Obesity is frequent among COVID-19 patients and data indicate that this condition is associated with poor outcomes. Nutritional status,was often assessed by the calculation of body mass index (BMI) classes, allowing to indicate the presence/absence of overweight or obesity . However, scanty information is available on body composition in COVID-19 pa-tients in ICU and on patient’s muscularity. In fact, most of the studies conducted in these patients indicate a high prevalence of increased adiposity that seems to be able to predict the severity of the disease. Obesity was shown to predict COVID-19 severity also among young patients. In ICU (not COVID-19 patients), recent evidences showed that low skeletal muscle mass as assessed by CT, was a risk factor for reduced survival in mechanically ventilated patients, revealing that BMI was not an independent predictor of mortality when muscularity was considered.

The link between nutritional status and outcomes in COVID-19 patients in ICU. Is obesity or sarcopenia the real problem? / Molfino, Alessio; Imbimbo, Giovanni; Rizzo, Veronica; Muscaritoli, Maurizio; Alampi, Daniela. - In: EUROPEAN JOURNAL OF INTERNAL MEDICINE. - ISSN 0953-6205. - 91:(2021), pp. 93-95. [10.1016/j.ejim.2021.06.028]

The link between nutritional status and outcomes in COVID-19 patients in ICU. Is obesity or sarcopenia the real problem?

Alessio Molfino
;
Giovanni Imbimbo;Veronica Rizzo;Maurizio Muscaritoli;Daniela Alampi
Ultimo
Investigation
2021

Abstract

Obesity is frequent among COVID-19 patients and data indicate that this condition is associated with poor outcomes. Nutritional status,was often assessed by the calculation of body mass index (BMI) classes, allowing to indicate the presence/absence of overweight or obesity . However, scanty information is available on body composition in COVID-19 pa-tients in ICU and on patient’s muscularity. In fact, most of the studies conducted in these patients indicate a high prevalence of increased adiposity that seems to be able to predict the severity of the disease. Obesity was shown to predict COVID-19 severity also among young patients. In ICU (not COVID-19 patients), recent evidences showed that low skeletal muscle mass as assessed by CT, was a risk factor for reduced survival in mechanically ventilated patients, revealing that BMI was not an independent predictor of mortality when muscularity was considered.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/1561919
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