Impact of COVID-19 on nutritional status during the first wave of the pandemic
| Autor: | Clara Joaquín, M Cachero, Eva Martínez, María-José Sendrós, Mireia Ros, Analía Ramos, Berta Soldevila, Manel Puig-Domingo, José Manuel Sánchez Migallón, Mariona Martin, María Sospedra |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Adult
Male 0301 basic medicine Sarcopenia Pediatrics medicine.medical_specialty Artificial nutrition Nutritional Status Aftercare 030209 endocrinology & metabolism Anorexia Hyperphagia Overweight Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Weight loss Disease related malnutrition medicine Humans Prospective Studies Nutritional support Prospective cohort study Pandemics Aged 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition COVID-19 Middle Aged Length of Stay medicine.disease Patient Discharge Hospitalization Nutrition Assessment Parenteral nutrition Female medicine.symptom business Weight gain |
| Zdroj: | Clinical Nutrition (Edinburgh, Scotland) |
| ISSN: | 0261-5614 |
| DOI: | 10.1016/j.clnu.2021.05.001 |
| Popis: | BACKGROUND & AIMS: Patients affected by COVID-19 may develop disease related malnutrition (DRM) due to the catabolic situation, symptoms that interfere with intake and prolonged hospital stay. This study aims to know the percentage of patients admitted for COVID-19 who required artificial nutrition (AN), their clinical characteristics, as well as the prevalence of DRM and the risk of sarcopenia at hospital discharge and after 6 months. MATERIAL AND METHODS: Observational, prospective study, with successive inclusion of adult patients admitted for COVID-19 in whom institutional nutritional support (NS) care protocol was applied. Those who received AN underwent a nutritional screening by Short Nutritional Assessment Questionnaire (SNAQ) and an assessment by Subjective Global Assessment (SGA) at hospital discharge, as well as a screening for sarcopenia (SARC-F test) and SNAQ re-test 15 days and 6 months after by a phone call. Symptoms related to food intake, anthropometric and analytical data were also collected. RESULTS: We evaluated 936 patients with a mean age of 63.7 ± 15.3 years; predominantly male (59.7%), overweight 41%, obesity 40.4%; hypertension 52.9%; diabetes mellitus 26.6% and cancer 10.4%. The stay hospital length was 17.3 ± 13.8 days and 13.6% patients died during hospitalization. The modality of nutritional support was: 86.1% dietary adaptation + oral nutritional supplements (ONS); 12.4% enteral nutrition (EN) by nasogastric (NG) tube; 0.9% parenteral nutrition (PN) and 0.6% EN plus PN. Focusing on patients who received AN, follow-up post discharge was possible in 62 out of 87 who survived. Of these, at the time of hospital discharge, 96.7% presented nutritional risk by SNAQ and 100% malnutrition by SGA (20% B; 80% C). During admission, 82.3% presented intense anorexia and the mean weight loss was 10.9 ± 6 Kg (p |
| Databáze: | OpenAIRE |
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