Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf)
Background: Long-term effects of COVID-19 showed a wide range of symptoms. Also, it was found that older patients were five times more likely than younger patients to develop long-COVID symptoms (1). This study aimed to investigate the use of Nutrition Risk Screening 2002 (NRS-2002) and the Mini Nut...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-02-01
|
| Series: | Journal of Infection and Public Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034123003921 |
| _version_ | 1827377896781512704 |
|---|---|
| author | Ghalia Shamlan Mohammed Albreiki Hadeel O. Almasoudi Lina A. Alshehri Mazen M. Ghaith Abdulrahman S. Alharthi Fadilah S. Aleanizy |
| author_facet | Ghalia Shamlan Mohammed Albreiki Hadeel O. Almasoudi Lina A. Alshehri Mazen M. Ghaith Abdulrahman S. Alharthi Fadilah S. Aleanizy |
| author_sort | Ghalia Shamlan |
| collection | DOAJ |
| description | Background: Long-term effects of COVID-19 showed a wide range of symptoms. Also, it was found that older patients were five times more likely than younger patients to develop long-COVID symptoms (1). This study aimed to investigate the use of Nutrition Risk Screening 2002 (NRS-2002) and the Mini Nutrition Assessment–Short Form (MNA-sf) among COVID-19 in elderly patients in Saudi Arabia. Methods: A total of (n = 159) COVID-19 elderly patients were recruited in the study; the relationship between patients' characteristics, including age, gender, Body Mass Index (BMI), infection history, vaccination and chronic disease were evaluated using NRS-2002 and MNA-sf. Multivariate logistic regression to estimate the Odd Ratio (OR) by comparing the OR of different variables between normal nutritional Status and at-risk and Cohen's kappa (κ) coefficient was assessed to analyse the agreement between both tools. Results: MNA-sf showed a positive association between age and malnutrition risk ≥ 66 years old P = 0.035. Both tools showed a negative association between BMI (P < 0.001 and P = 0.046), respectively and vaccination (P = 0.002 and P = 0.01), respectively, with risk for malnutrition. There was no significant association between Diabetes (DM) and malnutrition risk, but elderly Cardiovascular Disease (CVD) were at malnutrition risk using the NRS- 2002 tool P = 0.003. Inversely, people infected six months or more before malnutrition assessment have a lower risk of malnutrition P = 0.05. Conclusions: Both tools were valuable and practical tools for screening elderly people with COVID-19 who are at nutritional risk and those in need of additional nutritional intervention. Further research needed to be applied in the relationship between nutritional status during and post-infectious disease for elderly people using cross-sectional and intervention studies in order to prevent malnutrition complications in Saudi Arabia. |
| first_indexed | 2024-03-08T12:47:01Z |
| format | Article |
| id | doaj.art-1294d41a98e040ceb04240abfeba8e15 |
| institution | Directory Open Access Journal |
| issn | 1876-0341 |
| language | English |
| last_indexed | 2024-03-08T12:47:01Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj.art-1294d41a98e040ceb04240abfeba8e152024-01-21T05:06:01ZengElsevierJournal of Infection and Public Health1876-03412024-02-01172372377Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf)Ghalia Shamlan0Mohammed Albreiki1Hadeel O. Almasoudi2Lina A. Alshehri3Mazen M. Ghaith4Abdulrahman S. Alharthi5Fadilah S. Aleanizy6Department of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi Arabia; Corresponding author.Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates; Biosecurity Affairs Division, Innovation and Development Sector, Abu Dhabi Agriculture and Food Safety Authority, Abu Dhabi, United Arab Emirates; Corresponding author at: Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates.Department of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi ArabiaDepartment of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Laboratory Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, P.O. Box 7607, Al Abdeyah, Makkah, Saudi ArabiaDepartment of Animal Production, College of food science and agriculture, King Saud University, Riyadh, Saudi ArabiaDepartment of Pharmacutics, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaBackground: Long-term effects of COVID-19 showed a wide range of symptoms. Also, it was found that older patients were five times more likely than younger patients to develop long-COVID symptoms (1). This study aimed to investigate the use of Nutrition Risk Screening 2002 (NRS-2002) and the Mini Nutrition Assessment–Short Form (MNA-sf) among COVID-19 in elderly patients in Saudi Arabia. Methods: A total of (n = 159) COVID-19 elderly patients were recruited in the study; the relationship between patients' characteristics, including age, gender, Body Mass Index (BMI), infection history, vaccination and chronic disease were evaluated using NRS-2002 and MNA-sf. Multivariate logistic regression to estimate the Odd Ratio (OR) by comparing the OR of different variables between normal nutritional Status and at-risk and Cohen's kappa (κ) coefficient was assessed to analyse the agreement between both tools. Results: MNA-sf showed a positive association between age and malnutrition risk ≥ 66 years old P = 0.035. Both tools showed a negative association between BMI (P < 0.001 and P = 0.046), respectively and vaccination (P = 0.002 and P = 0.01), respectively, with risk for malnutrition. There was no significant association between Diabetes (DM) and malnutrition risk, but elderly Cardiovascular Disease (CVD) were at malnutrition risk using the NRS- 2002 tool P = 0.003. Inversely, people infected six months or more before malnutrition assessment have a lower risk of malnutrition P = 0.05. Conclusions: Both tools were valuable and practical tools for screening elderly people with COVID-19 who are at nutritional risk and those in need of additional nutritional intervention. Further research needed to be applied in the relationship between nutritional status during and post-infectious disease for elderly people using cross-sectional and intervention studies in order to prevent malnutrition complications in Saudi Arabia.http://www.sciencedirect.com/science/article/pii/S1876034123003921MalnutritionCOVID-19Nutritional Risk Screening–2002 (NRS-2002)Mini Nutritional Assessment–Short Form (MNA-sf)Elderly |
| spellingShingle | Ghalia Shamlan Mohammed Albreiki Hadeel O. Almasoudi Lina A. Alshehri Mazen M. Ghaith Abdulrahman S. Alharthi Fadilah S. Aleanizy Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) Journal of Infection and Public Health Malnutrition COVID-19 Nutritional Risk Screening–2002 (NRS-2002) Mini Nutritional Assessment–Short Form (MNA-sf) Elderly |
| title | Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) |
| title_full | Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) |
| title_fullStr | Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) |
| title_full_unstemmed | Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) |
| title_short | Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf) |
| title_sort | nutritional status of elderly patients previously ill with covid 19 assessment with nutritional risk screening 2002 nrs 2002 and mini nutritional assessment mna sf |
| topic | Malnutrition COVID-19 Nutritional Risk Screening–2002 (NRS-2002) Mini Nutritional Assessment–Short Form (MNA-sf) Elderly |
| url | http://www.sciencedirect.com/science/article/pii/S1876034123003921 |
| work_keys_str_mv | AT ghaliashamlan nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT mohammedalbreiki nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT hadeeloalmasoudi nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT linaaalshehri nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT mazenmghaith nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT abdulrahmansalharthi nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf AT fadilahsaleanizy nutritionalstatusofelderlypatientspreviouslyillwithcovid19assessmentwithnutritionalriskscreening2002nrs2002andmininutritionalassessmentmnasf |