Oropharyngeal dysphagia and malnutrition in patients with Covid-19 at the Consorci Sanitari Del Maresme, Catalonia, Spain: Prevalence and needs of compensatory treatment

Abstract

More 3-year deficit accumulation was observed when replacing 100 g/day of fried food with an equal amount of non-fried food (1.48 [0.59, 2.37]); corresponding values in substitution analyses were 2.03 [1.03, 3.03] for fried protein-rich food, 10. 76 [5.20, 16.33] for fried eggs, and 2.06 [0.68, 3.43] for fried fish. Also, increased olive oil intake was significantly associated with less 3-year deficit accumulation (total olive oil: -1.14 [-2.07, -0.21], and olive oil with non-fried food: -0.99 [-1.89, -0.08]). Conclusion:In a Mediterranean country, where olive oil is the most common frying medium, increased fried food consumption was associated with delayed unhealthy aging over 3 years of follow-up; consumption of olive oil and fried protein-rich food (especially eggs and fish) were its main drivers. However, these associations did not generally remain after 6 years. References: N/A.

Strategies to ensure continuity of nutritional care in patients with COVID-19 infection on discharge from hospital: A rapid review

“…We do not recommend the guideline by Chen et al (2020) because of shortcomings in most domains, however we do recommend the use of the other guidelines. Six studies [30e32, 34,37,38] including two abstracts [37,38] suggest a significant proportion of patients with COVID-19 are at high risk of malnutrition. A variety of screening and diagnostic tools or criteria were used including NRS-2002 [30,38], MNA [32], Modified NRS-2002 tool [34], GLIM criteria [34,38], and low BMI with or without weight loss [31], as indicators of risk.…”

“…Six studies [30e32, 34,37,38] including two abstracts [37,38] suggest a significant proportion of patients with COVID-19 are at high risk of malnutrition. A variety of screening and diagnostic tools or criteria were used including NRS-2002 [30,38], MNA [32], Modified NRS-2002 tool [34], GLIM criteria [34,38], and low BMI with or without weight loss [31], as indicators of risk. Risk of malnutrition or undernutrition ranged from 74% to 92% [30e32, 34,38].…”

“…A variety of screening and diagnostic tools or criteria were used including NRS-2002 [30,38], MNA [32], Modified NRS-2002 tool [34], GLIM criteria [34,38], and low BMI with or without weight loss [31], as indicators of risk. Risk of malnutrition or undernutrition ranged from 74% to 92% [30e32, 34,38]. Weight loss was variable; 61% patients in one study [32], 24e53% patients with 5e10% weight loss in others [32,34].…”

“…The presence of dysphagia was high at 52% [38] and the number of patients requiring texture modified diets ranged from 55 to 89% [35,38], the majority because of post-extubation dysphagia, 45% [37].…”