Nutritional therapy for hospitalized patients with COVID-19: A narrative and integrative review

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGRECCO, B. H.
dc.contributor.authorARAúJO-ROSSI, P. A. O.
dc.contributor.authorNICOLETTI, C. F.
dc.date.accessioned2023-10-04T15:24:54Z
dc.date.available2023-10-04T15:24:54Z
dc.date.issued2022
dc.description.abstractHospitalized patients affected by coronavirus disease 19 (COVID-19) have a sustained pro-inflammatory state and recurrent gastrointestinal symptoms that correlate with a decline in the nutritional status, which is directly related to poor immune response and clinical evolution. Nutritional therapy has proven crucial in COVID-19 treatment through the provision of adequate amounts of nutrients. Since the beginning of the pandemic, medical societies have mobilized to provide practical nutritional guidelines to support decision-making; despite this, there are only a few studies dedicated to compiling the most relevant recommendations. In this narrative review, we aimed to summarize and stratify the current scientific literature on nutritional support for hospitalized COVID-19 patients. We carried out a literature review from three databases between January 2020 and July 2021, using nutrition therapy (or medical nutrition or enteral nutrition or parental nutrition or nutritional support) and COVID-19 (SARS-CoV-2 infection) as the search terms. Only those studies that evaluated adult hospitalized patients with admissions to wards, specific clinics, or intensive care units were included. The nutritional intervention considered was that of specific nutritional support via oral, enteral, or parenteral modes. A total of 37 articles were included. In general, the nutritional care provided to COVID-19 patients follows the same premises as for other patients, i.e., it opts for the most physiological route and meets nutritional demands based on the clinical condition. However, some protocols that minimize the risk of contamination exposure for the health team have to be considered. Energy requirements varied from 15 kcal/kg/day to 30 kcal/kg/day and protein goals from 1.2 g/kg/day to 2 g/kg/day. In both cases, the ramp protocol for increased supply should be considered. In cases of enteral therapy, ready-to-use diet and continuous mode are recommended. Attention to refeeding syndrome is essential when parenteral nutrition is used. © 2022eng
dc.description.indexScopus
dc.identifier.citationJOURNAL OF INTENSIVE MEDICINE, v.2, n.4, p.249-256, 2022
dc.identifier.doi10.1016/j.jointm.2022.04.004
dc.identifier.issn2097-0250
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/55921
dc.language.isoeng
dc.publisherCHINESE MEDICAL ASSOCIATIONeng
dc.relation.ispartofJournal of Intensive Medicine
dc.rightsopenAccesseng
dc.rights.holderCopyright CHINESE MEDICAL ASSOCIATIONeng
dc.subjectCOVID-19eng
dc.subjectEnergy requirementeng
dc.subjectEnteral nutritioneng
dc.subjectNutritional supporteng
dc.subjectParenteral nutritioneng
dc.subjectProtein supplyeng
dc.subject.otherproteineng
dc.subject.othercoronavirus disease 2019eng
dc.subject.otherdiet therapyeng
dc.subject.otherenergyeng
dc.subject.otherenteric feedingeng
dc.subject.otherhospital patienteng
dc.subject.otherhospitalizationeng
dc.subject.otherhumaneng
dc.subject.othernutritional supporteng
dc.subject.otherparenteral nutritioneng
dc.subject.otherprotein intakeeng
dc.subject.otherrevieweng
dc.titleNutritional therapy for hospitalized patients with COVID-19: A narrative and integrative revieweng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalGRECCO, B. H.:Department of Nutrition, School of Public Health, University of São Paulo, SP, São Paulo, Brazil
hcfmusp.author.externalARAúJO-ROSSI, P. A. O.:Department of Nutrition, School of Public Health, University of São Paulo, SP, São Paulo, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcCAROLINA NICOLETTI FERREIRA FINO
hcfmusp.description.beginpage249
hcfmusp.description.endpage256
hcfmusp.description.issue4
hcfmusp.description.volume2
hcfmusp.origemSCOPUS
hcfmusp.origem.pubmed36785649
hcfmusp.origem.scopus2-s2.0-85139186757
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