TY - JOUR
T1 - Malnutrition in COVID-19 survivors: prevalence and risk factors
AU - Tosato, Matteo
AU - Calvani, Riccardo
AU - Martone, Anna Maria
AU - Zazzara, Maria Beatrice
AU - Savera, Giulia
AU - Landi, Francesco
AU - Landi, Francesco
AU - Gremese, Elisa
AU - Bernabei, Roberto
AU - Fantoni, Massimo
AU - Gasbarrini, Antonio
AU - Tosato, Matteo
AU - Settanni, Carlo Romano
AU - Porcari, Serena
AU - Brandi, Vincenzo
AU - Lo Monaco, Maria Rita
AU - Martone, Anna Maria
AU - Marzetti, Emanuele
AU - Pagano, Francesco Cosimo
AU - Salerno, Andrea Maria
AU - Tosato, Matteo
AU - Calvani, Riccardo
AU - Zazzara, Maria Beatrice
AU - Catalano, Lucio
AU - Savera, Giulia
AU - Cauda, Roberto
AU - Murri, Rita
AU - Cingolani, Antonella
AU - Ventura, Giulio
AU - Fantoni, Massimo
AU - Stella, Leonardo
AU - Addolorato, Giovanni
AU - Zocco, Maria Assunta
AU - Sanguinetti, Maurizio
AU - Cattani Franchi, Paola
AU - Marchetti, Simona
AU - Posteraro, Brunella
AU - Sali, Michela
AU - Bizzarro, Alessandra
AU - Lauria, Alessandra
AU - Rizzo, Stanislao
AU - Savastano, Maria Cristina
AU - Gambini, Gloria
AU - Culiersi, Carola
AU - Passali, Giulio Cesare
AU - Paludetti, Gaetano
AU - Galli, Jacopo
AU - Longobardi, Ylenia
AU - Tricarico, Laura
AU - Di Cesare, Tiziana
AU - Settimi, Stefano
AU - Mele, Dario Antonio
AU - Buonsenso, Danilo
AU - Valentini, Piero
AU - Richeldi, Luca
AU - Lombardi, Francesco
AU - Varone, Francesco
AU - Leone, Paolo Maria
AU - Siciliano, Matteo
AU - Corbo, Giuseppe Maria
AU - Intini, Enrica
AU - Simonetti, Jacopo
AU - Pasciuto, Giuliana
AU - Adiletta, Veronica
AU - Sofia, Carmelo
AU - Licata, Maria Angela Vittoria Anna Chiara
AU - Sani, Gabriele
AU - Janiri, Delfina
AU - Simonetti, Alessio
AU - Modica, Marco
AU - Montanari, Silvia
AU - Catinari, Antonello
AU - Terenzi, Beatrice
AU - Natale, Luigi
AU - Larici, Anna Rita
AU - Marano, Riccardo
AU - Pirronti, Tommaso
AU - Petricca, Luca
AU - Tolusso, Barbara
AU - Alivernini, Stefano
AU - Di Mario, Clara
AU - Santoliquido, Angelo
AU - Nesci, Antonio
AU - Di Giorgio, Angela
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Anorexia of aging
KW - GLIM criteria
KW - Geriatrics
KW - Long Covid
KW - Nutritional status
KW - Anorexia of aging
KW - GLIM criteria
KW - Geriatrics
KW - Long Covid
KW - Nutritional status
UR - http://hdl.handle.net/10807/273078
U2 - 10.1007/s40520-023-02526-4
DO - 10.1007/s40520-023-02526-4
M3 - Article
SN - 1720-8319
VL - 35
SP - 2257
EP - 2265
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
ER -
