Last Updated: 2024-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

55 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-29

Study Completion Date

2025-12-31

Brief Summary

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The Nutristroke study's findings revealed a malnutrition scenario in post-stroke patients undergoing rehabilitation. This has highlighted the significance of a correct nutritional status assessment upon admission to a rehabilitation unit.

The aim of Nutristroke2, therefore, is the assessment of nutritional status, dietary intake, dysphagia, the presence of stroke-related sarcopenia, and systemic oxidative status in patients with subacute stroke outcomes before and after rehabilitation treatment.

A secondary aim is to assess whether there is any correlation between nutritional status, dietary intake, dysphagia, sarcopenia, and systemic oxidative status with rehabilitation outcomes.

Detailed Description

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Conditions

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Stroke

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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patients with stroke

Inpatients admitted to the investigators' rehabilitation facility

robotic assisted intervention

Intervention Type DEVICE

Robotic treatment of the upper limb (30 sessions, 5 times a week) using a set of 4 robotic devices: Motore (Humanware); Amadeo, Diego, Pablo (Tyromotion). The training will include motor-cognitive exercises specifically selected to train spatial attention, vision and working memory, praxis, executive function, and speed of processing.

hematochemical analysis

Intervention Type DIAGNOSTIC_TEST

Blood samples of patients will be collected from patients in the early morning (7:30-9:00 a.m.) after an overnight fast at T0 and at T1. Sera samples will be separated by centrifugation (3,000 rpm, 10 min, and 4 °C), divided into 0.5 mL aliquots, and rapidly stored at -80 °C. Subjects' and reference samples were thawed just before the diagnostic test.

BIA, hand grip

Intervention Type DEVICE

bioimpedentiometric analyses of muscular mass (T0 and T1), muscular force with hand grip

nutritional assessment, MNA,

Intervention Type DIAGNOSTIC_TEST

nutritional status assessment will be performed by: body mass index measurements, (height and weight measurements at T0 and at T1); a Mini Nutritional Assessment survey will be administered to patients at admission; a food questionnaire will be administered to patients during from T0 to T1.

stool sampling

Intervention Type DIAGNOSTIC_TEST

stool will be collected at T0 and at T1

urine sampling

Intervention Type DIAGNOSTIC_TEST

the first morning urine will be collected at T0 and at T1

indirect calorimetry analysis

Intervention Type DEVICE

indirect calorimetry analysis with K5 (COSMED, Italy) during six minute walk test or timed up and go test.

Interventions

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robotic assisted intervention

Robotic treatment of the upper limb (30 sessions, 5 times a week) using a set of 4 robotic devices: Motore (Humanware); Amadeo, Diego, Pablo (Tyromotion). The training will include motor-cognitive exercises specifically selected to train spatial attention, vision and working memory, praxis, executive function, and speed of processing.

Intervention Type DEVICE

hematochemical analysis

Blood samples of patients will be collected from patients in the early morning (7:30-9:00 a.m.) after an overnight fast at T0 and at T1. Sera samples will be separated by centrifugation (3,000 rpm, 10 min, and 4 °C), divided into 0.5 mL aliquots, and rapidly stored at -80 °C. Subjects' and reference samples were thawed just before the diagnostic test.

Intervention Type DIAGNOSTIC_TEST

BIA, hand grip

bioimpedentiometric analyses of muscular mass (T0 and T1), muscular force with hand grip

Intervention Type DEVICE

nutritional assessment, MNA,

nutritional status assessment will be performed by: body mass index measurements, (height and weight measurements at T0 and at T1); a Mini Nutritional Assessment survey will be administered to patients at admission; a food questionnaire will be administered to patients during from T0 to T1.

Intervention Type DIAGNOSTIC_TEST

stool sampling

stool will be collected at T0 and at T1

Intervention Type DIAGNOSTIC_TEST

urine sampling

the first morning urine will be collected at T0 and at T1

Intervention Type DIAGNOSTIC_TEST

indirect calorimetry analysis

indirect calorimetry analysis with K5 (COSMED, Italy) during six minute walk test or timed up and go test.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* stroke patients (hemorrhagic or ischemic) documented through Magnetic Resonance -Imaging (MRI) or Computed Tomography (CT);
* time since stroke event within 6 months
* sufficient cognitive and language skills to understand the instructions related to the administration of the assessment scales and to sign informed consent

Exclusion Criteria

* presence of a previous stroke based on the medical history;
* behavioral and cognitive disorders that may interfere with the therapeutic activity;
* other orthopedic or neurological complications that may interfere with the rehabilitation protocol;
* inability to understand and sign informed consent;
* the presence of pacemakers (for interference with bioimpedance measures).
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Don Carlo Gnocchi Onlus

OTHER

Sponsor Role lead

Responsible Party

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Irene Giovanna Aprile

Director of the Neurorehabilitation Department, Neurologist, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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IRENE APRILE, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Fondazione Don Carlo Gnocchi Onlus

Locations

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Fondazione Don Carlo Gnocchi, Santa Maria della Provvidenza Center

Roma, RM, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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IRENE APRILE, MD, PhD

Role: CONTACT

+390633086553

MARIACRISTINA SIOTTO, PhD

Role: CONTACT

+390633086552

Facility Contacts

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IRENE APRILE, MD, PhD

Role: primary

+390633086553

MARIACRISTINA SIOTTO

Role: backup

+390633086552

References

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Siotto M, Cocco C, Guerrini A, Bertoncini C, Germanotta M, Cipollini V, Cortellini L, Pavan A, Lattanzi S, Galluccio C, Insalaco S, Antonacci E, Ruco E, Aprile IG. Nutritional status in subacute post-stroke patients undergoing rehabilitation treatment: a protocol for a prospective observational study. BMC Sports Sci Med Rehabil. 2025 Jun 2;17(1):138. doi: 10.1186/s13102-025-01174-7.

Reference Type DERIVED
PMID: 40457485 (View on PubMed)

Other Identifiers

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FDG_Nutristroke2_2023

Identifier Type: -

Identifier Source: org_study_id

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