Long-term effects of malnutrition on severity of COVID-19

Abstract The COVID-19 pandemic is a public health crisis that has the potential to exacerbate worldwide malnutrition. This study examines whether patients with a history of malnutrition are predisposed to severe COVID-19. To do so, data on 103,099 COVID-19 inpatient encounters from 56 hospitals in t...

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Autores principales: Alec Kurtz, Kenneth Grant, Rachel Marano, Antonio Arrieta, William Feaster, Caroline Steele, Louis Ehwerhemuepha
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/d42c0cbee56c4b90898013ab6a206eb6
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spelling oai:doaj.org-article:d42c0cbee56c4b90898013ab6a206eb62021-12-02T16:17:18ZLong-term effects of malnutrition on severity of COVID-1910.1038/s41598-021-94138-z2045-2322https://doaj.org/article/d42c0cbee56c4b90898013ab6a206eb62021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94138-zhttps://doaj.org/toc/2045-2322Abstract The COVID-19 pandemic is a public health crisis that has the potential to exacerbate worldwide malnutrition. This study examines whether patients with a history of malnutrition are predisposed to severe COVID-19. To do so, data on 103,099 COVID-19 inpatient encounters from 56 hospitals in the United States between March 2020 and June 2020 were retrieved from the Cerner COVID-19 Dataset. Patients with a history of malnutrition between 2015 and 2019 were identified, and a random intercept logistic regression models for pediatric and adult patients were built controlling for patient demographics, socioeconomic status, admission vital signs, and related comorbidities. Statistical interactions between malnutrition and patient age were significant in both the pediatric [log-odds and 95% confidence interval: 0.094 (0.012, 0.175)] and adult [− 0.014 (− 0.021, − 0.006] models. These interactions, together with the main effect terms of malnutrition and age, imply higher odds for severe COVID-19 for children between 6 and 17 years with history of malnutrition. Even higher odds of severe COVID-19 exist for adults (with history of malnutrition) between 18 and 79 years. These results indicate that the long-term effect of malnutrition predisposes patients to severe COVID-19 in an age-dependent way.Alec KurtzKenneth GrantRachel MaranoAntonio ArrietaKenneth GrantWilliam FeasterCaroline SteeleLouis EhwerhemuephaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alec Kurtz
Kenneth Grant
Rachel Marano
Antonio Arrieta
Kenneth Grant
William Feaster
Caroline Steele
Louis Ehwerhemuepha
Long-term effects of malnutrition on severity of COVID-19
description Abstract The COVID-19 pandemic is a public health crisis that has the potential to exacerbate worldwide malnutrition. This study examines whether patients with a history of malnutrition are predisposed to severe COVID-19. To do so, data on 103,099 COVID-19 inpatient encounters from 56 hospitals in the United States between March 2020 and June 2020 were retrieved from the Cerner COVID-19 Dataset. Patients with a history of malnutrition between 2015 and 2019 were identified, and a random intercept logistic regression models for pediatric and adult patients were built controlling for patient demographics, socioeconomic status, admission vital signs, and related comorbidities. Statistical interactions between malnutrition and patient age were significant in both the pediatric [log-odds and 95% confidence interval: 0.094 (0.012, 0.175)] and adult [− 0.014 (− 0.021, − 0.006] models. These interactions, together with the main effect terms of malnutrition and age, imply higher odds for severe COVID-19 for children between 6 and 17 years with history of malnutrition. Even higher odds of severe COVID-19 exist for adults (with history of malnutrition) between 18 and 79 years. These results indicate that the long-term effect of malnutrition predisposes patients to severe COVID-19 in an age-dependent way.
format article
author Alec Kurtz
Kenneth Grant
Rachel Marano
Antonio Arrieta
Kenneth Grant
William Feaster
Caroline Steele
Louis Ehwerhemuepha
author_facet Alec Kurtz
Kenneth Grant
Rachel Marano
Antonio Arrieta
Kenneth Grant
William Feaster
Caroline Steele
Louis Ehwerhemuepha
author_sort Alec Kurtz
title Long-term effects of malnutrition on severity of COVID-19
title_short Long-term effects of malnutrition on severity of COVID-19
title_full Long-term effects of malnutrition on severity of COVID-19
title_fullStr Long-term effects of malnutrition on severity of COVID-19
title_full_unstemmed Long-term effects of malnutrition on severity of COVID-19
title_sort long-term effects of malnutrition on severity of covid-19
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d42c0cbee56c4b90898013ab6a206eb6
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