Global Leadership Initiative on Malnutrition and Mini Nutritional Assessment in Evaluation of Nutritional Status of COVID-19 Patients

Document Type : Original Article

Authors

1 Students Research Committee, School of Health and Nutrition, Yasuj University of Medical Sciences, Yasuj, Iran

2 Student Research Committee, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

3 Student Research Committee, Department of Biochemistry and Diet Therapy, School of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran

4 Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

5 Department of Nutrition and Food Sciences, School of Public Health and Nutrition, Yasuj University of Medical Sciences, Yasuj, Iran

6 Department of Internal Medicine, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran

7 Department of Biostatistics and Epidemiology, School of Public Health and Nutrition, Yasuj University of Medical Sciences, Yasuj, Iran

Abstract

Background: Considering that nutritional status is one of the influential factors in the process of recovery of patients with COVID-19, this study was conducted to determine the nutritional status of COVID-19 patients and its relationship with clinical outcomes.
Methods: This cross-sectional study included 155 patients diagnosed with COVID-19 disease (18-80 years) using PCR test and chest CT scan. The nutritional status of participants was assessed employing Mini Nutritional Assessment (MNA) questionnaire, Global Leadership Initiative on Malnutrition (GLIM) criteria, and Nutrition Risk in Critically
(NUTRIC) score.
Results: Among 81 men (52.3%) and 74 women (47.7%) based on MNA, 30 participants (19.4%) and based on GLIM criteria, 42 participants (27.1%) suffered from malnutrition. Also, systolic and diastolic blood pressure (GLIM: p=0.038, p=0.008, respectively; MNA: p=0.04, p=0.01, respectively) and blood oxygen saturation (MNA: p=0.01; GLIM: p=0.012)
were significantly associated with nutritional status of participants. MNA and GLIM findings showed a relative agreement of 0.35 (p<0.0001).
Conclusion: Nutritional status was demonstrated to be a critical factor that can affect the clinical condition and recovery process of COVID-19 patients. GLIM was shown to be practical and reliable criteria to measure the nutritional status for diagnosis and prognosis of patients with COVID-19.

Highlights

Navid Sherafati (Google Scholar)

Azizollah Pourmahmoudi (Google Scholar)

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