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Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection.
Nefrologia (Engl Ed). 2021 Jul-Aug; 41(4):453-460.N

Abstract

The presence of malnutrition in patients with Chronic Kidney Disease (CKD) is high, it can be made worse by SARS-CoV2 infection. The nutritional assessment should be adapted to minimize the infection, recommending monitoring: weight loss percentage, body mass index (BMI), loss of appetite, analytical parameters and functional capacity using the dynamometer. As well as the sarcopenia assessment using the SCARF scale, and the possibility of using the GLIM criteria in those patients who have been tested positive by MUST. It is important to adapt the nutritional recommendations in the caloric and protein intake, to the CKD stage and to the SARS-CoV2 infection stage. In patients with hypercatabolism, to prioritize preserving the nutritional status (35 kcal/kg weight/day, proteins up to 1.5 g/kg/day). The rest of the nutrients will be adapted to CKD stage and the analytical values. In the post-infection stage, a complete nutritional assessment is recommended, including sarcopenia. The energy and protein requirements in this phase will be adapted to the nutritional status, with special attention to the loss of muscle mass. Dietary recommendations need to be tailored to side effects of SARS-CoV-2 infection: anorexia, dysphagia, dysgeusia, and diarrhea. Anorexia and hypercatabolism makes it difficult to meet the requirements through diet, therefore the use of oral nutritional supplements is recommended as well as the enteral or parenteral nutrition in severe phases.

Authors+Show Affiliations

Servicio de Nefrología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain; Unidad de Nutrición, Hospital Universitario Santa Cristina, Madrid, Spain; Miembro del Grupo de Nutrición de la SEN, Spain. Electronic address: almudenapereztorres@gmail.com.Miembro del Grupo de Nutrición de la SEN, Spain; Servicio de dietética, Asociación de Enfermos Renales Alcer Ebro, Zaragoza, Spain.Miembro del Grupo de Nutrición de la SEN, Spain; Servicio de Nefrología, Hospital Universitario Miguel Servet, Zaragoza, Spain.Servicio de Endocrinología, Hospital Universitario Miguel Servet, Zaragoza, Spain.Sección de Endocrinología y Nutrición, Hospital Royo Villanova, Zaragoza, Spain.Servicio de Nefrología, Hospital Da Costa, Burela, Spain; Facultad de Ciencias de la Salud, Universidad Isabel I, Burgos, Spain.Servicio de Nefrología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.Miembro del Grupo de Nutrición de la SEN, Spain; Servicio de Nefrología, Hospital Da Costa, Burela, Spain.Servicio de Nefrología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain.Miembro del Grupo de Nutrición de la SEN, Spain; Servicio de Nefrología, Hospital Universitario La Princesa, Madrid, Spain.Servicio de Nefrología, Hospital Da Costa, Burela, Spain.Servicio de Nefrología, Hospital Universitario La Paz, IdiPaz, Madrid, Spain; Miembro del Grupo de Nutrición de la SEN, Spain.Miembro del Grupo de Nutrición de la SEN, Spain; Servicio de Nefrología, Hospital Universitario La Princesa, Madrid, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36165114

Citation

Pérez-Torres, Almudena, et al. "Multidisciplinary Nutritional Consensus On Assessment and Nutritional Dietary Treatment in Patients With Chronic Kidney Disease and SARS-CoV-2 Infection." Nefrologia, vol. 41, no. 4, 2021, pp. 453-460.
Pérez-Torres A, Caverni Muñoz A, Lou Arnal LM, et al. Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection. Nefrologia (Engl Ed). 2021;41(4):453-460.
Pérez-Torres, A., Caverni Muñoz, A., Lou Arnal, L. M., Sanz Paris, A., Vidal Peracho, C., La Torre Catalá, J., Sánchez Villanueva, R., Cigarrán Guldris, S., Trocoli González, F., Nogueira Pérez, Á., Sanjurjo Amado, A., González García, M. E., & Barril Cuadrado, G. (2021). Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection. Nefrologia, 41(4), 453-460. https://doi.org/10.1016/j.nefroe.2021.10.002
Pérez-Torres A, et al. Multidisciplinary Nutritional Consensus On Assessment and Nutritional Dietary Treatment in Patients With Chronic Kidney Disease and SARS-CoV-2 Infection. Nefrologia (Engl Ed). 2021;41(4):453-460. PubMed PMID: 36165114.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection. AU - Pérez-Torres,Almudena, AU - Caverni Muñoz,Alberto, AU - Lou Arnal,Luis Miguel, AU - Sanz Paris,Alejandro, AU - Vidal Peracho,Concepción, AU - La Torre Catalá,Juan, AU - Sánchez Villanueva,Rafael, AU - Cigarrán Guldris,Secundino, AU - Trocoli González,Filomeno, AU - Nogueira Pérez,Ángel, AU - Sanjurjo Amado,Ana, AU - González García,M Elena, AU - Barril Cuadrado,Guillermina, Y1 - 2021/10/22/ PY - 2020/5/29/received PY - 2020/12/16/accepted PY - 2022/9/27/entrez PY - 2021/7/1/pubmed PY - 2022/9/28/medline KW - CKD KW - Diet KW - Dieta KW - ERC KW - Nutrición KW - Nutrition KW - Nutritional supplementation KW - Requerimientos KW - Requirements KW - SARS-CoV-2 KW - Suplementación nutricional SP - 453 EP - 460 JF - Nefrologia JO - Nefrologia (Engl Ed) VL - 41 IS - 4 N2 - The presence of malnutrition in patients with Chronic Kidney Disease (CKD) is high, it can be made worse by SARS-CoV2 infection. The nutritional assessment should be adapted to minimize the infection, recommending monitoring: weight loss percentage, body mass index (BMI), loss of appetite, analytical parameters and functional capacity using the dynamometer. As well as the sarcopenia assessment using the SCARF scale, and the possibility of using the GLIM criteria in those patients who have been tested positive by MUST. It is important to adapt the nutritional recommendations in the caloric and protein intake, to the CKD stage and to the SARS-CoV2 infection stage. In patients with hypercatabolism, to prioritize preserving the nutritional status (35 kcal/kg weight/day, proteins up to 1.5 g/kg/day). The rest of the nutrients will be adapted to CKD stage and the analytical values. In the post-infection stage, a complete nutritional assessment is recommended, including sarcopenia. The energy and protein requirements in this phase will be adapted to the nutritional status, with special attention to the loss of muscle mass. Dietary recommendations need to be tailored to side effects of SARS-CoV-2 infection: anorexia, dysphagia, dysgeusia, and diarrhea. Anorexia and hypercatabolism makes it difficult to meet the requirements through diet, therefore the use of oral nutritional supplements is recommended as well as the enteral or parenteral nutrition in severe phases. SN - 2013-2514 UR - https://www.unboundmedicine.com/medline/citation/36165114/Multidisciplinary_nutritional_consensus_on_assessment_and_nutritional_dietary_treatment_in_patients_with_chronic_kidney_disease_and_SARS_CoV_2_infection_ DB - PRIME DP - Unbound Medicine ER -