Data di Pubblicazione:
2023
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.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
Anorexia of aging; GLIM criteria; Geriatrics; Long Covid; Nutritional status
Elenco autori:
Tosato, Matteo; Calvani, Riccardo; 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; Null, Null
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