Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection

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...

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Autores principales:	Almudena Pérez-Torres, Alberto Caverni Muñoz, Luis Miguel Lou Arnal, Alejandro Sanz Paris, Concepción Vidal Peracho, Juan La Torre Catalá, Rafael Sánchez Villanueva, Secundino Cigarrán Guldris, Filomeno Trocoli González, Ángel Nogueira Pérez, Ana Sanjurjo Amado, M. Elena González García, Guillermina Barril Cuadrado
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	ERC Nutrición SARS-CoV-2 Dieta Requerimientos Suplementación nutricional Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/ea7266ba196f405b945dbe4030948ef7
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spelling	oai:doaj.org-article:ea7266ba196f405b945dbe4030948ef72021-11-14T04:31:54ZMultidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection2013-251410.1016/j.nefroe.2021.10.002https://doaj.org/article/ea7266ba196f405b945dbe4030948ef72021-07-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2013251421000924https://doaj.org/toc/2013-2514The 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. Resumen: La presencia de malnutrición en pacientes con Enfermedad Renal Crónica (ERC) es elevada, puede agravarse por la infección por SARS-CoV2.La valoración nutricional se debe adaptar para minimizar contagios, recomendando monitorizar: porcentaje de pérdida de peso, índice de masa corporal (IMC), pérdida de apetito, parámetros analíticos y capacidad funcional mediante dinamometría. Así como valorar la sarcopenia mediante la escala SCARF, y la posibilidad de utilizar los criterios GLIM en aquellos pacientes que el cribado MUST ha dado positivo.Es importante adaptar las recomendaciones nutricionales en ingesta calórica y proteica, al estadio de la ERC y a la fase de infección por SARS-CoV2. En pacientes hipercatabólicos priorizar preservar estado nutricional (35 kcal/kg peso/día, proteínas hasta 1,5 g/kg/día). El resto de nutrientes se adaptarán a estadío de ERC y valores analíticos.En la etapa post-infección, se recomienda realizar valoración nutricional completa, incluyendo sarcopenia. Los requerimientos energéticos y proteicos en esta fase se adaptarán a la afectación del estado nutricional, con especial atención a la pérdida de masa muscular.Es necesario adaptar las recomendaciones dietéticas a efectos secundarios de la infección por SARS-CoV-2: anorexia, disfagia, disgeusia, y diarrea.La anorexia y el hipercatabolismo dificulta el cumplimiento de los requerimiento a través de la alimentación, por lo que se recomienda la utilización de soporte nutricional oral y en las fases severas la nutrición enteral o la parenteral.Almudena Pérez-TorresAlberto Caverni MuñozLuis Miguel Lou ArnalAlejandro Sanz ParisConcepción Vidal PerachoJuan La Torre CataláRafael Sánchez VillanuevaSecundino Cigarrán GuldrisFilomeno Trocoli GonzálezÁngel Nogueira PérezAna Sanjurjo AmadoM. Elena González GarcíaGuillermina Barril CuadradoElsevierarticleERCNutriciónSARS-CoV-2DietaRequerimientosSuplementación nutricionalDiseases of the genitourinary system. UrologyRC870-923ENNefrología (English Edition), Vol 41, Iss 4, Pp 453-460 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ERC Nutrición SARS-CoV-2 Dieta Requerimientos Suplementación nutricional Diseases of the genitourinary system. Urology RC870-923
spellingShingle	ERC Nutrición SARS-CoV-2 Dieta Requerimientos Suplementación nutricional Diseases of the genitourinary system. Urology RC870-923 Almudena Pérez-Torres Alberto Caverni Muñoz Luis Miguel Lou Arnal Alejandro Sanz Paris Concepción Vidal Peracho Juan La Torre Catalá Rafael Sánchez Villanueva Secundino Cigarrán Guldris Filomeno Trocoli González Ángel Nogueira Pérez Ana Sanjurjo Amado M. Elena González García Guillermina Barril Cuadrado Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
description	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. Resumen: La presencia de malnutrición en pacientes con Enfermedad Renal Crónica (ERC) es elevada, puede agravarse por la infección por SARS-CoV2.La valoración nutricional se debe adaptar para minimizar contagios, recomendando monitorizar: porcentaje de pérdida de peso, índice de masa corporal (IMC), pérdida de apetito, parámetros analíticos y capacidad funcional mediante dinamometría. Así como valorar la sarcopenia mediante la escala SCARF, y la posibilidad de utilizar los criterios GLIM en aquellos pacientes que el cribado MUST ha dado positivo.Es importante adaptar las recomendaciones nutricionales en ingesta calórica y proteica, al estadio de la ERC y a la fase de infección por SARS-CoV2. En pacientes hipercatabólicos priorizar preservar estado nutricional (35 kcal/kg peso/día, proteínas hasta 1,5 g/kg/día). El resto de nutrientes se adaptarán a estadío de ERC y valores analíticos.En la etapa post-infección, se recomienda realizar valoración nutricional completa, incluyendo sarcopenia. Los requerimientos energéticos y proteicos en esta fase se adaptarán a la afectación del estado nutricional, con especial atención a la pérdida de masa muscular.Es necesario adaptar las recomendaciones dietéticas a efectos secundarios de la infección por SARS-CoV-2: anorexia, disfagia, disgeusia, y diarrea.La anorexia y el hipercatabolismo dificulta el cumplimiento de los requerimiento a través de la alimentación, por lo que se recomienda la utilización de soporte nutricional oral y en las fases severas la nutrición enteral o la parenteral.
format	article
author	Almudena Pérez-Torres Alberto Caverni Muñoz Luis Miguel Lou Arnal Alejandro Sanz Paris Concepción Vidal Peracho Juan La Torre Catalá Rafael Sánchez Villanueva Secundino Cigarrán Guldris Filomeno Trocoli González Ángel Nogueira Pérez Ana Sanjurjo Amado M. Elena González García Guillermina Barril Cuadrado
author_facet	Almudena Pérez-Torres Alberto Caverni Muñoz Luis Miguel Lou Arnal Alejandro Sanz Paris Concepción Vidal Peracho Juan La Torre Catalá Rafael Sánchez Villanueva Secundino Cigarrán Guldris Filomeno Trocoli González Ángel Nogueira Pérez Ana Sanjurjo Amado M. Elena González García Guillermina Barril Cuadrado
author_sort	Almudena Pérez-Torres
title	Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
title_short	Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
title_full	Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
title_fullStr	Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
title_full_unstemmed	Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection
title_sort	multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and sars-cov-2 infection
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/ea7266ba196f405b945dbe4030948ef7
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Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection

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