Inflammation, malnutrition, and SARS-CoV-2 infection: a disastrous combination


Por: Carretero Gómez J, Mafé Nogueroles MC, Garrachón Vallo F, Escudero Álvarez E, Maciá Botejara E and Miramontes González JP
Publicada: 1 nov 2020 Ahead of Print: 24 ago 2020
Categoría: Medicine (miscellaneous)
Resumen:
SARS-CoV-2 infection is associated with a high risk of malnutrition, mainly due to increased nutritional requirements and the presence of a severe and universal inflammatory state. Associated symptoms contribute to hyporexia, which perpetuates the negative nutritional balance. Furthermore, dysphagia, especially post-intubation, worsens and makes intake unsafe. This risk is greater in elderly and multimorbid patients. Inflammation to varying degrees is the common link between COVID-19 and the onset of malnutrition, and it is more correct to refer to disease-related malnutrition (DRM). DRM worsens the poor prognosis of SARS-CoV-2 infection, especially in the most severe cases. Therefore, it is necessary to identify and treat people at risk early, avoiding overexposure and direct contact with the patient. We cannot forget the role that a healthy diet plays in both prevention and recovery after discharge. (C) 2020 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
Filiaciones:
Carretero Gómez J:
 Servicio de Medicina Interna. Hospital Comarcal de Zafra, Badajoz, España
:
 Servicio de Medicina Interna. Hospital de Atención a Pacientes Crónicos y de Larga Estancia La Pedrera, Denia, Alicante, España
Garrachón Vallo F:
 Servicio de Medicina Interna. Unidad de Medicina Perioperatoria. Equipo de Soporte Nutricional. Hospital Universitario Virgen Macarena, Sevilla, España
Escudero Álvarez E:
 Servicio de Medicina Interna. Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España
Maciá Botejara E:
 Servicio de Medicina Interna. Hospital Universitario de Badajoz, Badajoz, España
Miramontes González JP:
 Servicio de Medicina Interna. Hospital Universitario Río Hortega, Valladolid, España

 Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, España
ISSN: 00142565





REVISTA CLINICA ESPANOLA
Editorial
EDICIONES DOYMA S A, TRAV DE GRACIA 17-21, 08021 BARCELONA, SPAIN, España
Tipo de documento: Article
Volumen: 220 Número: 8
Páginas: 511-517
WOS Id: 000582527400008
ID de PubMed: 32863403
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