Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method

Gloria Kartika, Lisda Amalia, Gaga Irawan Nugraha


Background: Stroke is a disease with a high mortality rate and common cause of disability. Nutritional factors are strongly associated with this disease. Malnutrition in hospitalized patients increases the incidence of complications, prolonged the length of stay and also the cost of hospitalization. Furthermore, nutritional status of stroke patients can deteriorate during hospitalization. The prevalence of malnutrition in hospitalized stroke patients is about 6% to 62%. The objective of this study was to identify  the nutritional status of hospitalized stroke patient.

Methods: This was a descriptive cross-sectional study. Population of the study was hospitalized stroke patients at Neurology Ward, Kemuning Building Dr. Hasan Sadikin General Hospital Bandung, Indonesia from August until October 2014 who meet the inclusion criteria. Nutritional status was measured objectively using Body Mass Index (BMI) and subjectively using Subjective Global Assessment (SGA) method. The collected data were processed using  frequency tabulation and percentage.

Results: Twenty six hospitalized stroke patients were included in this study. The hospitalized patients with normal BMI were about 12 people (46.15%), 8 people were overweight (30.77%), 4 people were undernourished (15.39%) and 2 people (7.69%) were obese. According to SGA measurement, approximately 18 people (69.22%) were moderately malnourished, and as much as 4 people (15.39%) were in good nutrition, whereas 4 people (15.39%) were severely malnourished.

Conclusions: Majority of the hospitalized stroke patients has normal BMI and moderately malnourished based on SGA.


DOI: 10.15850/amj.v4n2.1090


Body Mass Index, nutritional status, stroke, Subjective Global Assessment

Full Text:



Yuniadi Y. Intervensi pada stroke non-hemoragik. KARIDN. 2010;31(3):153-5.

Newmark UH. Stroke statistic. New Jersey. 2013 [cited 2014 March 1]. Available from:

Cintya YS, Susila S. Gambaran faktor risiko dan tipe stroke pada pasien rawat Inap di bagian penyakit dalam RSUD Kabupaten Solok Selatan periode 1 Januari 2010 - 31 Juni 2012. Jurnal Kesehatan Andalas. 2013;2(2):57-61.

Foley N, Richardson M, Bhogal S, Speechley M. Nutritional interventions following stroke. EBRSR [Evidence-Based Review of Stroke Rehabilitation. 2013;16:1-37.

Keith JN. Bedside nutrition assessment past, present, and future: a review of the subjective global assessment. Nutr Clin Pract. 2008;23(4):410-416

da Silva HV, Santos S, Silva N, Ribeiro F, Josua L, Moreira A. Nutritional assessment associated with length of inpatients hospital stay. Nutr Hosp. 2012;27(2):542-7.

Froehlich-Grobe K, Nary DE, Van Sciver A, Lee J, Little TD. Measuring height without a stadiometer empirical investigation of four height estimates among wheelchair users. Am J Phys Med Rehabil. 2011;90(8):658-66.

Crary MA, Carnaby-Mann GD, Miller L, Antonios N, and Silliman S. Dysphagia and nutritional status at the time of hospital admission for ischemic stroke. J Stroke Cerebrovas Dis. 2006;15(4):164-71.

Ophine L. Hubungan antara obesitas dengan stroke pada pasien rawat inap di bagian ilmu penyakit saraf FK-USU/ RSUP H. Adam Malik Medan. Medan: Universitas Sumatera Utara; 2010.

Winter Y, Linseisen J, Lanczik O, Ringleb PA, Hebebrand J, Back T. Contribution of obesity and abdominal fat mass to risk of stroke and transient ischemic attacks. J Am Heart Assoc. 2008;39:3145-51.

Theresia KB, Amir A, Hendrayati, Ayu SD. Studi komparasi metode penilaian status gizi indeks massa tubuh dan subjective global assessment (SGA) pasien rawat inap di Rumah Sakit DR Wahidin Sudirohusodo Makassar. J GIZI PANGAN. 2011;11(1):7-10

Edmiaston J, Connor LT, Loehr L, Nassief A.. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care. 2010;19(4):357-6.


Article Metrics

Abstract view : 633 times
PDF - 372 times

 This Journal indexed by




Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats