Risk of poor nutritional status and nutrition-related complaints in individuals attending a primary care dietitian after a COVID-19 infection: A prospective cohort study.

IF 2.6 4区 医学 Q3 NUTRITION & DIETETICS
Anne I Slotegraaf, Hinke M Kruizenga, Marissa H G Gerards, Arie C Verburg, Thomas J Hoogeboom, Marian A E de van der Schueren
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引用次数: 0

Abstract

Aims: To report the changes in nutritional status, nutrition-related complaints and risk of sarcopenia in individuals attending a primary care dietitian in the Netherlands after a COVID-19 infection.

Methods: The study was registered on the clinicaltrials.gov registry (NCT04735744). Nutritional status and nutrition-related complaints were assessed with the Patient-Generated Subjective Global Assessment Short Form and body composition measurements when possible. Risk of sarcopenia was assessed with the Strength, Assistance with walking, Rise from a chair, Climb stairs and Falls questionnaire. Dietitians reported on treatment goals, content and volume of dietetic treatment. Descriptive statistics were used to describe the study population and outcomes at baseline and end of treatment. For continuous variables, paired samples t-tests were used to compare scores at the start and the end of dietetic treatment. For dichotomous variables. McNemar tests and Wilcoxon signed-rank tests were used to determine differences between the start and end of treatment.

Results: A total of 222 participants were included [mean age 50 (SD 13), 58% female, 34% overweight, 40% obese]. Malnutrition risk decreased from 44% (medium risk) and 20% (high risk) to 29% and 12% by the end of treatment (p < 0.001). The risk of sarcopenia decreased from 31% to 22% (p < 0.001). There was an imbalance between fat-free mass and fat mass in about half of the participants. The most commonly reported nutrition-related complaints were fatigue, no appetite, the feeling of being full and changed or loss of taste. Median treatment duration was 21 weeks [interquartile range (IQR) 13-26] and 5 consultations (IQR 4-7). Most participants (46%) aimed to maintain weight, with others aiming to lose (14%) or gain (14%) weight. At the end of treatment, 57% had achieved the goals.

Conclusions: Significant improvements in nutritional status and risk of sarcopenia were observed after dietetic treatment in primary care, and most participants achieved the treatment goals. Nevertheless, nutrition-related complaints and the risk of malnutrition or sarcopenia remained prevalent.

感染 COVID-19 后接受初级保健营养师治疗的人营养状况不良和营养相关投诉的风险:前瞻性队列研究。
目的:报告在感染 COVID-19 后,荷兰初级保健营养师就诊者的营养状况、与营养相关的主诉以及患肌肉疏松症风险的变化情况:该研究已在 clinicaltrials.gov 注册中心注册(NCT04735744)。在可能的情况下,采用患者自制主观全面评估简表和身体成分测量法评估营养状况和与营养相关的主诉。肌少症风险通过 "力量"、"行走协助"、"从椅子上站起"、"爬楼梯 "和 "跌倒 "问卷进行评估。营养师报告了营养治疗的目标、内容和数量。描述性统计用于描述研究人群以及基线和治疗结束时的结果。对于连续变量,采用配对样本 t 检验来比较营养治疗开始和结束时的得分。对于二分变量McNemar 检验和 Wilcoxon 符号秩检验用于确定治疗开始和结束时的差异:共纳入 222 名参与者[平均年龄 50 岁(SD 13),58% 为女性,34% 超重,40% 肥胖]。到治疗结束时,营养不良风险分别从 44%(中度风险)和 20%(高度风险)降至 29%和 12%(P 结论:营养状况和营养不良风险均有显著改善:在基层医疗机构接受营养治疗后,营养状况和患肌肉疏松症的风险都有明显改善,大多数参与者都达到了治疗目标。然而,与营养相关的投诉以及营养不良或肌肉疏松症的风险仍然普遍存在。
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来源期刊
Nutrition & Dietetics
Nutrition & Dietetics 医学-营养学
CiteScore
6.40
自引率
16.10%
发文量
69
审稿时长
>12 weeks
期刊介绍: Nutrition & Dietetics is the official journal of the Dietitians Association of Australia. Covering all aspects of food, nutrition and dietetics, the Journal provides a forum for the reporting, discussion and development of scientifically credible knowledge related to human nutrition and dietetics. Widely respected in Australia and around the world, Nutrition & Dietetics publishes original research, methodology analyses, research reviews and much more. The Journal aims to keep health professionals abreast of current knowledge on human nutrition and diet, and accepts contributions from around the world.
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