Nutritional support in patients with severe SARS-CoV-2 infection: what does the literature say about the nutritional approach in these cases?

Authors

  • Anaeli Salguero Gutiérrez Escuela de Nutrición. Facultad de Ciencias Químicas y Farmacia. Universidad de San Carlos de Guatemala
  • Karla Cordón-Arrivillaga Unidad de Investigación de Seguridad Alimentaria y Nutrional (UNISAN) EScuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala https://orcid.org/0000-0003-3825-739X

DOI:

https://doi.org/10.54495/Rev.Cientifica.v32i1.389

Keywords:

Nutrition, SARS-CoV-2, COVID-19, comorbidities, oxygen therapy.

Abstract

COVID-19 leads to rapid activation of the innate immune system, raising the levels of pro-inflammatory cytokines. If the body fails to control this inflammatory response, the so-called “cytokine storm” occurs, responsible for the severe clinical presentation of the disease. The SARS-CoV-2 virus is characterized by causing severe acute respiratory complications. The alteration of the nutritional status in a patient with severe infection by the SARS-CoV-2 virus is multifactorial, however, there are two distinctive situations that directly impact the nutritional status the decrease in food intake and the increase in nutritional needs. Nutrition is essential to preserve the respiratory function through the course of the disease. In order to reduce complications, hospital stay and mortality, nutritional support must be adequate throughout the entire infection process. Therefore, the integration of available scientific information about the nutritional approach in patients with severe SARS-CoV-2 infection is considered to be useful in guiding prescriptions for specialized nutritional support.

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References

Ali, A., & Kunugi, H. (2021). Approaches to Nutritional Screening in Patients with Coronavirus Disease 2019 (COVID-19). International Journal of Environmental Research and Public Health, 18(5), 2772. https://doi.org/10.3390/ijerph18052772

Álvarez, J., Lallena, S. & Bernal, M. (2020). Nutrición y pandemia de la COVID-19. Medicine, 13(23), 1311-21. https://doi.org/10.1016/j.med.2020.12.013

Asociación Panameña de Nutrición Clínica y Metabolismo. (2020). Recomendaciones nutricionales de la Asociación Panameña de Nutrición Clínica y Metabolismo para pacientes adultos y pediátricos con sintomatología leve, moderada y severa de SARS-CoV-2. Panamá. https://www.felanpeweb.org/wp-content/uploads/2015/04/Recomendaciones-de-la-APNCM-para-pacientes-adultos-y-pediatricos-con-SARSCoV-2-Mayo-2020.pdf

Azzolino, D., Saporiti, E., Proietti, M., & Cesari, M. (2020). Nutritional Considerations in Frail Older Patients with COVID-19. The Journal of Nutrition, Health & Aging, 24(7), 696–698. https://doi.org/10.1007/s12603-020-1400-x

Ballesteros, M., Rubio, M., Bretón, I., & Comité gestor del Área de Nutrición de la Sociedad Española de Endocrinología y Nutrición. (2021). Abordaje de la desnutrición relacionada con la enfermedad (DRE) en pacientes hospitalizados con COVID-19. https://www.seen.es/ModulGEX/workspace/publico/modulos/web/docs/apartados/2056/040221_045753_1717842103.pdf

Barazzoni, R., Bischoff, S. C., Busetto, L., Cederholm, T., Chourdakis, M., Cuerda, C., Delzenne, N., Genton, L., Schneider, S., Singer, P., & Boirie, Y.(2022). Nutritional management of individuals with obesity and COVID-19: ESPEN expert statements and practical guidance. Clinical Nutrition, 41(12), 2869–2886. https://doi.org/10.1016/j.clnu.2021.05.006

Barazzoni, R., Bischoff, SC., Breda, J., Wickramasinghe, K., Krznaric, Z., Nitzan, D., Pirlich, M., & Singer, P. (2020). ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clinical Nutrition, 39(6), 1631–1638. https://doi.org/10.1016/j.clnu.2020.03.022

Behrens, S., Kozeniecki, M., Knapp, N. & Martindale, R. (2021). Nutrition Support During Prone Positioning: An Old Technique Reawakened by COVID-19. Nutrition in Clinical Practice, 36(1), 105-109. https://doi.org/10.1002/ncp.10592

Bermúdez, C., Pereira, F., Trejos, D., Pérez, A., Puentes, M., López, L., Plata, C., Moncada, E., Muñoz, M., Ramírez, J., Chona, M., Becerra, A., & Cardena, D. (2020). Recomendaciones nutricionales de la Asociación Colombiana de Nutrición Clínica para pacientes hospitalizados con infección por SARS-CoV-2. Revista de Nutrición Clínica y Metabolismo, 3(1), 74-85. https://doi.org/10.35454/rncm.v3n1.066

Bertoia, N., Buchanan, P.M., Las Heras, M., Carboni Bisso, I., & Mancilla, J. (2019). Protocolo para la Estandarización de los Cuidados de Enfermería en el Paciente con decúbito prono.

Bordeje, L. & Vaquerizo, C. (2022). Tratamiento nutricional en paciente crítico SARS-CoV-2, visión desde la calma. Nutrición Hospitalaria 38(6), 1117-1118. http://dx.doi.org/10.20960/nh.03941

British Association for Parenteral and Enteral Nutrition. (2020). Route of Nutrition Support in Patients Requiring NIV & CPAP During the COVID-19 Response. https://www.bapen.org.uk/pdfs/covid-19/nutrition-in-niv-21-04-20.pdf

Burgos, R., García-Almeida, J., Matía-Martín, P., Palma, S., Sanz-Paris, A., Zugasti, A., Alfaro, J., Fullana, A., Continente, A., Chicetru, M., Malpartida, K., Faes, A., Sánchez, V., López, M., Ortega, A., Roldán, J., Moreno, C., & Llanos, P.(2022). Malnutrition management of hospitalized patients with diabetes/hyperglycemia and COVID-19 infection. Reviews in Endocrine and Metabolic Disorders 23(2), 205–213. https://doi.org/10.1007/s11154-022-09714-z

Carretero, J., Mafé, M., Garrachón, F., Escudero, E., Maciá, E., & Miramontes, J., (2020). La inflamación, la desnutrición y la infección por SARS-CoV-2: una combinación nefasta. Revista Clínica Española, 220(8), 511–517. https://doi.org/10.1016/j.rce.2020.07.007

Chapple, L. S., Fetterplace, K., Asrani, V., Burrell, A., Cheng, A. C., Collins, P., Doola, R., Ferrie, S., Marshall, A. P., & Ridley, E. J. (2020). Nutrition management for critically and acutely unwell hospitalized patients with coronavirus disease 2019 (COVID-19) in Australia and New Zealand. Australian critical care: Official Journal of The Confederation of Australian Critical Care Nurses, 33(5), 399–406. https://doi.org/10.1016/j.aucc.2020.06.002

Comité Internacional para la Elaboración de Consensos y Estandarización en Nutriología. (2020). Posición de expertos sobre el manejo nutricional del coronavirus COVID-19. Fondo editorial IIDENUT. https://cienut.org/comite_internacional/declaraciones/pdf/declaracion2.pdf

Daoust, L., Pilon, G., & Marette, A. (2021). Perspective: Nutritional Strategies Targeting the Gut Microbiome to Mitigate COVID-19 Outcomes. Advances in Nutrition, 12(4), 1074–1086. https://doi.org/10.1093/advances/nmab031

Díaz, M., Ospina, G., & Salazar, C. (2014). Disfunción muscular respiratoria: una entidad multicausal en el paciente críticamente enfermo sometido a ventilación mecánica. Archivos de Bronconeumología. 50(2), 73–77. https://doi.org/10.1016/j.arbres.2013.03.005

Gomes, F., Schuetz, P., Bounoure, L., Austin, P., Ballesteros-Pomar, M., Cederholm, T., Fletcher, J., Laviano, A., Norman, K., Poulia, K. A., Ravasco, P., Schneider, S. M., Stanga, Z., Weekes, C. E., & Bischoff, S. C. (2018). ESPEN guidelines on nutritional support for polymorbid internal medicine patients. Clinical Nutrition, 37(1), 336–353. https://doi.org/10.1016/j.clnu.2017.06.025

González, L., Guevara, M., Hernández, K., & Serralde, A. (2020). Manejo nutricional del paciente hospitalizado críticamente enfermo con COVID-19. Una revisión narrativa. Nutrición Hospitalaria, 37(3), 622-630. https://dx.doi.org/10.20960/nh.031800

Gupta, L., Jalang'o, G., & Gupta, P. (2020). Nutritional management and support in COVID-19: Emerging nutrivigilance. JPMA. The Journal of the Pakistan Medical Association, 70(3)(5), 124-130. https://europepmc.org/article/med/32515395

Lakenman, P., van der Hoven, B., Schuijs, J., Eveleens, R., van Bommel, J., Olieman, J., & Joosten, K. (2021). Energy expenditure and feeding practices and tolerance during the acute and late phase of critically ill COVID-19 patients. Clinical Nutrition ESPEN, 43(1), 383-389. https://doi.org/10.1016/j.clnesp.2021.03.019

Laviano, A., Koverech, A., & Zanetti, M. (2020). Nutrition support in the time of SARS-CoV-2 (COVID-19). Nutrition, 74(2020), 110834. https://doi.org/10.1016/j.nut.2020.110834

Liu, R., Paz, M., Siraj, L., Boyd, T., Salamone, S., Lite, T. V., Leung, K. M., Chirinos, J. D., Shang, H. H., Townsend, M. J., Rho, J., Ni, P., Ranganath, K., Violante, A. D., Zhao, Z., Silvernale, C., Ahmad, I., Krasnow, N. A., Barnett, E. S., Harisinghani, M., Kuo, B., Black, K., & Staller, K. (2022). Feeding intolerance in critically ill patients with COVID-19. Clinical Nutrition, 41(12), 3069–3076. https://doi.org/10.1016/j.clnu.2021.03.033

Malnutrition Action Group. (2020). Practical guidance for using ‘MUST’ to identify malnutrition during the COVID-19 pandemic Malnutrition Action Group (MAG) update. https://nutrition2me.com/wp-content/uploads/2020/09/Using-MUST-during-the-COVID-19-Pandemic.pdf.

Martindale, R., Patel, J., Taylor, B., Arabi, M., Warren, M., & McClave, S. A. (2020). Nutrition Therapy in Critically Ill Patients with Coronavirus Disease 2019. JPEN. Journal of Parenteral and Enteral Nutrition, 44(7), 1174–1184. https://doi.org/10.1002/jpen.1930

Martínez, J., & Roca, M. (2020). Comparación de las recomendaciones de expertos sobre nutrición clínica en pacientes hospitalizados con COVID-19. Nutrición Hospitalaria, 37(5), 984-998. https://dx.doi.org/10.20960/nh.03194

Martinuzzi, A., Magnífico, L., Asus, N., Cabana, L., Kecskes, C., Lipovestky, F., Rebagliati, V., & Rostello, O. (2020). Recomendaciones respecto al manejo nutricional de pacientes COVID-19 admitidos a Unidades de Cuidados Intensivos. Revista Argentina De Terapia Intensiva. 39-46. https://revista.sati.org.ar/index.php/MI/article/view/695

Matos, A., Sánchez, V., Quintero, A., Méndez, C., Petterson, K., Vergara, J., Castillo, J., & Arroyo, M. (2021). Recomendaciones para la terapia nutricional de pacientes con COVID-19. Acta Colombiana de Cuidado Intensivo, 21(2021), 193-203. https://doi.org/10.1016/j.acci.2021.01.002

Mekonnen, S., Chekole, Y., Birhane, M., Hassen, K. & Hussen, R. (2021). Prevalence and outcomes of malnutrition among hospitalized COVID-19 patients: A systematic review and meta-analysis. Clinical Nutrition ESPEN, 43(2021), 174-183. https://doi.org /10.1016/j.clnesp.2021.03.002

Morley, J. E., Kalantar-Zadeh, K., & Anker, S. D. (2020). COVID-19: a major cause of cachexia and sarcopenia? Journal of Cachexia, Sarcopenia and Muscle, 11(4), 863–865. https://doi.org/10.1002/jcsm.12589

National Nurses Nutrition Group. (2020). Practical Advice and Guidance for management of nutritional support during COVID-19. https://www.bapen.org.uk/pdfs/covid-19/covid-nnng-document-updated-12-04-20.pdf

Ochoa, J. B., Cárdenas, D., Goiburu, M. E., Bermúdez, C., Carrasco, F., & Correia, M. (2020). Lessons Learned in Nutrition Therapy in Patients with Severe COVID-19. JPEN. Journal of Parenteral and Enteral Nutrition, 44(8), 1369–1375. https://doi.org/10.1002/jpen.2005

Patel, J., Martindale, R., & McClave, S. (2020). Relevant Nutrition Therapy in COVID-19 and the Constraints on Its Delivery by a Unique Disease Process. Nutrition in Clinical Practice, 35(5), 792–799. https://doi.org/10.1002/ncp.10566

Pérez, A., Caverni, A., Lou, L., Sanz, A., Vidal, C., la Torre, J., Sánchez, R., Cigarrán, S., Trocoli, F., Nogueira, Á., Sanjurjo, A., González, M., & Barril, G. (2021). Consenso multidisciplinar sobre la valoración y el tratamiento nutricional y dietético en pacientes con enfermedad renal crónica e infección por SARS-CoV-2. Nefrología, 41(4), 453-460. https://doi.org/10.1016/j.nefro.2020.12.009

Pérez, M. (2020). Sobre la alimentación y nutrición en la COVID-19. Revista Cubana de Alimentación y Nutrición. 30(1), 72-107. https://revalnutricion.sld.cu/index.php/rcan/article/view/992/pdf_230

Pironi, L., Sasdelli, A., Ravaioli, F., Baracco, B., Battaiola, C., Bocedi, G., Brodosi, L., Leoni, L., Mari, G. & Musio, A. (2021). Malnutrition and nutritional therapy in patients with SARS-CoV-2 disease. Clinical Nutrition 40(2021), 1330-1337. https://doi.org/10.1016/j.clnu.2020.08.021

Remón, P., Martínez, A., Perreira, J., Serrano, M., DElcan, D., & García, P. (2020). Soporte nutricional en el paciente con COVID-19. Nutrición Clínica en Medicina, 14(1), 1-12. https://dx.doi.org/10.7400/NCM.2020.14.1.5085

Rothenberg, E. (2021). Coronavirus Disease 19 from the perspective of ageing with focus on nutritional status and nutrition management- A narrative review. Nutrients, 13(4), 1294. https://doi.org/10.3390/nu13041294

Singer, P., Blaser, A. R., Berger, M. M., Alhazzani, W., Calder, P. C., Casaer, M. P., Hiesmayr, M., Mayer, K., Montejo, J. C., Pichard, C., Preiser, J. C., van Zanten, A., Oczkowski, S., Szczeklik, W., & Bischoff, S. C. (2019). ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition, 38(1), 48–79. https://doi.org/10.1016/j.clnu.2018.08.037

Soto, L. (2019). El paciente crítico crónico. Revista Médica Clínica las Condes. 30(2), 160-170. https://doi.org/10.1016/j.rmclc.2019.03.004

Stachowska, E., Folwarski, M., Jamioł-Milc, D., Maciejewska, D., & Skonieczna-Żydecka, K. (2020). Nutritional Support in Coronavirus 2019 Disease. Medicina (Kaunas, Lithuania), 56(6), 2-13. https://doi.org/10.3390/medicina56060289

Thibault, R., Seguin, P., Tamion, F., Pichard, C., & Singer, P. (2020). Nutrition of the COVID-19 patient in the intensive care unit (ICU): a practical guidance. Critical Care, 24(447), 1-8. https://doi.org/10.1186/s13054-020-03159-z

Thomas, S., Alexander, C. & Cassady, B. (2021). Nutrition risk prevalence and nutrition care recommendations for hospitalized and critically-ill patients with COVID-19. Clinical Nutrition ESPEN 44(2021), 38-49. https://doi.org/10.1016/j.clnesp.2021.06.002

Watteville, A., Genton, L., Barcelos, G., Pugin, J., Pichard, C., & Heidegger, C. (2020). Easy-to-prescribe nutrition support in the intensive care in the era of COVID-19. Clinical Nutrition ESPEN, 39(2020), 74-78. https://doi.org/10.1016/j.clnesp.2020.07.015

Weber, T., Leandro, V., Bernasconi, I., & Marques, M. (2020). Nutritional therapy in hospital care of in-patients with Covid-19: evidence, consensus and practice guidelines. Revista de Nutrição, 33, 1-14. https://doi.org/10.1590/1678-9865202033e200212

Yue, X., Li, M., Wang, Y., Zhang, J., Wang, X., Kan, L., Zhang, X., & Du, S. (2020). Nutritional Support and Clinical Outcome of Severe and Critical Patients With COVID-19 Pneumonia. Frontiers in Nutrition, 7, 1-7. https://doi.org/10.3389/fnut.2020.581679

Published

2024-10-09

How to Cite

Salguero Gutiérrez, A., & Cordón-Arrivillaga, K. (2024). Nutritional support in patients with severe SARS-CoV-2 infection: what does the literature say about the nutritional approach in these cases?. Revista Científica, 32(1). https://doi.org/10.54495/Rev.Cientifica.v32i1.389

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Ensayo Científico