Malnutrition in COVID-19 survivors: prevalence and risk factors
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Published:2023-09-04
Issue:10
Volume:35
Page:2257-2265
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ISSN:1720-8319
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Container-title:Aging Clinical and Experimental Research
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language:en
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Short-container-title:Aging Clin Exp Res
Author:
Tosato Matteo, Calvani RiccardoORCID, Ciciarello Francesca, Galluzzo Vincenzo, Martone Anna Maria, Zazzara Maria Beatrice, Pais Cristina, Savera Giulia, Robles Maria Camprubi, Ramirez Maria, Landi Francesco, Landi Francesco, Gremese Elisa, Bernabei Roberto, Fantoni Massimo, Gasbarrini Antonio, Tosato Matteo, Settanni Carlo Romano, Porcari Serena, Benvenuto Francesca, Bramato Giulia, Brandi Vincenzo, Carfì Angelo, Ciciarello Francesca, Lo Monaco Maria Rita, Martone Anna Maria, Marzetti Emanuele, Napolitano Carmen, Galluzzo Vincenzo, Pagano Francesco, Pais Cristina, Rocchi Sara, Rota Elisabetta, Salerno Andrea, Tosato Matteo, Tritto Marcello, Calvani Riccardo, Zazzara Maria Beatrice, Catalano Lucio, Picca Anna, Savera Giulia, D’Elia Mariaelena, Biscotti Damiano, Cauda Roberto, Murri Rita, Cingolani Antonella, Ventura Giulio, Taddei Eleonora, Moschese Davide, Ciccullo Arturo, Fantoni Massimo, Stella Leonardo, Addolorato Giovanni, Franceschi Francesco, Mingrone Gertrude, Zocco Maria Assunta, Sanguinetti Maurizio, Cattani Paola, Marchetti Simona, Posteraro Brunella, Sali Michela, Bizzarro Alessandra, Lauria Alessandra, Rizzo Stanislao, Savastano Maria Cristina, Gambini Gloria, Cozzupoli Grazia Maria, Culiersi Carola, Passali Giulio Cesare, Paludetti Gaetano, Galli Jacopo, Crudo Fabrizio, Di Cintio Giovanni, Longobardi Ylenia, Tricarico Laura, Santantonio Mariaconsiglia, Di Cesare Tiziana, Guarino Mariateresa, Corbò Marco, Settimi Stefano, Mele Dario, Brigato Francesca, Buonsenso Danilo, Valentini Piero, Sinatti Dario, De Rose Gabriella, Richeldi Luca, Lombardi Francesco, Calabrese Angelo, Varone Francesco, Leone Paolo Maria, Siciliano Matteo, Corbo Giuseppe Maria, Montemurro Giuliano, Calvello Mariarosaria, Intini Enrica, Simonetti Jacopo, Pasciuto Giuliana, Adiletta Veronica, Sofia Carmelo, Licata Maria Angela, Sani Gabriele, Janiri Delfina, Simonetti Alessio, Modica Marco, Silvia Montanari, Catinari Antonello, Terenzi Beatrice, Natale Luigi, Larici Anna Rita, Marano Riccardo, Pirronti Tommaso, Infante Amato, Paglionico Annamaria, Petricca Luca, Tolusso Barbara, Alivernini Stefano, Di Mario Clara, Santoliquido Angelo, Santoro Luca, Nesci Antonio, Di Giorgio Angela, D’Alessandro Alessia,
Abstract
Abstract
Background
Nutritional status is a critical factor throughout COVID-19 disease course. Malnutrition is associated with poor outcomes in hospitalized COVID-19 patients.
Aim
To assess the prevalence of malnutrition and identify its associated factors in COVID-19 survivors.
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
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
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
Our findings highlight the need to implement comprehensive nutritional assessment and therapy as an integral part of care for COVID-19 patients.
Funder
Università Cattolica del Sacro Cuore
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology,Aging
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