住院治疗COVID-19的儿童和青少年的营养风险和功能
Kahena Zarth1, Bruna Luiza Holand2, Ester Zoche3
1Graduate Program in Food, Nutrition and Health, Federal University of Rio Grande do Sul, 2400 Ramiro Barcelos Street, Porto Alegre, State of Rio Grande do Sul, 90035-002, Brazil.
European journal of pediatrics
|December 12, 2023
概括
住院患有COVID-19且营养风险较高的儿童的功能表现更差. 即使考虑到年龄,住院时间和慢性疾病,这种关联仍然存在,这凸显了营养状况在儿科COVID-19康复中的重要性.
科学领域:
- 儿童传染病 儿童传染病
- 临床营养学 临床营养学
- 康复医学是康复的医学.
背景情况:
- 儿童和青少年的COVID-19通常表现出比成人更轻微的症状,但严重的病例和并发症可能会发生.
- 儿童COVID-19患者的营养风险和功能状态之间的关系存在有限的研究.
研究的目的:
- 调查COVID-19住院儿童和青少年营养风险与功能状况之间的关联.
- 在住院和出院时评估这种关系.
主要方法:
- 一项回顾性横截面研究包括217名19岁以下的儿童和青少年,对SARS-CoV-2呈阳性.
- 使用STRONGKids查工具评估营养风险,并通过功能状态量表 (FSS-巴西) 测量功能性.
- 用波桑回归来分析营养风险和功能状态之间的关联,根据年龄,停留时间和复杂的慢性疾病进行调整.
主要成果:
- 64%的患者具有中等/高的营养风险,23.9%的患者在入院时存在一定程度的功能障碍.
- 与营养风险低的儿童相比,营养风险中等/高的儿童在入院和出院时的功能状态得分明显较差.
- STRONGKids得分每增加1分,就会增加36%的功能障碍在入院时的可能性.
结论:
- 在COVID-19的住院儿童和青少年中,营养风险和功能障碍之间存在显著的积极关联.
- 营养风险中等/高的患者在整个住院期间,从入院到出院,功能表现更差.
- 营养状况是影响儿童COVID-19患者功能结果的关键因素.
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