Body mass index and Mini Nutritional Assessment-Short Form as predictors of in-geriatric hospital mortality in older adults with COVID-19

Clinical Nutrition, Journal Year: 2021, Volume and Issue: 41(12), P. 2973 - 2979

Published: July 29, 2021

Background & aimsOverweight and obesity have been consistently reported to carry an increased risk for poorer outcomes in coronavirus disease 2019 (COVID-19) adults. Existing reports mainly focus on in-hospital intensive care unit mortality patient cohorts usually not representative of the population with highest mortality, i.e. very old frail patients. Accordingly, little is known about patterns related body mass nutrition Our aim was assess relationship between index (BMI), nutritional status in-geriatric hospital among geriatric patients treated COVID-19. As a reference, analyses were performed also other diagnoses than COVID-19.MethodsWe analyzed up 10,031 median age 83 years which 1409 (14%) hospitalized COVID-19 8622 (86%) seven hospitals Stockholm region, Sweden during March 2020–January 2021. Data available electronic records. The associations 1) BMI 2) status, assessed using Mini-Nutritional Assessment - Short Form (MNA-SF) scale, short-term logistic regression.ResultsAfter adjusting age, sex, comorbidity, polypharmacy, frailty wave pandemic (first vs. second), underweight defined as BMI<18.5 (odds ratio [OR] = 2.30; confidence interval [CI] 1.17–4.31). Overweight associated mortality. Malnutrition; MNA-SF 0–7 points, (OR 2.03; CI 1.16–3.68) causes 6.01; 2.73–15.91).ConclusionsOur results indicate that factor COVID-19, but emphasize role malnutrition

Language: Английский

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COVID-19: Lessons on malnutrition, nutritional care and public health from the ESPEN-WHO Europe call for papers

Clinical Nutrition, Journal Year: 2022, Volume and Issue: 41(12), P. 2858 - 2868

Published: Aug. 11, 2022

Language: Английский

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Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis

Nutrients, Journal Year: 2022, Volume and Issue: 14(24), P. 5267 - 5267

Published: Dec. 10, 2022

(1) Background: Studies have reported that COVID-19 may increase the risk of malnutrition among patients. However, prevalence such in hospitalized patients is uncertain due to inconsistent use assessment methods. (2) Methods: PubMed, Web Science, and EMBASE were searched identify studies on nutritional status A pooled evaluated by Nutrition Risk Score (NRS-2002) was obtained using a random effects model. Differences study-level characteristics examined hospitalization setting, time assessment, age, country. bias assessed Newcastle–Ottawa Scale. (3) Results: 53 from 17 countries identified summarized. total NRS-2002, including 3614 included primary meta-analysis. The significantly higher ICU (92.2%, 95% CI: 85.9% 96.8%) than general ward (70.7%, 56.4% 83.2%) (p = 0.002). No significant differences found between age groups (≥65 vs. <65 years, p 0.306) 0.893). (4) Conclusions: High common concerning with COVID-19, suggesting screening support during are needed.

Language: Английский

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Diet-Related Inflammation Is Associated with Worse COVID-19 Outcomes in the UK Biobank Cohort

Nutrients, Journal Year: 2023, Volume and Issue: 15(4), P. 884 - 884

Published: Feb. 9, 2023

Diet, the most important modulator of inflammatory and immune responses, may affect COVID-19 incidence disease severity. Data from 196,154 members UK biobank had at least one 24 h dietary recall. outcomes were based on PCR testing, hospital admissions, death certificates. Adjusted Poisson regression analyses performed to estimate risk ratios (RR) their 95% confidence intervals (CI) for index (DII)/energy-adjusted DII (E-DII) scores. Models adjusted sociodemographic factors, comorbidities, smoking status, physical activity, sleep duration. Between January 2020 March 2021, there 11,288 incident cases, 1270 COVID-19-related hospitalizations, 315 deaths. The fully model showed that participants in highest (vs. lowest) DII/E-DII quintile 10-17% increased (DII: RR Q5 vs. Q1 = 1.10, CI 1.04-1.17, Ptrend < 0.001; E-DII: 1.17, 1.10-1.24, 0.001) ≈40% higher was observed severity 1.40, 1.18-1.67, 1.39, 1.16-1.66, 0.001). There a 43% (RR 1.43, 1.01-2.01, 0.04). About one-quarter positive associations between mediated by body mass (25.8% incidence, 21.6% severity, 19.8% death). Diet-associated inflammation infection, severe disease, death.

Language: Английский

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The nutritional status of the elderly patient infected with COVID-19: the forgotten risk factor?

Current Medical Research and Opinion, Journal Year: 2021, Volume and Issue: 37(4), P. 549 - 554

Published: Jan. 29, 2021

Since the first cases of COVID-19 were reported in Wuhan, nutritional status individuals infected with virus has not been included risk profiles prepared. However, status, along other factors, is decisive evolution patients infectious diseases. The considered an indicator health status. Furthermore, optimal transcends individual, and poor diet a population can be group factor. Evidence exists on influence that immune system susceptibility to disease.To evaluate older than 65 years who admitted due how this influenced patients.This prospective observational study was performed infection confirmed by real-time polymerase chain reaction. Data collected from 24 h admission. All during one month wards assigned included.A total 83 studied. statistical mortality showed associations age (p = .005), living nursing home .022), high Charlson Comorbidity Index .039), hypertension .032), comorbidities dementia .019) cerebral vascular disease .041), Barthel .010). analysis state revealed association between malnutrition pooled data .005) degrees .27).Malnutrition factor as powerful others such hypertension, age, different comorbidities. We must treat elderly since it directly affects their evolution.

Language: Английский

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