Obesity decreases energy and protein intake in hospitalized COVID-19 patients undergoing continuous positive airway pressure treatment.

Autor: Danziato-Neto MA; Department of Health Science, Ribeirão Preto School of Medicine, University of São Paulo, 14049-900, Ribeirão Preto, São Paulo, Brazil. Electronic address: danziatomilton@gmail.com., Barbosa CL; Residency in Cardiopulmonary Care, Integrated Residency in Health, School of Public Health, 60165-090, Fortaleza, Ceará, Brazil., Melo ANMV; Residency in Cardiopulmonary Care, Integrated Residency in Health, School of Public Health, 60165-090, Fortaleza, Ceará, Brazil., Câmara CRS; Health Sciences Center, University of Fortaleza, 60811-905, Fortaleza, Ceará, Brazil., Carioca AAF; Health Sciences Center, University of Fortaleza, 60811-905, Fortaleza, Ceará, Brazil., Silva CAB; Health Sciences Center, University of Fortaleza, 60811-905, Fortaleza, Ceará, Brazil., Alencar ES; Residency in Cardiopulmonary Care, Integrated Residency in Health, School of Public Health, 60165-090, Fortaleza, Ceará, Brazil; Health Sciences Center, University of Fortaleza, 60811-905, Fortaleza, Ceará, Brazil.
Jazyk: angličtina
Zdroj: Nutrition research (New York, N.Y.) [Nutr Res] 2023 Oct; Vol. 118, pp. 52-62. Date of Electronic Publication: 2023 Jul 25.
DOI: 10.1016/j.nutres.2023.07.006
Abstrakt: Patients with SARS-CoV generally require noninvasive treatments including continuous positive airway pressure (CPAP), and appropriate nutritional therapy. Our hypothesis was that a higher body mass index (BMI) would result in greater respiratory difficulties during CPAP treatment and lead to a reduction in energy and protein intake. The study was conducted prospectively and retrospectively in a Brazilian public hospital. The sample comprised all patients (n = 70) hospitalized in COVID-19 wards and using the Elmo System (ELMO) helmet. To ensure proper nutritional support, the hospital established a standard ELMO diet and questionnaire for estimating dietary adherence. The median length of stay was 11 days (interquartile range, 9-20), and 84.3% of the patients received hospital discharge. The median duration of helmet use was 1.5 days (interquartile range, 1-4). From mid-upper arm circumference adequacy measurements, 35 patients (50%) were classified as being overweight or living with obesity and 36 adult patients (66.7%) were considered living with obesity based on their BMI. The prevalence of overweight elderly patients was 81.3%. The median energy and protein intake adequacy percentages were 65% and 72.5%, respectively. Patients with higher BMIs exhibited lower oxygen flows while wearing the ELMO helmet. Younger age and lower energy and protein intake characterized the obesity group. A correlation between oxygen therapy and food intake in COVID-19 patients undergoing CPAP treatment was observed. Patients with higher BMIs and/or mid-upper arm circumference adequacies were more susceptible to energy and protein intake declines, and patients with obesity presented the lowest intake values.
Competing Interests: Declaration of Competing Interest The authors declare no conflicts of interest.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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