4.7 Article

Impact on the Nutritional Status and Inflammation of Patients with Cancer Hospitalized after the SARS-CoV-2 Lockdown

Journal

NUTRIENTS
Volume 14, Issue 13, Pages -

Publisher

MDPI
DOI: 10.3390/nu14132754

Keywords

SARS-CoV-2 lockdown; nutritional status; oncology patients; mortality; inflammation; obesity paradox

Funding

  1. Plan Estatal I + D + I 2017-2020 from the Spanish Instituto de Salud Carlos III-Subdireccion General de Evaluacion y Fomento de la investigacion-FEDER [PI19/00785, PI20/00080]
  2. CIBEROBN, ISCIII, Spain

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A study analyzed the nutritional status of cancer patients admitted after the SARS-CoV-2 lockdown, compared to the previous year. The findings showed an improvement in the nutritional status of patients, with reduced weight loss and decreased levels of CRP, a marker of inflammation.
Many studies have demonstrated that malnutrition has a negative impact on quality of life and mortality in patients with cancer. During the SARS-CoV-2 lockdown, dietary intake changes were detected in the Spanish population, reflecting an increase in the consumption of fruit, bread, flours, and eggs. The present study analyzed the nutritional status of 728 patients with cancer admitted once the SARS-CoV-2 lockdown finished, comparing it with the previous year as well as with mortality rates. The Malnutrition Universal Screening Tool (MUST) was applied in the first 24 h after admission. Age, gender, days of stay, circulating concentrations of albumin, cholesterol, C-reactive protein (CRP), lymphocytes, prealbumin, and mortality data were analyzed. Patients with cancer admitted between June and December of 2020 exhibited no statistical differences in BMI, age, or gender as compared to patients admitted in 2019. Statistically significant differences in nutritional status (p < 0.05), albumin (p < 0.001), and CRP (p = 0.005) levels regarding lockdown were observed in relation with a small non-significant reduction in mortality. In conclusion, following the SARS-CoV-2 lockdown, an improved nutritional status in cancer patients at admission was observed with a decrease in the percentage of weight loss and CRP levels together with an increase in albumin levels compared to oncological patients admitted the previous year.

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