Factors Influencing Quality of Life in Stroke Patients: Focus on Eating Habits

J Stroke Cerebrovasc Dis. 2019 Jun;28(6):1623-1628. doi: 10.1016/j.jstrokecerebrovasdis.2019.02.031. Epub 2019 Mar 20.


Background: Adherence to healthy lifestyle factors has been shown to improve outcomes after stroke. This study aimed to identify lifestyle factors about eating habits that may affect the quality of life (QOL) in elderly stroke patients.

Methods: Fifty elderly patients with a first-ever stroke were enrolled. QOL was assessed by the Stroke and Aphasia QOL Scale-39-J. Lifestyle factors about eating habits were collected using questionnaires (Questions 1-17) for the intake of salt, calcium, magnesium, potassium, taurine, fiber, and protein, and the frequency of breakfast.

Results: QOL of physical, communication, and psychosocial subdomains was better in the low (healthy) tertile of poststroke eating habits (Questions 1-17) compared with the high tertile of post-troke eating habits (Questions 1-17). This relationship appeared in eating habits except for salt intake but not in eating habits of salt intake and directly measured salt intake. Compared with prestroke eating habits score, poststroke eating habits score was decreased (improved) in 36 patients concerning eating habits of salt intake, but only in 12 patients concerning eating habits except for salt intake (P < .05 by chi-square test). Poststroke eating habits of calcium and magnesium were associated with better psychosocial QOL and better physical or energy QOL, respectively.

Conclusions: Poststroke eating habits of calcium and magnesium were associated with QOL in elderly patients with a first-ever stroke. Since eating habits except for salt intake was poorly improved after stroke, intensive interventions regarding eating habits might be important.

Keywords: Dietary habits; QOL; Stroke and Aphasia QOL Scale-39-J; red meat; vegetable.

MeSH terms

  • Age Factors
  • Aged
  • Calcium / administration & dosage
  • Cross-Sectional Studies
  • Diet, Healthy*
  • Feeding Behavior*
  • Female
  • Geriatric Assessment / methods
  • Humans
  • Magnesium / administration & dosage
  • Male
  • Middle Aged
  • Nutritional Status
  • Nutritive Value
  • Protective Factors
  • Quality of Life*
  • Recommended Dietary Allowances
  • Risk Factors
  • Risk Reduction Behavior
  • Sodium Chloride, Dietary / administration & dosage
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / psychology*
  • Stroke / therapy
  • Stroke Rehabilitation
  • Surveys and Questionnaires


  • Sodium Chloride, Dietary
  • Magnesium
  • Calcium