Open Access
Subscription Access
Open Access
Subscription Access
Medical Nutrition Therapy for Management of COVID 19 for Adults – Compiled Guidelines by the Indian Dietetic Association (2019-2022)
Subscribe/Renew Journal
The advent of COVID-19 waves has continued since 2020, and we are here to accept that as individuals we have to learn to combat and recover from this infection effectively by COVID appropriate behaviour of quarantine, complete schedules of vaccination, masking, hand washing and a good dietary intervention to enable good recovery. This compiled review from the working group of Nutritionist of Indian Dietetic Association (2019-2022) will serve as a ready reference for dietitians, physicians and healthcare professionals in different settings; to advise the right diet and adequate nutrition for the adult COVID patients in different stages of the infection.The key points include- in mild intensity disease, while the patient is quarantined and home bound, the emphasis is on consuming adequate nutrient dense foods supporting the immune system, as well as providing adequate hydration. The role of traditional practices and immune boosting nutrients will also help in supporting the mildly affected patient. In case of moderate illness, the demand consequent to running fever and cough needs to be met. The needs of the elderly population and patients with co-morbidities would be very specific and critical, and that needs to be thoroughly monitored. The management of a patient with critical illness, needing intensive care support, will need customized parenteral and enteral nutrition support. The dietary specifications in case of co-morbidities, for those needing ventilator support and ECHMO have been enumerated. This paper clearly brings out the need for an individualized nutrition support delivered by a qualified Nutritionist as a part of health care team in each of the stages of the COVID-19 infection, and is a strong recommendation.
Keywords
COVID 19, Medical Nutrition Therapy, Adults, Mild, Moderate, Acute Respiratory Distress
Subscription
Login to verify subscription
User
Font Size
Information
- World Health Organization. Clinical Management of Severe Acute Respiratory Infection When Novel Coronavirus (2019-nCoV) Infection is Suspected [Internet]. World Health Organization; 2020 p. 1-10. Available from: https://apps.who.int/iris/handle/10665/330893
- Mishra, S., Sharma, D., Raghuvanshi, A., Rajput, A., Chaturvedi, V., & Shanno, K. Potential impact of nutrition on immune system: prevent or assist covid-19 recovery. Journal of Advances in Medicine and Medical Research. 2020. 32(22), 20-33.
- Yeoh YK, Zuo T, Lui GC, et al. Gut microbiota composition reflects disease severity and dysfunctional immune responses in patients with COVID-19. Gut 2021;70:698-706
- Liang T, Yu L. Handbook of COVID-19 Prevention and Treatment. Zhejiang University School of Medicine; 2020.
- Fernández-Quintela, A., Milton-Laskibar, I., Trepiana, J., Gómez-Zorita, S., Kajarabille, N., Léniz, A., González, M., & Portillo, M. P. Key aspects in nutritional management of Covid-19 patients. Journal of clinical medicine. 2020. 9(8), 2589.
- Sutaria, Muskaan &Keny, Greeshma&Pratinidhi, Shilpa. COVID-19 and its effect on nutrition. International Journal of Community Medicine and Public Health. 2020. 7. 4112.
- Formisano E, Di Maio P, Ivaldi C, Sferrazzo E, Arieta L, Bongiovanni S, Panizzi L, Valentino E, Pasta A, Giudice M, Demontis S. Nutritional therapy for patients with coronavirus disease 2019 (COVID-19): Practical protocol from a single center highly affected by an outbreak of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Nutrition. 2021 Feb;82:111048.
- Martindale R, Patel J, Taylor B, Warren M, McClave S. Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care [Internet]. Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN); 2020. Available from: https://www.sccm.org/COVID19RapidResources/Resources/Nutrition-Therapy-in-the-Patient-with-COVID-19-Dis
- Singer P. Nutritional and metabolic management of Covid -19 intensive care patients, the ESPEN Council, Espen expert statements and practical guidance for nutritional management of COVID 19. 2020.
- Singer P, Blaser A, Berger M, Alhazzani W, Calder P, Casaer M et al. ESPEN Guideline on Clinical Nutrition in the Intensive Care Unit. Clinical Nutrition. 2019;38(1):48-79.
- Ferrara, F., De Rosa, F. &Vitiello, A. The Central Role of Clinical Nutrition in COVID-19 Patients during and After Hospitalization in Intensive Care Unit. SN Comprehensive Clinical Medicine. 2020. 2, 1064–1068.
Abstract Views: 225
PDF Views: 0