[Risk of sarcopenia and malnutrition related to COVID-19 in an institutionalized population of Castilla-La Mancha (Spain): determined by R-MAPP.]

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revista Espanola De Salud Publica Pub Date : 2022-10-03

Sergio Salmerón Ríos, Laura Plaza Carmona, Juan de Dios Estrella Cazalla, Javier Navarro Olivera, Francisco Gómez Díaz de la Rosa, María-Esther Alonso Lucas, Miguel Fernández Sánchez, María José Martín Legorburo, Juan José Arechederra Calderón, Francisco García Alcaraz

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Abstract

Objective: Knowing the risk status of malnutrition and sarcopenia in institutionalized patients is essential to understand the current context after the impact of the coronavirus (COVID-19) pandemic.

Methods: This research used a retrospective, observational study. The results of the Remote Malnutrition APP test (R-MAPP) are described: risk factors for malnutrition (including COVID-19), the Malnutrition Universal Screening Tool (MUST) and the SARC-F, in a selected sample of 402 residents of Castilla-La Mancha (Spain) during 2021. An inferential analysis was performed to determine which factors were related to the MUST (≥2 points) and SARC-F (≥4 points) response measures. With the factors that obtained statistical significance, a multivariate regression model was performed, adjusting for each one. of those factors.

Results: Mean age was 84.2 years, 70.1% women. Most frequent risk factor for malnutrition was aging (85.1%). The mean body mass index was 26.5 (SD 11.6). MUST≥2 points was obtained in 16.2%, and a SARC-F≥4 in 69.9%. COPD (Chronic obstructive pulmonary disease / OR 0.35; 95% CI 0.13-0.92; p 0.03) was a protective factor against the risk of malnutrition. The risk of sarcopenia was related to aging (OR 8.16; 95% CI 4.13-16.20; p 0.00), COVID-19 (OR 1.96; 95% CI 1.17-3.29; p 0.01) and COPD (OR 2.44; 95% CI 1.21-4.89; p 0.01).

Conclusions: No relationship is found between COVID-19 and high risk of malnutrition. Aging, COVID-19 and COPD are risk factors for sarcopenia.

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[西班牙卡斯蒂利亚-拉曼恰收容人群与COVID-19相关的肌肉减少症和营养不良风险:由R-MAPP确定]

目的:了解住院患者营养不良和肌肉减少症的风险状况，对了解新冠肺炎疫情影响后的现状至关重要。方法:本研究采用回顾性观察性研究。在西班牙卡斯蒂利亚-拉曼查(Castilla-La Mancha)选定的402名居民样本中，远程营养不良APP测试(R-MAPP)的结果如下:营养不良的危险因素(包括COVID-19)、营养不良普遍筛查工具(MUST)和SARC-F。进行推断分析以确定哪些因素与MUST(≥2分)和SARC-F(≥4分)反应措施相关。选取具有统计学显著性的因素，建立多元回归模型，对各因素进行调整。这些因素。结果:平均年龄84.2岁，女性占70.1%。最常见的营养不良危险因素是衰老(85.1%)。平均体重指数为26.5 (SD 11.6)。16.2%的患者MUST≥2分，69.9%的患者SARC-F≥4分。慢性阻塞性肺疾病(COPD) / OR 0.35;95% ci 0.13-0.92;P 0.03)是预防营养不良风险的保护因素。骨骼肌减少的风险与年龄相关(OR 8.16;95% ci 4.13-16.20;p 0.00)， COVID-19 (OR 1.96;95% ci 1.17-3.29;p 0.01)和COPD (OR 2.44;95% ci 1.21-4.89;p 0.01)。结论:COVID-19与营养不良高危人群之间无关联。衰老、COVID-19和COPD是肌肉减少症的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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