The validity of the global leadership initiative on malnutrition criteria for diagnosing malnutrition in critically ill patients with COVID-19: A prospective cohort study

Shahbazi, Shaahin; Hajimohammadebrahim-Ketabforoush, Melika; Shariatpanahi, Zahra Vahdat; Shahbazi, Erfan

doi:10.1016/j.clnesp.2021.03.020

Cited by 46 publications

(60 citation statements)

References 23 publications

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“…Yogurt, a fermented dairy product, exhibits interesting properties related to the presence of bioactive peptides and probiotics that may play a bene cial role in COVID-19 presentation and outcome. (Shahbazi et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Associations between Diet History and Symptoms in Covid-19 Recovered People

Sahloul

Sahlou

2022

Preprint

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Most prior studies confirm that people who eat a balanced diet have stronger immunity. The current study aimed to identify the effect of the diet history of COVID-19 patients recovered from occurring symptoms and their severity. The study sample consisted of 346 people aged 20–65 years. The study includes (personal data and an electronic questionnaire for getting diet history and the kinds of symptoms). Then the study focused on four hardness symptoms (fever, body pain, cough, and dyspnea) to find a relationship between them and some immunity foods. In this study, we can conclude that:-Intake of some functional foods slightly affected the reduction of symptoms occurring in compared with those who did not eat any of these foods by using averages of their percent, which was 88.1% suffered from symptoms in the case of no intake of these foods, compared with symptoms in cases of little and intensive intake, which were 85.54% and 85.55%, respectively.

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Section: Discussionmentioning

confidence: 99%

Associations between Diet History and Symptoms in Covid-19 Recovered People

Sahloul

Sahlou

2022

Preprint

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“…Patients who are critically ill are defined as cases with respiratory failure, shock, or multiorgan dysfunction, who should be treated in the intensive care unit (ICU) according to World Health Organization (WHO) classification ( 18 ). Some of the patients from our previous cohort study were included in the current study ( 19 ). The exclusion criteria comprised the patients without weight and height data, participation in other clinical trials, pregnancy, ICU stay <72 h, and those with end-stage kidney disease, cirrhosis, and cancer.…”

Section: Methodsmentioning

confidence: 99%

“…Up to 30% of infected patients present with an acute respiratory distress syndrome (ARDS) require urgent respiratory and hemodynamic support in the intensive care unit (ICU) (3). A highlighted feature in these catabolic patients with coronavirus disease 2019 (COVID- 19) is the cytokine storm that could result in muscle breakdown and proteolysis (4). In several previous studies on non-COVID critically ill, muscle breakdown was reported to be associated with worsened clinical outcomes (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Protein and Energy Intake Assessment and Their Association With In-Hospital Mortality in Critically Ill COVID-19 Patients: A Prospective Cohort Study

Hajimohammadebrahim-Ketabforoush

Shariatpanahi

Shahbazi

2021

Front. Nutr.

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Background and Aim: It is partially known that nutritional intake could alleviate proteolysis and course of disease severity in patients with COVID-19; however, not enough data are available in this regard. The present study aimed to assess protein and energy intake and their association with in-hospital mortality in critically ill COVID-19 patients.Methods: A total of 126 patients with COVID-19, who were critically ill, ≥5 days and a subset of 111 patients in ICU ≥10 days completed the present prospective observational cohort study.Results: Protein and energy intakes on Day 5 of ICU admission in survivors were 46 and 58% of target values, respectively. These values in non-survivors were 42 and 50% of target values, respectively (p < 0.05). In the sample ≥10 days, protein and energy intakes in survivors reached 64 and 87% of target values, respectively, without statistically significant differences with non-survivors. In the sample ≥5 days, Cox proportional hazard regression was adjusted for GLIM, APACHE II, comorbidity, and age; the results indicated that the patients with protein and energy intake lower than 0.59 g/kg/day and 14 kcal/kg/day, had ~2-fold mortality hazard (protein: HR, 2.38; 95% CI, 1.40–4.03; P = 0.001 and energy: HR, 2.23; 95% CI, 1.27–3.92; P = 0.005).Conclusion: Actual protein and energy intakes in critically ill patients with COVID-19 are in suboptimal levels compared with goal recommendations in these patients. Moreover, higher amounts of protein and energy intakes in the early acute phase were significantly associated with better survival and lower risk of in-hospital mortality.

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“…Research is required now to apply the proposed GLIM criteria in validation studies for malnutrition diagnosis in diverse settings, diagnoses, sex and age groups (21) . Published work is now emerging with studies examining validation in different populations (22)(23)(24)(25)(26) and more developments are expected in the coming years.…”

Section: Screening Tools and Diagnostic Criteriamentioning

confidence: 99%

Advances in knowledge of screening practices and their use in clinical practice to prevent malnutrition

2021

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Malnutrition is common among older adults and is associated with a progressive decline in overall health and increased mortality. With a rapidly ageing population, the detection, prevention and management of malnutrition require urgent attention within health service planning and delivery. Routine screening for malnutrition among older adults in community settings, which addresses aetiological as well as phenotypic factors, is considered an important step for prevention and early intervention. The aim of this review is to summarise current malnutrition screening literature and highlight research that seeks to understand and address community-based approaches to malnutrition screening and management. Key healthcare professionals (HCPs) that encounter community-dwelling older adults include general practitioners (GPs), community-based nurses, community pharmacists and a range of other health and social care professionals including dietitians, physiotherapists, speech and language therapists, and occupational therapists. The key barriers to implementing screening in primary care include lack of knowledge about malnutrition among non-dietetic HCPs, lack of resources allocated to managing malnutrition, lack of access to dietetic services, and poor GP knowledge about oral nutritional supplement prescribing. In addition, older adults have poor insight into the clinical condition and the associated negative health implications. Investment in education among HCPs and public awareness is required, as well as accompanying resources to successfully implement malnutrition screening programmes for community-dwelling older adults.

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The validity of the global leadership initiative on malnutrition criteria for diagnosing malnutrition in critically ill patients with COVID-19: A prospective cohort study

Cited by 46 publications

References 23 publications

Associations between Diet History and Symptoms in Covid-19 Recovered People

Associations between Diet History and Symptoms in Covid-19 Recovered People

Protein and Energy Intake Assessment and Their Association With In-Hospital Mortality in Critically Ill COVID-19 Patients: A Prospective Cohort Study

Advances in knowledge of screening practices and their use in clinical practice to prevent malnutrition

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