Malnutrition contribution to the functional status and health related quality of life after COVID-19, a correlational follow-up study.

Autor: Mejía Alonso LA; Unidad de Rehabilitación, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, Mexico., Espinosa-Poblano E; Departamento de Inhaloterapia y Neumología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., de Regil López S; Departamento de Nutrición y Dieta, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Lemus Eslava V; Departamento de Nutrición y Dieta, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Serrano Sánchez JG; Departamento de Nutrición y Dieta, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Paredes-Manjarrez C; Departamento de Imagenología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Balderas-Chairéz AT; Departamento de Imagenología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Anda-Garay JC; Departamento de Medicina Interna, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico city, México., Miguel-Puga JA; Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Mexico city, México., Jáuregui-Renaud K; Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Mexico city, México. kathrine.jauregui@imss.gob.mx.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Jul 01; Vol. 14 (1), pp. 15005. Date of Electronic Publication: 2024 Jul 01.
DOI: 10.1038/s41598-024-65698-7
Abstrakt: To assess malnutrition contribution to the functional status and health related quality of life after hospitalization due to COVID-19 pneumonia, 66 selected adults referred for physical rehabilitation accepted to participate in the study; none of them required oxygen supply or had history of lung/musculoskeletal/neurological/immune/rheumatic disease or trauma, or contraindication for respiratory-function tests. At three evaluations, with 3 months in-between, assessments included: self-report of functional status, the St. George's Respiratory Questionnaire, spirometry, the 6-min-walk-test, the MRC-scale, the 30-s sit-to-stand-test, the timed-up-and-go-test, nutritional status, and ultrasound imaging (vastus medialis and diaphragm). At referral, patients had nutritional deficits with protein deficiency, which gradually improved; while muscle thickness (of both vastus medialis and diaphragm) increased, along with muscle strength and mobility (ANOVA, p < 0.05). Contrarywise, the distance covered during the 6-min-walk-test decreased (ANOVA, p < 0.05), with a negative influence from excess body mass. During rehabilitation, health-related quality of life and functional status improved, with negative influence from a history of tobacco use and referral delay, respectively. After hospitalization due to COVID-19, early diagnosis of both protein deficiency and decrease of skeletal muscle thickness could be relevant for rehabilitation, while pondering the negative impact of excess body mass on submaximal exercise performance.
(© 2024. The Author(s).)
Databáze: MEDLINE
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