Malnutrition in COVID-19 survivors: prevalence and risk factors

Matteo Tosato, Riccardo Calvani, Anna Maria Martone, Maria Beatrice Zazzara, Giulia Savera, Francesco Landi, Francesco Landi, Elisa Gremese, Roberto Bernabei, Massimo Fantoni, Antonio Gasbarrini, Matteo Tosato, Carlo Romano Settanni, Serena Porcari, Vincenzo Brandi, Maria Rita Lo Monaco, Anna Maria Martone, Emanuele Marzetti, Francesco Cosimo Pagano, Andrea Maria SalernoMatteo Tosato, Riccardo Calvani, Maria Beatrice Zazzara, Lucio Catalano, Giulia Savera, Roberto Cauda, Rita Murri, Antonella Cingolani, Giulio Ventura, Massimo Fantoni, Leonardo Stella, Giovanni Addolorato, Maria Assunta Zocco, Maurizio Sanguinetti, Paola Cattani Franchi, Simona Marchetti, Brunella Posteraro, Michela Sali, Alessandra Bizzarro, Alessandra Lauria, Stanislao Rizzo, Maria Cristina Savastano, Gloria Gambini, Carola Culiersi, Giulio Cesare Passali, Gaetano Paludetti, Jacopo Galli, Ylenia Longobardi, Laura Tricarico, Tiziana Di Cesare, Stefano Settimi, Dario Antonio Mele, Danilo Buonsenso, Piero Valentini, Luca Richeldi, Francesco Lombardi, Francesco Varone, Paolo Maria Leone, Matteo Siciliano, Giuseppe Maria Corbo, Enrica Intini, Jacopo Simonetti, Giuliana Pasciuto, Veronica Adiletta, Carmelo Sofia, Maria Angela Vittoria Anna Chiara Licata, Gabriele Sani, Delfina Janiri, Alessio Simonetti, Marco Modica, Silvia Montanari, Antonello Catinari, Beatrice Terenzi, Luigi Natale, Anna Rita Larici, Riccardo Marano, Tommaso Pirronti, Luca Petricca, Barbara Tolusso, Stefano Alivernini, Clara Di Mario, Angelo Santoliquido, Antonio Nesci, Angela Di Giorgio

Risultato della ricerca: Contributo in rivistaArticolo in rivista

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.
Lingua originaleEnglish
pagine (da-a)2257-2265
Numero di pagine9
RivistaAging clinical and experimental research
Volume35
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • Anorexia of aging
  • GLIM criteria
  • Geriatrics
  • Long Covid
  • Nutritional status

Fingerprint

Entra nei temi di ricerca di 'Malnutrition in COVID-19 survivors: prevalence and risk factors'. Insieme formano una fingerprint unica.

Cita questo