Новая коронавирусная инфекция COVID-19: нутритивная поддержка от начала заболевания до реабилитации


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Аннотация

Качественное оказание помощи пациентам с COVID-19 возможно только на основе мультидисциплинарного подхода. Оценка нутритивного статуса, а при необходимости и его коррекция важная составляющая комплексных программ лечения и реабилитации таких пациентов. Пожилой возраст, полиморбидность, саркопения и нутритивная недостаточность относятся к факторам риска неблагоприятного течения COVID-19. Коррекция нарушений пищевого статуса больных COVID-19 должна проводиться на всех этапах лечения. Важность проблемы нутритивной поддержки отражена во множестве публикаций, посвященных лечению больных COVID-19. Использование специализированных продуктов диетического лечебного питания в большинстве случаев позволяет обеспечить потребности пациентов в необходимых нутриентах, уменьшить выраженность саркопении и повысить эффективность реабилитационных мероприятий.

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Анастасия Евгеньевна Сирота

ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФ

Email: nastya@list.ru
врач

Игорь Николаевич Пасечник

ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФ

Email: pasigor@yandex.ru
д.м.н., профессор, зав. кафедрой анестезиологии и реаниматологии

Татьяна Валериановна Новикова

ООО «Нутриция»

медицинский менеджер научно-медицинского отдела

Список литературы

  1. World Health Organization. Weekly epidemiological update on COVID-19 - 12 October 2022. Accessed on October 12, 2022. URL: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19-12-october-2022 (date of access - 01.11.2022).
  2. Пасечник И.Н., Щучко А.А., Сазонов В.В., Иванова Т.Б. Новая коронавирусная инфекция COVID-19: как нам накормить больного? Лечащий врач. 2021; 11: 23-28. [Pasechnik I.N., Schuchko A.A., Sazonov V.V., Ivanova T.B. New coronavirus infection COVID-19: how do we feed the sick? Lechashchiy vrach = The Attending Physician. 2021; 11: 23-28 (In Russ.)]. https://dx.doi.org/10.51793/0S.2021.24.11.004. EDN: GORWYF.
  3. Silverio R., Goncalves D.C., Andrade M.F., Seelaender M. Coronavirus disease 2019 (COVID-19) and nutritional status: The missing link? Adv Nutr. 2021; 12(3): 682-92. https://dx.doi.org/10.1093/advances/nmaa125.
  4. Cai Q., Chen F., Wang T. et al. Obesity and COVID-19 severity in a designated hospital in Shenzhen, China. Diabetes Care. 2020; 43(7): 1392-98. https://dx.doi.org/10.2337/dc20-0576.
  5. Nicolau J., Ayala L., Sanchis P. et al. Influence of nutritional status on clinical outcomes among hospitalized patients with COVID-19. Clin Nutr ESPEN. 2021; 43: 223-29. https://dx.doi.org/10.1016/j.clnesp.2021.04.013.
  6. Belanger M.J., Hill M.A., Angelidi A.M. et al. Covid-19 and disparities in nutrition and obesity. N. Engl J. Med. 2020; 383(11): e69. https://dx.doi.org/10.1056/NEJMp2021264.
  7. Minnelli N., Gibbs L., Larrivee J., Sahu K.K. Challenges of maintaining optimal nutrition status in COVID-19 patients in intensive care settings. JPEN J. Parenter Enteral Nutr. 2020; 44(8): 1439-46. https://dx.doi.org/10.1002/jpen.1996.
  8. Thomas S., C. Alexander C., Cassady B.A. Nutrition risk prevalence and nutrition care recommendations for hospitalized and critically-ill patients with COVID-19. Clin Nutr ESPEN. 2021; 44: 38-49. https://dx.doi.org/10.1016/j.clnesp.2021.06.002.
  9. Rossi A.P., Muollo V., Dalla Valle Z. et al. The role of obesity, body composition, and nutrition in COVID-19 pandemia: A narrative review. Nutrients. 2022; 14(17): 3493. https://dx.doi.org/10.3390/nu14173493.
  10. Popkin B.M., Du S., Green W.D. et al. Individuals with obesity and COVID-19: A global perspective on the epidemiology and biological relationships. Obes Rev. 2020; 21(11): e13128. https://dx.doi.org/10.1111/obr.13128.
  11. Ho J.S.Y., Fernando D.I., Chan M.Y., Sia C.H. Obesity in COVID-19: A systematic review and meta-analysis. Ann Acad Med Singap. 2020; 49(12): 996-1008. https://dx.doi.org/10.47102/annals-acadmedsg.2020299.
  12. Singh A.K., Gupta R., Ghosh A., Misra A. Diabetes in COVID-19: Prevalence, pathophysiology, prognosis and practical considerations. Diabetes Metab Syndr. 2020; 14(4): 303-10. https://dx.doi.org/10.1016Zj.dsx.2020.04.004.
  13. Htun N.S.N., Odermatt P., Eze I.C. et al. Is diabetes a risk factor for a severe clinical presentation of dengue? Review and metaanalysis. PLoS Negl Trop Dis. 2015; 9(4): e0003741. https://dx.doi.org/10.1371/journal.pntd.0003741.
  14. Liu H., Chen S., Liu M. et al. Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging Dis. 2020; 11(3): 668-78. https://dx.doi.org/10.14336/AD.2020.0502.
  15. Yang J.K., Lin S.S., Ji X.J., Guo L.M. Binding of SARS coronavirus to its receptor damages islets and causes acute diabetes. Acta Diabetol. 2010; 47(3): 193-99. https://dx.doi.org/10.1007/s00592-009-0109-4.
  16. Kunz R., Minder M. COVID-19 pandemic: Palliative care for elderly and frail patients at home and in residential and nursing homes. Swiss Med Wkly. 2020; 150: w20235. https://dx.doi.org/10.4414/smw.2020.20235.
  17. Barazzoni R., Bischoff S.C., Breda J. et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clin Nutr. 2020; 39(6): 1631-38. https://dx.doi.org/10.1016/jxlnu.2020.03.022.
  18. Liu H., Chen S., Liu M. et al. Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging Dis. 2020; 11(3): 668-78. https://dx.doi.org/10.14336/AD.2020.0502.
  19. Пасечник И.Н., Сирота А.Б., Щучко А.А., Котвицкий А.Д. Миопатия как компонент полиорганной недостаточности. Медицинский вестник МВД. 2022; 4: 14-21. [Pasechnik I.N., Sirota A.E., Shchuchko A.A., Kotvitsky A.D. Myopathy as a component of multiple organ failure. Meditsinskiy vestnik MVD = Medical Herald of the Ministry of Internal Affairs. 2022; 4: 14-21 (In Russ.)]. https://dx.doi.org/10.52341/20738080_2022_119_4_14. EDN: HPIIKI.
  20. Cruz-Jentoft A.J., Bahat G., Bauer J. et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019; 48(1): 16-31. https://dx.doi.org/10.1093/ageing/afy169.
  21. Visser M., Pahor M., Taaffe D.R. et al. Relationship of interleukin-6 and tumor necrosis factor-а with muscle mass and muscle strength in elderly men and women: The Health ABC Study. Gerontol A Biol Sci Med Sci. 2002; 57(5): M326-32. https://dx.doi.org/10.1093/gerona/57.5.m326.
  22. Anker S.D., Coats A.J., Morley J.E. et al. Muscle wasting disease: A proposal for a new disease classification. J. Cachexia Sarcopenia Muscle. 2014; 5(1): 1-3. https://dx.doi.org/10.1007/s13539-014-0135-0.
  23. Kalinkovich A., Livshits G. Sarcopenic obesity or obese sarcopenia: A cross talk between age-associated adipose tissue and skeletal muscle inflammation as a main mechanism of the pathogenesis. Ageing Res Rev. 2017; 35: 200-21. https://dx.doi.org/10.1016/j.arr.2016.09.008.
  24. Wang P.Y., Li Y., Wang Q. Sarcopenia: An underlying treatment target during the COVID-19 pandemic. Nutrition. 2021; 84: 111104. https://dx.doi.org/10.1016/j-nut.2020.111104.
  25. Lewnard J.A., Liu V.X., Jackson M.L. et al. Incidence, clinical outcomes, and transmission dynamics of severe coronavirus disease 2019 in California and Washington: Prospective cohort study. BMJ. 2020; 369: m1923. https://dx.doi.org/10.1136/bmj.m1923.
  26. Parry S.M., Puthucheary Z.A. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med. 2015; 4: 16. https://dx.doi.org/10.1186/s13728-015-0036-7.
  27. Muthuvattur Pallath M., Ahirwar A.K., Chandra Tripathi S. et al. COVID-19 and nutritional deficiency: A review of existing knowledge. Horm Mol Biol Clin Investig. 2021; 42(1): 77-85. https://dx.doi.org/10.1515/hmbci-2020-0074.
  28. FAO of the United Nations. The state of food security and nutrition in the world. October 15, 2022. Available from: https://www.fao.org/state-of-food-security-nutrition/2021/en/(date of access - 01.11.2022).
  29. Savino W., Dardenne M., Velloso L.A. et al. The thymus is a common target in malnutrition and infection. Br J. Nutr. 2007; 98 Suppl 1: S11-16. https://dx.doi.org/10.1017/S0007114507832880.
  30. Agarwal E., Miller M., Yaxley A., Isenring E. Malnutrition in the elderly: A narrative review. Maturitas. 2013; 76(4): 296-302. https://dx.doi.org/10.1016/j.maturitas.2013.07.013.
  31. Stefano M., Andrea B., Daniela C. et al. Malnutrition risk as a negative prognostic factor in COVID-19 patients. Clin Nutr ESPEN. 2021; 45: 369-73. https://dx.doi.org/10.1016/j.clnesp.2021.07.016.
  32. Barazzoni R., Breda J., Cuerda C. et al. COVID-19: Lessons on malnutrition, nutritional care and public health from the ESPEN-WHO Europe call for papers. Clin Nutr. 2022: S0261-5614(22)00277-1. https://dx.doi.org/10.1016/j.clnu.2022.07.033. Online ahead of print.
  33. Mini Nutritional Assessment (MNA): Research and practice in the elderly. Nestle Nutrition Workshop Series Clinical and Performance Nutrition Programme. Vol. 1. Ed. by Vellas B., Garry P.J., Guigoz Y. Basel: S. Karger. 1999; 196 pp. ISBN-10: 9783805568036. ISBN-13: -978-3805568036.
  34. Heyland D.K., Dhaliwal R., Jiang X., Day A.G. Identifying critically ill patients who benefit the most from nutrition therapy: The development and initial validation of a novel risk assessment tool. Crit Care. 2011; 15(6): R268. https://dx.doi.org/10.1186/cc10546.
  35. Cederholm T., Jensen G.L., Correia M.I.T.D. et al.; GLIM Core Leadership Committee; GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr. 2019; 38(1): 1-9. https://dx.doi.org/10.1016/j.clnu.2018.08.002.
  36. Chapple L.S., Tatucu-Babet O.A., Lambell K.J. et al. Nutrition guidelines for critically ill adults admitted with COVID-19: Is there consensus? Clin Nutr ESPEN. 2021; 44: 69-77. https://dx.doi.org/10.1016/j.clnesp.2021.05.003.
  37. Cawood A.L., Elia M., Stratton R.J. Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev. 2012; 11(2): 278-96. https://dx.doi.org/10.1016/j.arr.2011.12.008.
  38. Свиридов С.В., Крылов К.Ю., Веденина И.В., Рубанес М. Влияние специализированного лечебного питания на улучшение качества жизни и восстановление пациентов с COVID-19: проспективное открытое мультицентровое сравнительное в двух группах наблюдательное исследование. Клиническое питание и метаболизм. 2020; 1(4): 165-177. [Sviridov S.V., Krylov K.Yu., Vedenina I.V., Rubenas M. The effects of oral nutritional support on the ability of the COVID-19 patients to recover: a prospective, open, multicenter, comparative in two groups, observational study. Klinicheskoye pitaniye i metabolizm = Clinical Nutrition and Metabolism. 2020; 1(4): 165-177 (In Russ.)]. https://dx.doi.org/10.17816/clinutr65103. EDN: FUVMFX.
  39. Фролов М.Ю., Рогов В.А. Фармакоэкономический анализ результатов исследования RECOVID. Итоговый отчет. ООО «Энроллми. ру». 2021; 29 с. Доступ: https://about.enrollme.ru/wp-content/uploads/2021/09/0тчет-ФЭИ-обоснование-REC0VID-30082021.pdf (дата обращения - 01.11.2022).
  40. Slotegraaf A.I., de van der Schueren M.A.E., Wierdsma N.J. et al. Nutritional problems of patients with COVID-19 receiving dietetic treatment in primary care. J. Hum Nutr Diet. 2022: https://dx.doi.org/10.1111/jhn.13053. Online ahead of print.
  41. Gobbi M., Brunani A., Arreghini M. et al. Nutritional status in post SARS-Cov2 rehabilitation patients. Clin Nutr. 2021: S0261-5614(21)00205-3. https://dx.doi.org/10.1016/j.clnu.2021.04.013. Online ahead of print.
  42. Deutz N.E., Matheson E.M., Matarese L.E. et al. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial. Clin Nutr. 2016; 35(1): 18-26. https://dx.doi.org/10.1016/j.clnu.2015.12.010.

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