Association between nutritional therapy and complications in patients diagnosed with COVID-19 followed in the state of Pernambuco

Main Article Content

Karine Maria Moreira Almeida
https://orcid.org/0000-0003-4480-7650
Keila Fernandes Dourado
https://orcid.org/0000-0003-1346-8940
João Araújo Barros Neto
https://orcid.org/0000-0002-7603-1095
Isa Galvão Rodrigues
Gabriela Maria Floro Pereira Arcoverde
https://orcid.org/0000-0001-8749-029X
Marina de Moraes Vasconcelos Petribú
https://orcid.org/0000-0001-8073-0086

Abstract

Objective: To analyze the association between nutritional therapy and complications in patients diagnosed with COVID-19 followed in Pernambuco. Methods: A prospective cohort study was conducted to investigate secondary data from multicenter research from June 2020 to June 2021. Patients of both sexes over 18 years old were hospitalized for COVID-19 in wards or intensive care units of eight hospitals. Sociodemographic and economic data, nutritional status, nutritional therapy, gastrointestinal complications, and clinical outcome were collected during admission and at the end of hospitalization. Results: The sample consisted of 272 patients, with a median age of 67 years (IQR 54 - 76), equally distributed between men and women (50.4% vs. 49.6%). A higher frequency of overweight/obesity (40.31%) was observed. The most frequent alterations were inappetence (12.88%) and dysgeusia (8.28%). It was observed that 84.6% received an early diet, the caloric adequacy varied between 72.1% and 60.7%, the oral route between 82.4% and 70.7%, the majority (58%) received up to 1.3 g of protein per day, and 46.7% died. Caloric adequacy was associated with dysgeusia (p = 0.040) and clinical outcome (p = 0.044) and tended to be associated with vomiting (p = 0.077). No association was found with proteins. Conclusion: Nutritional therapy is associated with gastrointestinal symptoms such as vomiting and dysgeusia and the clinical outcome of patients with COVID-19.



Article Details

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1.
Almeida KMM, Dourado KF, Barros Neto JA, Rodrigues IG, Arcoverde GMFP, Petribú M de MV. Association between nutritional therapy and complications in patients diagnosed with COVID-19 followed in the state of Pernambuco. HSJ [Internet]. 2022 Dec. 19 [cited 2024 Nov. 21];12(4):48-56. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1301
Section
ORIGINAL ARTICLE
Author Biographies

Karine Maria Moreira Almeida, Federal University of Pernambuco

Resident Nutritionist, Federal University of Pernambuco, Residency Program in Clinical Nutrition at Hospital Barão de Lucena, Recife, PE, Brazil.

Keila Fernandes Dourado, Federal University of Pernambuco

Associate Professor at the Nucleus of Nutrition/ Academic Center of Vitória/ Federal University of Pernambuco (UFPE), PhD in Nutrition from UFPE.

João Araújo Barros Neto, Federal University of Alagoas

Adjunct Professor at the Faculty of Nutrition/ Federal University of Alagoas (UFAL), PhD in Interactive Processes between Organs and Systems at UFBA.

Isa Galvão Rodrigues, University of Pernambuco

Clinical Nutritionist, University of Pernambuco, Pernambuco Cardiological Emergency Room, Recife, PE, Brazil. PhD student in Health Sciences at UPE.

Gabriela Maria Floro Pereira Arcoverde, University of Pernambuco

Clinical Nutritionist, University of Pernambuco, Pernambuco Cardiological Emergency Room, Recife, PE, Brazil. PhD student in Nutrition at UFPE.

Marina de Moraes Vasconcelos Petribú, Federal University of Pernambuco

Associate Professor at the Nucleus of Nutrition/ Academic Center of Vitória/ Federal University of Pernambuco (UFPE), PhD in Nutrition from UFPE.

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