ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection

Professional paper - Professional paper

• Author: Rocco Barazzoni
• Author: Stephan C. Bischoff
• Author: Joao Breda
• Author: Kremlin Wickramasinghe
• Author: Željko Krznarić; MBZ: 75865
• Author: Dorit Nitzan
• Author: Matthias Pirlich
• Author: Pierre Singer
• Author's institution: University of Zagreb; School of Medicine; (Department of Internal Medicine)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract (english)

The COVID-19 pandemics is posing unprecedented challenges and threats to patients and healthcare systems worldwide. Acute respiratory complications that require intensive care unit (ICU) management are a major cause of morbidity and mortality in COVID-19 patients. Patients with worst outcomes and higher mortality are reported to include immunocompromised subjects, namely older adults and polymorbid individuals and malnourished people in general. ICU stay, polymorbidity and older age are all commonly associated with high risk for malnutrition, representing per se a relevant risk factor for higher morbidity and mortality in chronic and acute disease. Also importantly, prolonged ICU stays are reported to be required for COVID-19 patients stabilization, and longer ICU stay may per se directly worsen or cause malnutrition, with severe loss of skeletal muscle mass and function which may lead to disability, poor quality of life and additional morbidity. Prevention, diagnosis and treatment of malnutrition should therefore be routinely included in the management of COVID-19 patients. In the current document, the European Society for Clinical Nutrition and Metabolism (ESPEN) aims at providing concise guidance for nutritional management of COVID-19 patients by proposing 10 practical recommendations. The practical guidance is focused to those in the ICU setting or in the presence of older age and polymorbidity, which are independently associated with malnutrition and its negative impact on patient survival.

• Keywords (english): Age Factors; Aged; Betacoronavirus; COVID-19; Comorbidity; Coronavirus Infections / epidemiology; Coronavirus Infections / therapy; Humans; Intensive Care Units; Malnutrition / diagnosis; Malnutrition / prevention & control; Malnutrition / therapy; Nutrition Therapy / methods; Nutritional Requirements; Pandemics; Pneumonia, Viral / epidemiology; Pneumonia, Viral / therapy; Prognosis; Respiration, Artificial; Risk Factors; SARS-CoV-2
• Language: english
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Clinical Nutrition
• Numbering: vol. 39, no. 6, pp. 1631-1638
• p-ISSN: 0261-5614
• e-ISSN: 1532-1983
• DOI: https://doi.org/10.1016/j.clnu.2020.03.022
• URN:NBN: urn:nbn:hr:105:268347
• Publication: 2020-06
• Document URL: https://linkinghub.elsevier.com/retrieve/pii/S0261561420301400
• Type of resource: Text
• Access conditions: Open access
• Created on: 2021-04-13 10:13:58