Risk of Malnutrition Is Common in Patients with Coronavirus Disease 2019 (COVID-19) in Wuhan, China: A Cross-sectional Study

Liu, Aihong; Cong, Jingjing; Wang, Qiong; Mei, Yuxin; Peng, Yingjie; Zhou, Meng; Zhu, Wenli; Chen, Xiaoqing; Guan, Wenjing; He, Ping

doi:10.1093/jn/nxab009

Cited by 17 publications

(30 citation statements)

References 15 publications

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“…Abbreviations: COPD, chronic obstructive pulmonary disease; IQR, interquartile range.a According to the criteria of the American Thoracic Society and Infectious Diseases Society of America[23].…”

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confidence: 99%

Nutritional parameters associated with prognosis in non-critically ill hospitalized COVID-19 patients: The NUTRI-COVID19 study

et al. 2022

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Background & Aims To investigate the association between the parameters used in nutritional screening assessment (body mass index [BMI], unintentional weight loss [WL] and reduced food intake) and clinical outcomes in non-critically ill, hospitalized coronavirus disease 2019 (COVID-19) patients. Methods This was a prospective multicenter real-life study carried out during the first pandemic wave in 11 Italian Hospitals. In total, 1391 patients were included. The primary end-point was a composite of in-hospital mortality or admission to ICU, whichever came first. The key secondary end-point was in-hospital mortality. Results Multivariable models were based on 1183 patients with complete data. Reduced self-reported food intake before hospitalization and/or expected by physicians in the next days since admission was found to have a negative prognostic impact for both the primary and secondary end-point (P<0.001 for both). No association with BMI and WL was observed. Other predictors of outcomes were age and presence of multiple comorbidities. A significant interaction between obesity and multi-morbidity (≥2) was detected. Obesity was found to be a risk factor for composite end-point (HR=1.36 [95%CI, 1.03-1.80]; P=.031) and a protective factor against in-hospital mortality (HR=0.32 [95%CI, 0.20-0.51]; P<.001) in patients with and without multiple comorbidities, respectively. Secondary analysis (patients, N=829), further adjusted for high C-reactive protein (>21 mg/dL) and LDH (>430 mU/mL) levels yielded consistent findings. Conclusions Reduced self-reported food intake before hospitalization and/or expected by physicians in the next days since admission was associated with negative clinical outcomes in non-critically ill, hospitalized COVID-19 patients. This simple and easily obtainable parameter may be useful to identify patients at highest risk of poor prognosis, who may benefit from prompt nutritional support. The presence of comorbidities could be the key factor, which may determine the protective or harmful role of a high body mass index in COVID-19.

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confidence: 99%

Nutritional parameters associated with prognosis in non-critically ill hospitalized COVID-19 patients: The NUTRI-COVID19 study

et al. 2022

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“…In a cross-sectional study that evaluates the risk of malnutrition in COVID-19 patients, no significant difference was found in the symptoms such as cough, fatigue, dyspnea, muscle soreness, headache, and diarrhea between the groups separated according to nutrition risk, although fever was more frequently observed in the patients with a higher risk of malnutrition [ 16 ]. In this study, the symptom of fever was low among the patients (18.4%) but was associated with malnutrition risk.…”

Section: Discussionmentioning

confidence: 99%

Nutrition improves COVID-19 clinical progress

et al. 2022

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Nutrition is a basic need and is crucial for the persistence of good health. This awareness has increased since December 2019 during the pandemic that the world is still facing. The importance of nutrition in infectious diseases was emphasized but the relationship between the severity of symptoms and nutrition status of individuals was not examined. This study compared the nutrition status of patients with COVID-19 admitted to the emergency service and the clinical severity of the disease. Based on the nutrition status of the 337 patients included in the study, 87.2% (294) of the patients were in the low-risk group while 12.8% (43) were in the high-risk group in terms of malnutrition. In the analysis conducted to examine the effect of nutrition on the severity of disease, the relationship between NRS 2002 and dyspnea, cough, weakness, fever, and other symptoms was statistically significant. It was concluded that healthy nutrition is crucial during the pandemic, and it is necessary to consider nutrition improvement as a way to cope with emerging viral infections.

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“…Using comprehensive search strategies, we identified 3,221 studies. After title and abstract screening and excluding There were three more studies that used NRS-2002 in hospitalized patients who were not in ICU [9,12,17]. Liu A, et al found lower BMI in those with a higher NRS-2002 score (p = 0.029).…”

Section: Study Characteristicsmentioning

confidence: 99%

The Association between Nutritional Parameters Used in Nutritional Risk Assessment (NRA) Tools in Hospitalized Malnourished COVID-19 Patients: A Systematic Review

Sadighi¹,

Sana²,

Forough³

et al. 2022

J Healthcare

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The coronavirus pandemic has created a huge health crisis with significant financial impacts and resource shortcomings. During this overwhelming situation, appropriate preventive, diagnostic, and therapeutic interventions are crucial. There are considerable nutritional concerns around COVID-19 disease and many new studies paid particular attention to malnutrition screening and micro-macro nutrient requirements among COVID-19 patients [1]. The prevalence of malnutrition reported in different studies varies according to many risk factors, including age, comorbidities, gastrointestinal symptoms of patients, and extended stay in intensive care units [2,3].There is a growing need for nutritional screening

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Risk of Malnutrition Is Common in Patients with Coronavirus Disease 2019 (COVID-19) in Wuhan, China: A Cross-sectional Study

Cited by 17 publications

References 15 publications

Nutritional parameters associated with prognosis in non-critically ill hospitalized COVID-19 patients: The NUTRI-COVID19 study

Nutritional parameters associated with prognosis in non-critically ill hospitalized COVID-19 patients: The NUTRI-COVID19 study

Nutrition improves COVID-19 clinical progress

The Association between Nutritional Parameters Used in Nutritional Risk Assessment (NRA) Tools in Hospitalized Malnourished COVID-19 Patients: A Systematic Review

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