Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection

Pérez-Torres, Almudena; Muñoz, Ana; Arnal, Luis Miguel Lou; París, Alejandro Sanz; Peracho, Concepción Vidal; Catalá, Juan la Torre; Villanueva, Rafael Sánchez; Guldrís, Secundino Cigarrán; González, Filomeno Trocoli; Pérez, Antonio Valdivia; Amado, Ana; Garcia, Madeline; Cuadrado, Guillermina Barril

doi:10.1016/j.nefroe.2021.10.002

Cited by 1 publication

(3 citation statements)

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“…Regarding the presence of symptoms and their relationship with nutritional status, the study revealed that patients who were more nutritionally deteriorated after infection, those who presented a greater variation in GNRI, showed bilateral pneumonia and were hospitalized more frequently. Both associations remark the relationship between the worsening of nutritional status with the most severe form of the disease in HD patients, supporting the hypotheses proposed by other authors (Pérez-Torres et al, 2021).…”

Section: Discussionsupporting

confidence: 90%

“…Future studies with larger samples may confirm these ideas. On the other hand, the data suggest that monitoring and improve the nutrition of HD patients before infection or shortly after diagnosis could be successful strategies to prevent a stronger nutritional deterioration (Pérez-Torres et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, calorie–protein malnutrition or protein-energy wasting (PEW) is a prevalent problem among HD patients, being present in 28%–54% of them (Carrero et al, 2018). It has been suggested that the risk of malnutrition may increase in these patients after being infected by COVID-19 (Pérez-Torres et al, 2021). However, to date, few studies have shown how the infection can affect the nutritional status in different phases of the infection.…”

Section: Introductionmentioning

confidence: 99%

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Vaccination and Nutritional Outcomes of Hemodialysis Patients Infected With SARS-CoV-2

Villaverde-Núñez,

Ramírez López,

Rodríguez

et al. 2023

Nursing Research

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Background Patients on hemodialysis are particularly vulnerable to COVID-19 and may have a reduced response to vaccination due to a decreased immune response. The nutritional status prior or during the infection could also impact on the clinical effectiveness of vaccination. Objectives We aim to describe the evolution of clinical and nutritional biomarkers of hemodialysis patients infected with SARS-CoV-2 and to assess their association with vaccination status. Methods An observational, analytic, longitudinal, retrospective multicenter study was carried out in 82 patients on hemodialysis with SARS-CoV-2 infection. Nutritional status was assessed using the Geriatric Nutritional Risk Index (GNRI), anthropometry and biochemical parameters. The association of the vaccine doses with clinical and nutritional related variables were also evaluated. Results The percentage of vaccinated patients was similar to non-vaccinated patients. Prior to infection, the majority of the patients were malnourished. They presented lower albumin, creatinine and urea levels than the well-nourished patients. Significant deterioration of nutritional status after infection was evidenced considering GNRI score, dry weight and Body Mass Index. Albumin and creatinine also decreased significantly post-infection whereas C-reactive protein increased in the acute phase. Significant inverse correlation was found between the variation of post-pre GNRI scores and basal albumin and C-reactive protein at 7 days. Additionally, we observed the opposite trend between albumin at 30 days and basal cholesterol. A negative value in the GNRI variation was associated with bilateral pneumonia, need for hospitalization and nutritional support. Vaccinated patients presented substantially less bilateral pneumonia and hospitalization. No significant effects were observed between vaccine doses and the variation in nutritional status, although a positive correlation was detected with the albumin at 7 days and C-reactive protein prior to infection and the number of vaccine doses received. Discussion COVID-19 is associated with affectations in the nutritional status and biomarkers in hemodialysis patients. In this study vaccines have demonstrated a protective effect against the clinical consequences of COVID. However, they have shown limitations in preventing the deterioration of nutritional status after infection. The results highlight the importance of promoting the vaccination in these patients as well as incorporating nutritional assessment before, during and after the infection.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%