ESPEN 2022 Late Breaking Abstracts
Topic: Nutritional assessment
Abstract Submission Identifier: ESPEN22-LB-2232
MORPHOFUNCTIONAL ASSESSMENT WITH NUTRITIONAL ULTRASOUND PARAMETERS OF POST-ICU PATIENTS WITH COVID. PRELIMINARY RESULTS OF NUTRIECOMUSCLE STUDY.
J. M. García-Almeida 1, C. Joaquin 2, A. Zabalegui 3, M. J. Ocon-Breton 4, P. Matía 5, D. Bellido 6, M. A. Martinez-Olmos 7, A. Zugasti 8, M. Riestra 9, F. Botella 10, I. Breton*, 11
1Nutrition Unit, Hospital Virgen de la VIctoria, Malaga, 2Nutrition Unit, Hosital Vall d`Hevron, 3Nutrition Unit, Hospital German Trias i Pujol, Barcelona, 4Nutrition Unit, Hospital Universitario Lozano Blesa, Zaragoza, 5Nutrition Unit, Hospital Univeritario Clínico San Carlos, Madrid, 6Nutrition Unit, Complejo hospitalario Universitario de Ferrol, Ferrol, 7Nutrition Unit, Complejo Hospitalario de Santiago de Compostela, Santiago de Compostela, 8Nutrition Unit, Complejo Universitario de Navarra, Pamplona, 9Nutrition Unit, Hospital de Cabueñes, Gijon, 10Nutrition Unit, Hospital General Universitario de Albacete, Albacete, 11nutrition unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Rationale: To evaluate nutritional and morphofunctional status of COVID-19 patients at hospital discharge.
Methods: Observational study in COVID-19 patients discharged from ICU. Body composition was assessed by BIA and nutritional ultrasound and functional status by hand-grip strength and timed “up and go” test (TUG).
Results: 96 patients. Mean age: 58.8 (8.5) years, 71.9% males. According to GLIM criteria, 52.1% patients presented moderate and 46.9% severe malnutrition. During hospitalization, percentage of weight loss was 11.6% (SD 6.7). Hand grip strength was < 27kg in 56.5% of the male and < 16 kg in 77.8% women. Body composition parameters are displayed in Table. Fat free mass index <17 kg/m2 in 34.3% of the male and < 15 in 26.1% women. Phase angle (N=96) < 3.95o in 29.5%, SPA (N=31) < -1.85 in 54.8%. US myosteatosis was reported in 78.1% males and 100% females. TUG test was pathologic (> 20 sec.) in 27.7% (20.9% men and 44.4% women). A positive correlation was observed between muscle area and phase angle (rho=0.51), and between muscle area and hand grip strength (rho=0.55).
|
Males (n=69) |
Females (n=27) |
|
Overweight≥ 25 - 29.99 Kg/m2 |
28 (41.2%) |
5 (18.5%) |
|
Obesity* ≥ 30 Kg/m2 |
19 (27.9%) |
16 (59.3%) |
|
FFMI** (kg/m2) |
18 ± 4.5 |
16.3 ± 3.3 |
|
Phase angle (o) |
4.6 ± 1.1 |
4.4 ± 0.9 |
|
Preperitoneal adipose tissue |
0.8 ± 0.4 |
1.0 ± 0.5 |
|
RF-CSA** (cm2) |
3.7 ± 1.4 |
2.6 ± 0.6 |
|
Thickness RF* (cm) |
1.2 ± 0.5 |
0.9 ± 0.2 |
SMI: Skeletal Muscle Index; FFMI: Fat Free Mass Index; RF-CSA: Rectus femoris cross sectional area; *p<0.05 (Fisher’s test). **p<0.005 (Mann-Whitney test)
Conclusion: Almost all post-ICU COVID patients had some degree of malnutrition at hospital discharge and also a high prevalence of overweight or obesity and myosteatosis. Ultrasound nutritional parameters show a good correlation with BIA-body composition analysis and functional test in these patients.
References: Cornejo-Pareja I, et al. Clin Nutr. 2021:S0261-5614(21)00091-1.
Disclosure of Interest: None Declared
Keywords: bioimpedance, COVID 19, Nutritional ultrasound