Malnutrition in COVID-19 survivors: prevalence and risk factors.
Anorexia of aging
GLIM criteria
Geriatrics
Long Covid
Nutritional status
Journal
Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
19
12
2022
accepted:
31
07
2023
medline:
4
10
2023
pubmed:
4
9
2023
entrez:
4
9
2023
Statut:
ppublish
Résumé
Nutritional status is a critical factor throughout COVID-19 disease course. Malnutrition is associated with poor outcomes in hospitalized COVID-19 patients. To assess the prevalence of malnutrition and identify its associated factors in COVID-19 survivors. Study cohort included 1230 COVID-19 survivors aged 18-86 attending a post-COVID-19 outpatient service. Data on clinical parameters, anthropometry, acute COVID-19 symptoms, lifestyle habits were collected through a comprehensive medical assessment. Malnutrition was assessed according to Global Leadership Initiative on Malnutrition (GLIM) criteria. Prevalence of malnutrition was 22% at 4-5 months after acute disease. Participants who were not hospitalized during acute COVID-19 showed a higher frequency of malnutrition compared to those who needed hospitalization (26% versus 19%, p < 0.01). Malnutrition was found in 25% COVID-19 survivors over 65 years of age compared to 21% younger participants (p < 0.01). After multivariable adjustment, the likelihood of being malnourished increased progressively and independently with advancing age (Odds ratio [OR] 1.02; 95% CI 1.01-1.03) and in male participants (OR 5.56; 95% CI 3.53-8.74). Malnutrition was associated with loss of appetite (OR 2.50; 95% CI 1.73-3.62), and dysgeusia (OR 4.05; 95% CI 2.30-7.21) during acute COVID-19. In the present investigation we showed that malnutrition was highly prevalent in a large cohort of COVID-19 survivors at 4-5 months from acute illness. Our findings highlight the need to implement comprehensive nutritional assessment and therapy as an integral part of care for COVID-19 patients.
Sections du résumé
BACKGROUND
BACKGROUND
Nutritional status is a critical factor throughout COVID-19 disease course. Malnutrition is associated with poor outcomes in hospitalized COVID-19 patients.
AIM
OBJECTIVE
To assess the prevalence of malnutrition and identify its associated factors in COVID-19 survivors.
METHODS
METHODS
Study cohort included 1230 COVID-19 survivors aged 18-86 attending a post-COVID-19 outpatient service. Data on clinical parameters, anthropometry, acute COVID-19 symptoms, lifestyle habits were collected through a comprehensive medical assessment. Malnutrition was assessed according to Global Leadership Initiative on Malnutrition (GLIM) criteria.
RESULTS
RESULTS
Prevalence of malnutrition was 22% at 4-5 months after acute disease. Participants who were not hospitalized during acute COVID-19 showed a higher frequency of malnutrition compared to those who needed hospitalization (26% versus 19%, p < 0.01). Malnutrition was found in 25% COVID-19 survivors over 65 years of age compared to 21% younger participants (p < 0.01). After multivariable adjustment, the likelihood of being malnourished increased progressively and independently with advancing age (Odds ratio [OR] 1.02; 95% CI 1.01-1.03) and in male participants (OR 5.56; 95% CI 3.53-8.74). Malnutrition was associated with loss of appetite (OR 2.50; 95% CI 1.73-3.62), and dysgeusia (OR 4.05; 95% CI 2.30-7.21) during acute COVID-19.
DISCUSSION
CONCLUSIONS
In the present investigation we showed that malnutrition was highly prevalent in a large cohort of COVID-19 survivors at 4-5 months from acute illness.
CONCLUSIONS
CONCLUSIONS
Our findings highlight the need to implement comprehensive nutritional assessment and therapy as an integral part of care for COVID-19 patients.
Identifiants
pubmed: 37665556
doi: 10.1007/s40520-023-02526-4
pii: 10.1007/s40520-023-02526-4
pmc: PMC10520154
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2257-2265Investigateurs
Francesco Landi
(F)
Elisa Gremese
(E)
Roberto Bernabei
(R)
Massimo Fantoni
(M)
Antonio Gasbarrini
(A)
Matteo Tosato
(M)
Carlo Romano Settanni
(CR)
Serena Porcari
(S)
Francesca Benvenuto
(F)
Giulia Bramato
(G)
Vincenzo Brandi
(V)
Angelo Carfì
(A)
Francesca Ciciarello
(F)
Maria Rita Lo Monaco
(MR)
Anna Maria Martone
(AM)
Emanuele Marzetti
(E)
Carmen Napolitano
(C)
Vincenzo Galluzzo
(V)
Francesco Pagano
(F)
Cristina Pais
(C)
Sara Rocchi
(S)
Elisabetta Rota
(E)
Andrea Salerno
(A)
Matteo Tosato
(M)
Marcello Tritto
(M)
Riccardo Calvani
(R)
Maria Beatrice Zazzara
(MB)
Lucio Catalano
(L)
Anna Picca
(A)
Giulia Savera
(G)
Mariaelena D'Elia
(M)
Damiano Biscotti
(D)
Roberto Cauda
(R)
Rita Murri
(R)
Antonella Cingolani
(A)
Giulio Ventura
(G)
Eleonora Taddei
(E)
Davide Moschese
(D)
Arturo Ciccullo
(A)
Massimo Fantoni
(M)
Leonardo Stella
(L)
Giovanni Addolorato
(G)
Francesco Franceschi
(F)
Gertrude Mingrone
(G)
Maria Assunta Zocco
(MA)
Maurizio Sanguinetti
(M)
Paola Cattani
(P)
Simona Marchetti
(S)
Brunella Posteraro
(B)
Michela Sali
(M)
Alessandra Bizzarro
(A)
Alessandra Lauria
(A)
Stanislao Rizzo
(S)
Maria Cristina Savastano
(MC)
Gloria Gambini
(G)
Grazia Maria Cozzupoli
(GM)
Carola Culiersi
(C)
Giulio Cesare Passali
(GC)
Gaetano Paludetti
(G)
Jacopo Galli
(J)
Fabrizio Crudo
(F)
Giovanni Di Cintio
(G)
Ylenia Longobardi
(Y)
Laura Tricarico
(L)
Mariaconsiglia Santantonio
(M)
Tiziana Di Cesare
(T)
Mariateresa Guarino
(M)
Marco Corbò
(M)
Stefano Settimi
(S)
Dario Mele
(D)
Francesca Brigato
(F)
Danilo Buonsenso
(D)
Piero Valentini
(P)
Dario Sinatti
(D)
Gabriella De Rose
(G)
Luca Richeldi
(L)
Francesco Lombardi
(F)
Angelo Calabrese
(A)
Francesco Varone
(F)
Paolo Maria Leone
(PM)
Matteo Siciliano
(M)
Giuseppe Maria Corbo
(GM)
Giuliano Montemurro
(G)
Mariarosaria Calvello
(M)
Enrica Intini
(E)
Jacopo Simonetti
(J)
Giuliana Pasciuto
(G)
Veronica Adiletta
(V)
Carmelo Sofia
(C)
Maria Angela Licata
(MA)
Gabriele Sani
(G)
Delfina Janiri
(D)
Alessio Simonetti
(A)
Marco Modica
(M)
Montanari Silvia
(M)
Antonello Catinari
(A)
Beatrice Terenzi
(B)
Luigi Natale
(L)
Anna Rita Larici
(AR)
Riccardo Marano
(R)
Tommaso Pirronti
(T)
Amato Infante
(A)
Annamaria Paglionico
(A)
Luca Petricca
(L)
Barbara Tolusso
(B)
Stefano Alivernini
(S)
Clara Di Mario
(C)
Angelo Santoliquido
(A)
Luca Santoro
(L)
Antonio Nesci
(A)
Angela Di Giorgio
(A)
Alessia D'Alessandro
(A)
Informations de copyright
© 2023. The Author(s).
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