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​How can stroke affect your eating and nutrition choices? 

December 17, 2024
healthcaretoday, stroke awareness, stroke risk, Stroke recovery, nutrition, stroke awareness, heart health, stroke prevention, MIND diet, Mediterranean diet,  DASH diet, stroke support, stroke,
healthcaretoday, stroke awareness, young adults, stroke risk, prevention, treatment options, health tips, wellbeing, lifestyle habits, stroke recovery, stroke survivors, robotic rehabilitation,  health education, healthy living, stroke,
By Rozanna M. Rosly
Lead dietitian
Sunway Medical Centre


A stroke can affect the way you eat in different ways, depending on how it impacts your brain. Getting proper nutrition is vital for stroke recovery, but many stroke patients struggle with eating. This may be due to appetite loss, problems moving their arms and hands, trouble remembering when to eat, and difficulty with chewing and swallowing.

When you have difficulties with chewing and/or swallowing, it can affect the amount and type of food you can eat. You may also be affected in other ways, making it difficult to go out to buy your own food, prepare meals, or feed yourself.

For some people, a stroke may not have affected their ability to eat, in which case the focus will be on healthy eating to help prevent it from happening again. However, when planning diets for stroke patients, it is essential to pay extra attention to tailoring the diet plan to a patient’s pre-existing medical conditions. If you have been affected, a team of health professionals (rehabilitation physician, neurologist, geriatrician, speech therapist, physiotherapist, occupational therapist, psychologist) will work together with you to assist in your recovery process.

Weight control and a change in eating habits after a stroke are extremely important, as they promote faster recovery and improved functional fitness.
   
Healthy eating to prevent future strokes
Eating certain foods while recovering from a stroke will help keep your heart and blood vessels functioning at their best and help you avoid a second stroke. Preventing a future stroke is the focus after a stroke or a transient ischemic attack (TIA). Keeping to a healthy weight and eating a heart-healthy diet, such as a Mediterranean-style and DASH (Dietary Approach To Stop Hypertension) diet, can help to reduce your risk, as will any medication you have been recommended to take. Eating a healthy diet can help to lower blood pressure and cholesterol levels as well as helping to achieve and maintain a healthy weight.

​Finally, the Mediterranean-DASH Intervention for Neurodegenerative Delay, or MIND Diet, has also been clinically proven to improve stroke recovery. It is a simple hybrid of the two diets that encourages the consumption of 10 food types (such as green vegetables, berries, and beans) and discourages 5 food varieties (such as margarine, cheese, and pastries). The MIND Diet also helps manage certain stroke risk factors such as atherosclerosis and obesity and has been shown to decrease the risk of cognitive issues (memory loss or language and concentration problems) that people can experience after having a stroke.

Eat a rainbow of colorful foods at each meal. This means eating a diet that includes at least:
  • Five or more cups of fruit and vegetables per day
  • Fish (white and oily)
  • Pulses/beans (dhall/lentils/green or red beans)
  • Wholegrains (brown rice or wholemeal/multi grain bread or pasta/brown rice mee hoon).

You should limit:
  • Sweetened beverages (3 in 1, condensed milk, packet or tinned drinks)
  • Kuih-muih, cakes, biscuits
  • Processed foods (sausages/burgers) / fatty meats (deep fried/skin).

It is important to switch the bad saturated fats in your diet for healthier unsaturated fats and to reduce your salt intake by avoiding:
  • High-salt foods like anchovies/ dried shrimps (udang kering), shrimp paste (belacan), bottled or preserved foods, salty snacks (keropok/potato chips), instant noodles and ready-made packet meals, as well as not adding too much salt to foods.

How to get more fiber in your diet (to avoid constipation)
  • Whole grain cereal or whole grain toast (if your cholesterol is high, choose oats or oat bran cereal or toast).
  • Choose whole grain buns, crackers and bread instead of enriched or white varieties.
  • Substitute whole-wheat pasta, brown rice, brown rice Mee Hoon, barley instead of enriched or white varieties.
  • Top yogurt with fresh fruit or nuts.
  • Legumes are typically low in fat and high in folate, potassium, iron, and magnesium. They are also cholesterol-free and high in fiber. Try making meatless burgers out of black beans or chickpeas, or incorporating legumes into soups, dishes and stews. 
  • Substituting rice and other refined foods with whole-grain varieties is a great way to boost dietary fiber intake and help to prevent blood sugar fluctuations throughout the day. This, in turn, helps keep you feeling satisfied and can help prevent sudden cravings for sweet food/drinks later in the day. The end result: weight management.

Lean protein
While recovering from a stroke, it is important to get enough nutrients, especially protein, to make sure that you build and maintain your muscle tissue. This is especially important when you are doing physical therapy exercises during stroke rehabilitation.

Every person is different, so it is best to get personalized diet recommendations from a qualified experienced dietitian. This is because research shows that, depending on your nutritional status and weight, you may need a different number of calories, protein and nutrients. For example, if you are underweight, you will need more calories and protein. Adequate energy and calories for weight gain/loss/muscle/depending on activity and mobility/stage of recovery. Make sure you have adequate fluid intake to avoid dehydration.
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  • IN THE SPOTLIGHT
    • MALAYSIA HEALTH & POLICY NEWS
    • GLOBAL HEALTH NEWS
  • HEALTH CONDITIONS
    • ANTIMICROBIAL RESISTANCE
    • ARTHRITIS
    • ASTHMA
    • BACK PAIN
    • BRAIN DISORDERS
    • BREAST CANCER
    • CANCER
    • CARDIOVASCULAR DISEASE
    • CERVICAL CANCER
    • CORONAVIRUS DISEASE (COVID-19)
    • DEMENTIA
    • DENGUE
    • DENTAL PROBLEMS
    • DIABETES
    • DRUG ABUSE
    • EAR, NOSE AND THROAT
    • ECZEMA
    • EPILEPSY
    • EYE
    • FIBROIDS
    • GASTROINTESTINAL DISEASES
    • INFLUENZA (FLU)
    • HEADACHES & MIGRAINES
    • HEPATITIS
    • HIV & AIDS
    • JOINT PAIN
    • KIDNEY DISEASE
    • LUNG CANCER
    • LUPUS
    • MELASMA
    • MENTAL HEALTH
    • MOUTH-AND-TEETH
    • OBESITY
    • OSTEOPOROSIS
    • OVARIAN DYSFUNCTION: UNDERSTANDING PREMATURE OVARIAN FAILURE, POLYCYSTIC OVARY DISEASE AND INFERTILITY
    • SEXUAL & REPRODUCTIVE HEALTH
    • SKIN CONDITIONS
    • SLEEP
    • STROKE
  • DISABILITIES & SPECIAL ABILITIES
    • ADHD and ADD
    • AUTISM SPECTRUM DISORDER
    • BLINDNESS & VISION IMPAIRMENT
    • CEREBRAL PALSY
    • DOWN SYNDROME
    • RARE DISEASES
  • NURSING RESOURCES
  • DIGITAL HEALTH
  • HEALTH PRODUCTS & SERVICES
  • RELATIONSHIPS
  • FAMILY HEALTH & PARENTING
  • EMPOWERING WOMEN
  • MEN'S WELLNESS
  • GOLDEN YEARS
  • ACTIVE LIFE HUB
  • NUTRITION
  • COMPLIMENTARY MEDICINE
  • HUMANITARIAN & COMMUNITY HEALTH
  • AMBULANCE AND FIRST AID GUIDE
  • Community clinics/ Klinik Komuniti
  • Government Dental Clinics / Klinik Pergigian Kerajaan
  • ABOUT US