[Risk of sarcopenia and malnutrition related to COVID-19 in an institutionalized population of Castilla-La Mancha (Spain): determined by R-MAPP.]

Autor:	Salmerón Ríos S; Centro Sociosanitario San Vicente de Paúl, Diputación de Albacete. Albacete. España., Plaza Carmona L; Servicio de Geriatría, Complejo Hospitalario Universitario de Albacete. Albacete. España., Estrella Cazalla JD; Servicio de Geriatría, Complejo Hospitalario Universitario de Albacete. lbacete. España.; Residencia de Mayores Núñez de Balboa. Albacete. España., Navarro Olivera J; Profesor Asociado. Facultad de Medicina de Ciudad Real, Universidad de Castilla-La Mancha. Ciudad Real. España., Gómez Díaz de la Rosa F; Residencia Ciudad de Matrimonios de Ancianos Nuestra Señora del Carmen. Ciudad Real. España., Alonso Lucas ME; Servicio de Geriatría, Hospital de Toledo. Toledo. España., Fernández Sánchez M; Geriatría, Hospital de Almansa. Albacete. España., Martín Legorburo MJ; Servicio de Geriatría, Hospital General de Guadalajara. Guadalajara. España., Arechederra Calderón JJ; Servicio de Geriatría, Hospital General de Guadalajara. Guadalajara. España., García Alcaraz F; Profesor Asociado. Facultad de Enfermería de Albacete, Universidad de Castilla-La Mancha. Albacete. España.
Jazyk:	Spanish; Castilian
Zdroj:	Revista espanola de salud publica [Rev Esp Salud Publica] 2022 Oct 03; Vol. 96. Date of Electronic Publication: 2022 Oct 03.
Abstrakt:	Objective: Knowing the risk status of malnutrition and sarcopenia in institutionalized patients is essential to understand the current context after the impact of the coronavirus (COVID-19) pandemic. Methods: This research used a retrospective, observational study. The results of the Remote Malnutrition APP test (R-MAPP) are described: risk factors for malnutrition (including COVID-19), the Malnutrition Universal Screening Tool (MUST) and the SARC-F, in a selected sample of 402 residents of Castilla-La Mancha (Spain) during 2021. An inferential analysis was performed to determine which factors were related to the MUST (≥2 points) and SARC-F (≥4 points) response measures. With the factors that obtained statistical significance, a multivariate regression model was performed, adjusting for each one. of those factors. Results: Mean age was 84.2 years, 70.1% women. Most frequent risk factor for malnutrition was aging (85.1%). The mean body mass index was 26.5 (SD 11.6). MUST≥2 points was obtained in 16.2%, and a SARC-F≥4 in 69.9%. COPD (Chronic obstructive pulmonary disease / OR 0.35; 95% CI 0.13-0.92; p 0.03) was a protective factor against the risk of malnutrition. The risk of sarcopenia was related to aging (OR 8.16; 95% CI 4.13-16.20; p 0.00), COVID-19 (OR 1.96; 95% CI 1.17-3.29; p 0.01) and COPD (OR 2.44; 95% CI 1.21-4.89; p 0.01). Conclusions: No relationship is found between COVID-19 and high risk of malnutrition. Aging, COVID-19 and COPD are risk factors for sarcopenia. Competing Interests: Disclosure The authors report no conflicts of interest in this work.
Databáze:	MEDLINE
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