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Volume 12
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10.3390/nu12123679
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Article

Malnutrition: Percentage and Association with Prognosis in Patients Hospitalized for Coronavirus Disease 2019

by
Lucie Allard
1,†,
Elise Ouedraogo
2,†,
Julie Molleville
1,3,
Helene Bihan
1,4,
Bénédicte Giroux-Leprieur
5,
Angela Sutton
6,7,
Camille Baudry
1,
Constant Josse
8,
Morgane Didier
9,
David Deutsch
10,
Olivier Bouchaud
2 and
Emmanuel Cosson
1,3,11,*
1
Department of Endocrinology-Diabetology-Nutrition, AP-HP Avicenne Hospital, 93000 Bobigny, France
2
Department of Infectious Disease, AP-HP Avicenne Hospital, 93000 Bobigny, France
3
Department of Rehabilitation Nutrition-Obesity, AP-HP René Muret Hospital, 93270 Sevran, France
4
LEPS (Laboratoire Educations et Pratiques de Santé) EA 3412, Université Paris 13, 93000 Bobigny, France
5
Department of Internal Medicine, AP-HP Avicenne Hospital, 93000 Bobigny, France
6
Laboratory for Vascular Translational Science (LVTS), Inserm U1148 Groupe Biothérapies et Glycoconjugués/Université Paris 13—Sorbonne Paris Nord, 93000 Bobigny, France
7
Department of Biology Laboratory, AP-HP Avicenne Hospital, 93000 Bobigny, France
8
eXYSTAT, 92240 Malakoff, France
9
Department of Respiratory Disease, AP-HP Avicenne Hospital, 93000 Bobigny, France
10
Department of Gastroenterology and Digestive Oncology, AP-HP Avicenne Hospital, 93000 Bobigny, France
11
Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), UMR U1153 Inserm/U1125 Inrae/Cnam/Université Paris 13—Sorbonne Paris Nord, Centre de Recherche en Epidémiologie et Statistiques—Université de Paris (CRESS), EREN, SMBH PARIS 13, 93000 Bobigny, France
 
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*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Nutrients 2020, 12(12), 3679; https://doi.org/10.3390/nu12123679
Received: 31 October 2020 / Revised: 19 November 2020 / Accepted: 25 November 2020 / Published: 28 November 2020
(This article belongs to the Section Clinical Nutrition)
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Abstract

Previous studies have found a correlation between malnutrition and prognosis in respiratory infections. Our objectives were to determine (i) the percentage of malnutrition, and (ii) its prognosis in patients admitted for coronavirus disease 2019 (COVID-19). In this monocentric retrospective study, we consecutively included all adult patients presenting with acute COVID-19 between 9 April and 29 May 2020. Malnutrition was diagnosed on low body mass index (BMI) and weight loss ≥ 5% in the previous month and/or ≥ 10% in the previous six months. The Nutritional Risk Index (NRI) defined nutritional risk. Severe COVID-19 was defined as a need for nasal oxygen ≥ 6 L/min. We enrolled 108 patients (64 men, 62 ± 16 years, BMI 28.8 ± 6.2 kg/m2), including 34 (31.5%) with severe COVID-19. Malnutrition was found in 42 (38.9%) patients, and moderate or severe nutritional risk in 83 (84.7%) patients. Malnutrition was not associated with COVID-19 severity. Nutritional risk was associated with severe COVID-19 (p < 0.01; p < 0.01 after adjustment for C reactive protein), as were lower plasma proteins, albumin, prealbumin, and zinc levels (p < 0.01). The main cause of malnutrition was inflammation. The high percentage of malnutrition and the association between nutritional risk and COVID-19 prognosis supports international guidelines advising regular screening and nutritional support when necessary. View Full-Text
Keywords: malnutrition; nutritional risk; COVID-19; prognosis malnutrition; nutritional risk; COVID-19; prognosis
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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MDPI and ACS Style

Allard, L.; Ouedraogo, E.; Molleville, J.; Bihan, H.; Giroux-Leprieur, B.; Sutton, A.; Baudry, C.; Josse, C.; Didier, M.; Deutsch, D.; Bouchaud, O.; Cosson, E. Malnutrition: Percentage and Association with Prognosis in Patients Hospitalized for Coronavirus Disease 2019. Nutrients 2020, 12, 3679. https://doi.org/10.3390/nu12123679

AMA Style

Allard L, Ouedraogo E, Molleville J, Bihan H, Giroux-Leprieur B, Sutton A, Baudry C, Josse C, Didier M, Deutsch D, Bouchaud O, Cosson E. Malnutrition: Percentage and Association with Prognosis in Patients Hospitalized for Coronavirus Disease 2019. Nutrients. 2020; 12(12):3679. https://doi.org/10.3390/nu12123679

Chicago/Turabian Style

Allard, Lucie, Elise Ouedraogo, Julie Molleville, Helene Bihan, Bénédicte Giroux-Leprieur, Angela Sutton, Camille Baudry, Constant Josse, Morgane Didier, David Deutsch, Olivier Bouchaud, and Emmanuel Cosson. 2020. "Malnutrition: Percentage and Association with Prognosis in Patients Hospitalized for Coronavirus Disease 2019" Nutrients 12, no. 12: 3679. https://doi.org/10.3390/nu12123679

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