Malnutrition Screening Is Better Than Body Mass Index for Predicting COVID-19 Severity
Abstract
Abstract: Several factors can influence the severity of COVID-19, including nutritional status and malnutrition conditions. This study compares malnutrition screening methods with body mass index to find better predictors of COVID-19 severity. This study is a cross-sectional analysis of medical records from all adult COVID-19 patients (total sampling) treated at Amri Tambunan Deli Serdang Hospital. The World Health Organization criteria were used to determine the severity of COVID-19. A Global Subjective Assessment (SGA) questionnaire was used to screen for malnutrition, while anthropometric measurements (Kg/m2) were used to calculate the Body Mass Index (BMI). The Chi-Square Test was used for statistical analysis. This study included 508 COVID-19 hospitalisation patients, the majority of whom were women (55.5%), aged 18-29 years (25%) and had moderate severity (89.6%). The seriousness of COVID-19 was associated with malnutrition conditions as measured by the SGA questionnaire (p<0.001), with patients with moderate to severe malnutrition being 3.4 times more likely to develop robust and critical COVID-19 (95% CI 1.6 - 7.0). There is no significant relationship between Body Mass Index and the severity of COVID-19 (p>0.05). Malnutrition screening with SGA is more accurate than BMI in predicting the severity of COVID-19.
Keywords: IMT, a predictor of COVID-19 severity degree, malnutrition screening
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Kemenkes. Manajemen Klinis Tata Laksana Corona Virus Disease 2019 (COVID-19) Di Fasilitas Pelayanan Kesehatan. Indonesia; 2021.
TGTP COVID-19. Peta persebaran terkait COVID-19 kota Medan. PEMKOT Medan. 2021.
Pentingnya Nutrisi Keluarga Di Masa Pandemi Dalam Upaya Pencegahan Penyakit COVID-19. J PRODIKMAS Has Pengabdi Kpd Masy [Internet]. 2021 [cited 2022 Aug 27]; Available from: http://jurnal.umsu.ac.id/index.php/prodikmas/article/view/8160
Waspada Pandemi COVID-19; Transfer Pengetahuan Tentang COVID-19 dan Manfaat Vaksinasi Pada Masyarakat Lubuk Bayas. Ihsan J Pengabdi Masy [Internet]. 2022 Apr 30 [cited 2022 Aug 27]; Available from: http://jurnal.umsu.ac.id/index.php/IHSAN/article/view/9982
Rejeki AS, Rahman S. Hubungan Tingkat Pengetahuan Dan Sikap Peserta Prolanis Diabetes Mellitus Tipe 2 Terhadap Kepatuhan Protokol Kesehatan COVID - 19 Di Klinik Iman. J Ilm MAKSITEK. 2021;6(2):7.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020 Feb;395(10223):497–506.
Zhang N, Xie T, Ning W, He R, Zhu B, Mao Y. The Severity of COVID-19 and Its Determinants: A Systematic Review and Meta-Analysis in China. Sustainability. 2021 May 10;13(9):5305.
Di Filippo L, De Lorenzo R, D’Amico M, Sofia V, Roveri L, Mele R, et al. COVID-19 is associated with clinically significant weight loss and risk of malnutrition, independent of hospitalisation: A posthoc analysis of a prospective cohort study. Clin Nutr. 2021 Apr;40(4):2420–6.
Bedock D, Bel Lassen P, Mathian A, Moreau P, Couffignal J, Ciangura C, et al. Prevalence and severity of malnutrition in hospitalised COVID-19 patients. Clin Nutr ESPEN. 2020 Dec;40:214–9.
Stefano M, Andrea B, Daniela C, Emanuela M, Lorena P, Daniela D, et al. Malnutrition risk as a negative prognostic factor in COVID-19 patients. Clin Nutr ESPEN. 2021 Oct;45:369–73.
Ali AM, Kunugi H. Approaches to Nutritional Screening in Patients with Coronavirus Disease 2019 (COVID-19). Int J Environ Res Public Health. 2021 Mar 9;18(5):2772.
Nugraha MochD. ANALISIS FAKTOR RISIKO KEMATIAN AKIBAT INFEKSI COVID-19: SYSTEMATIC REVIEW. J Ilmu Kesehat Bhakti Husada Health Sci J. 2021 Dec 2;12(2):204–14.
Meister T, Pisarev H, Kolde R, Kalda R, Suija K, Milani L, et al. Clinical characteristics and risk factors for COVID-19 infection and disease severity: A nationwide observational study in Estonia. Hsu SC, editor. PLOS ONE. 2022 Jun 16;17(6):e0270192.
Fiorindi C, Campani F, Rasero L, Campani C, Livi L, Giovannoni L, et al. Prevalence of nutritional risk and malnutrition during and after hospitalisation for COVID-19 infection: Preliminary results of a single-centre experience. Clin Nutr ESPEN. 2021 Oct;45:351–5.
Haraj NE, El Aziz S, Chadli A, Dafir A, Mjabber A, Aissaoui O, et al. Nutritional status assessment in patients with COVID-19 after discharge from the intensive care unit. Clin Nutr ESPEN. 2021 Feb;41:423–8.
Li T, Zhang Y, Gong C, Wang J, Liu B, Shi L, et al. Prevalence of malnutrition and analysis of related factors in elderly patients with COVID-19 in Wuhan, China. Eur J Clin Nutr. 2020 Jun;74(6):871–5.
Subagio H, Puruhita N, Kern A. Problema Malnutrisi di Rumah Sakit. Medica Hosp J Clin Med [Internet]. 2017 Sep 16 [cited 2022 Aug 27];3(3). Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/225
Subagio HW, Puruhita N, Probosari E, Murbawani EA, khairuddin khairuddin, sukmadianti A, et al. Malnutrisi di Rumah Sakit. 1st ed. Penerbit K-Media; 2019. 13–25 p.
Sukatemin S, Lasmadasari N, Ester E. Hubungan Status Gizi Terhadap Kejadian Penyakitdegeneratif Pada Lansia Di Distrik Wanggar Kabupaten Nabire. J Nurs Public Health. 2022 May 26;10(1):148–56.
Muslihah N, Winarsih S, Soemardini S, Zakaria As, Zainudiin Z. Kualitas Diet Dan Hubungannya Dengan Pengetahuan Gizi, Status Sosial Ekonomi, Dan Status Gizi. J Gizi Dan Pangan. 2013 Nov 29;8(1):71.
Siregar FNM. Mikrobiota Usus Dan Gut-Lung Axis Pada Penyakit Paru. J Implementa Husada. 2021;2(2):15.
Allali I, Bakri Y, Amzazi S, Ghazal H. Gut-Lung Axis in COVID-19. Marquart ME, editor. Interdiscip Perspect Infect Dis. 2021 Mar 12;2021:1–6.
DOI (PDF): https://doi.org/10.30596/bf.v8i1.11619.g8478
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JURNAL BULETIN FARMATERA
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