Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam
Multisystem inflammatory syndrome is associated with COVID-19 and can result in reduced food intake, increased muscle catabolism, and electrolyte imbalance. Therefore COVID-19 patients are at high risk of being malnourished and of refeeding syndrome. The present study aimed to determine the prevalen...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/7/1760 |
| _version_ | 1797607296302317568 |
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| author | Linh Thuy Nguyen Thanh Van Ta An Tuong Bui Sy Nam Vo Ngoc-Lan Thi Nguyen |
| author_facet | Linh Thuy Nguyen Thanh Van Ta An Tuong Bui Sy Nam Vo Ngoc-Lan Thi Nguyen |
| author_sort | Linh Thuy Nguyen |
| collection | DOAJ |
| description | Multisystem inflammatory syndrome is associated with COVID-19 and can result in reduced food intake, increased muscle catabolism, and electrolyte imbalance. Therefore COVID-19 patients are at high risk of being malnourished and of refeeding syndrome. The present study aimed to determine the prevalence and correlates of malnutrition and refeeding syndrome (RS) among COVID-19 patients in Hanoi, Vietnam. This prospective cohort study analyzed data from 1207 patients who were treated at the COVID-19 hospital of Hanoi Medical University (HMUH COVID-19) between September 2021 and March 2022. Nutritional status was evaluated by the Global Leadership Initiative on Malnutrition (GLIM) and laboratory markers. GLIM-defined malnutrition was found in 614 (50.9%) patients. Among those with malnutrition, 380 (31.5%) and 234 (19.4%) had moderate and severe malnutrition, respectively. The prevalence of risk of RS was 346 (28.7%). Those with severe and critical COVID symptoms are more likely to be at risk of RS compared to those with mild or moderate COVID, and having severe and critical COVID-19 infection increased the incidence of RS by 2.47 times, compared to mild and moderate disease. There was an association between levels of COVID-19, older ages, comorbidities, the inability of eating independently, hypoalbuminemia and hyponatremia with malnutrition. The proportion of COVID-19 patients who suffered from malnutrition was high. These results underscore the importance of early nutritional screening and assessment in COVID-19 patients, especially those with severe and critical infection. |
| first_indexed | 2024-03-11T05:28:10Z |
| format | Article |
| id | doaj.art-d2266f193cf447c3bb24286c25ab5723 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T05:28:10Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-d2266f193cf447c3bb24286c25ab57232023-11-17T17:21:40ZengMDPI AGNutrients2072-66432023-04-01157176010.3390/nu15071760Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in VietnamLinh Thuy Nguyen0Thanh Van Ta1An Tuong Bui2Sy Nam Vo3Ngoc-Lan Thi Nguyen4Hanoi Medical University Hospital, Hanoi Medical University, 1st Ton That Tung, Dong Da District, Hanoi 100000, VietnamHanoi Medical University Hospital, Hanoi Medical University, 1st Ton That Tung, Dong Da District, Hanoi 100000, VietnamHanoi Medical University Hospital, Hanoi Medical University, 1st Ton That Tung, Dong Da District, Hanoi 100000, VietnamCenter for Biomedical Informatics, Vingroup Big Data Institute, Hai Ba Trung District, Hanoi 100000, VietnamHanoi Medical University Hospital, Hanoi Medical University, 1st Ton That Tung, Dong Da District, Hanoi 100000, VietnamMultisystem inflammatory syndrome is associated with COVID-19 and can result in reduced food intake, increased muscle catabolism, and electrolyte imbalance. Therefore COVID-19 patients are at high risk of being malnourished and of refeeding syndrome. The present study aimed to determine the prevalence and correlates of malnutrition and refeeding syndrome (RS) among COVID-19 patients in Hanoi, Vietnam. This prospective cohort study analyzed data from 1207 patients who were treated at the COVID-19 hospital of Hanoi Medical University (HMUH COVID-19) between September 2021 and March 2022. Nutritional status was evaluated by the Global Leadership Initiative on Malnutrition (GLIM) and laboratory markers. GLIM-defined malnutrition was found in 614 (50.9%) patients. Among those with malnutrition, 380 (31.5%) and 234 (19.4%) had moderate and severe malnutrition, respectively. The prevalence of risk of RS was 346 (28.7%). Those with severe and critical COVID symptoms are more likely to be at risk of RS compared to those with mild or moderate COVID, and having severe and critical COVID-19 infection increased the incidence of RS by 2.47 times, compared to mild and moderate disease. There was an association between levels of COVID-19, older ages, comorbidities, the inability of eating independently, hypoalbuminemia and hyponatremia with malnutrition. The proportion of COVID-19 patients who suffered from malnutrition was high. These results underscore the importance of early nutritional screening and assessment in COVID-19 patients, especially those with severe and critical infection.https://www.mdpi.com/2072-6643/15/7/1760nutritional statusrefeeding syndromeGLIMCOVID-19 |
| spellingShingle | Linh Thuy Nguyen Thanh Van Ta An Tuong Bui Sy Nam Vo Ngoc-Lan Thi Nguyen Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam Nutrients nutritional status refeeding syndrome GLIM COVID-19 |
| title | Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam |
| title_full | Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam |
| title_fullStr | Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam |
| title_full_unstemmed | Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam |
| title_short | Nutritional Status, Refeeding Syndrome and Some Associated Factors of Patients at COVID-19 Hospital in Vietnam |
| title_sort | nutritional status refeeding syndrome and some associated factors of patients at covid 19 hospital in vietnam |
| topic | nutritional status refeeding syndrome GLIM COVID-19 |
| url | https://www.mdpi.com/2072-6643/15/7/1760 |
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