Expert consensus on medical nutritional management of novel coronavirus infection_Chinese Journal of Evidence-Based Medicine

Authors：

 Nutrition and Food Safety Branch of Chinese Geriatrics Society , Sichuan Nutritionist Association , Department of Clinical Nutrition, West China Hospital, Sichuan University , Research Center of Clinical Epidemiology and Evidence-Based Medicine, West China Hospital, Sichuan University

Corresponding?author：

Nutrition and Food Safety Branch of Chinese Geriatrics Society, Email: huw@scu.edu.cn

Keywords：

COVID-19; Medical nutrition management; Expert consensus

DOI：

10.7507/1672-2531.202410064

Video：

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Abstract Full text Figures/Tables Video References Cited by

COVID-19 has been an established and continuing health problem. For the first time, this consensus focused on multi-scenario populations in the home/community, hospitalization and rehabilitation periods, and addressed medical nutrition management issues on which no consensus had yet been reached. This consensus was formulated on the basis of a comprehensive review of the existing evidence combined with the opinions of experts, with a view to complementing the existing guidelines/consensus.

Citation： Nutrition and Food Safety Branch of Chinese Geriatrics Society, Sichuan Nutritionist Association, Department of Clinical Nutrition, West China Hospital, Sichuan University, Research Center of Clinical Epidemiology and Evidence-Based Medicine, West China Hospital, Sichuan University. Expert consensus on medical nutritional management of novel coronavirus infection. Chinese Journal of Evidence-Based Medicine, 2025, 25(1): 24-31. doi: 10.7507/1672-2531.202410064 Copy

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4.	Lafaie L, Célarier T, Goethals L, et al. Recurrence or relapse of COVID-19 in older patients: a description of three cases. J Am Geriatr Soc, 2020, 68(10): 2179-2183.
5.	新型冠狀病毒感染診療方案(試行第十版). 心肺血管病雜志, 2023, 42(1): 1-8.
6.	Pérez-Torres A, Caverni Mu?oz A, Lou Arnal LM, et al. Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection. Nefrologia (Engl Ed), 2021, 41(4): 453-460.
7.	Tronco Hernandez YA, Julian A, Weekes EC, et al. Developing a consensus to support health and social care professionals and patients manage nutrition in the context of COVID-19 recovery. J Hum Nutr Diet, 2023, 36(4): 1242-1252.
8.	陳佩云, 李子慧, 黃厚強, 等. 新型冠狀病毒感染的肺炎背景下公眾營養管理最佳證據總結. 廣西醫學, 2020, 42(13): 1713-1717.
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1. WHO. WHO coronavirus (COVID-19) dashboard. 2023.
2. WHO. COVID-19 eliminated a decade of progress in global level of life expectancy. 2024.
3. Ravioli S, Ochsner H, Lindner G. Reactivation of COVID-19 pneumonia: a report of two cases. J Infect, 2020, 81(2): e72-e73.
4. Lafaie L, Célarier T, Goethals L, et al. Recurrence or relapse of COVID-19 in older patients: a description of three cases. J Am Geriatr Soc, 2020, 68(10): 2179-2183.
5. 新型冠狀病毒感染診療方案(試行第十版). 心肺血管病雜志, 2023, 42(1): 1-8.
6. Pérez-Torres A, Caverni Mu?oz A, Lou Arnal LM, et al. Multidisciplinary nutritional consensus on assessment and nutritional dietary treatment in patients with chronic kidney disease and SARS-CoV-2 infection. Nefrologia (Engl Ed), 2021, 41(4): 453-460.
7. Tronco Hernandez YA, Julian A, Weekes EC, et al. Developing a consensus to support health and social care professionals and patients manage nutrition in the context of COVID-19 recovery. J Hum Nutr Diet, 2023, 36(4): 1242-1252.
8. 陳佩云, 李子慧, 黃厚強, 等. 新型冠狀病毒感染的肺炎背景下公眾營養管理最佳證據總結. 廣西醫學, 2020, 42(13): 1713-1717.
9. 陳偉, 楊月欣, 楊曉光, 等. 新型冠狀病毒肺炎防治營養膳食指導建議. 營養學報, 2020, 42(1): 1-2.
10. 姜利, 潘純, 桑嶺, 等. 重癥新型冠狀病毒肺炎管理專家推薦意見. 中華重癥醫學電子雜志(網絡版), 2020, 6(1): 1-11.
11. 康軍仁, 于康, 劉燕萍, 等. 新型冠狀病毒感染患者營養支持治療專家建議(2023). 協和醫學雜志, 2023, 14(1): 75-80.
12. 李霞, 黃凡素. 糖脂代謝紊亂合并新型冠狀病毒感染的老年患者營養管理專家指導建議. 中國糖尿病雜志, 2023, 31(1): 2-6.
13. 施詠梅, 蔣詠梅, 羅茜, 等. 瑞金醫院新型冠狀病毒感染病人營養治療建議(2023版). 外科理論與實踐, 2023, 28(1): 49-52.
14. 汪之頊, 賴建強, 曾果. 新型冠狀病毒感染防控期間婦幼人群居家膳食/喂養指導建議. 中國營養學會, 2020.
15. 朱明煒, 丁麗麗, 陳麗如, 等. 基于國家第十版診療方案的新型冠狀病毒感染住院患者的醫學營養治療. 中華臨床營養雜志, 2023, 31(1): 54-57.
16. 楊春曉, 李石軍, 刁長冬, 等. 新型冠狀病毒肺炎重型危重型患者的規范化營養治療藥學服務路徑. 醫藥導報, 2020, 39(5): 645-649.
17. 于康, 陳偉, 秦瑛, 等. 新型冠狀病毒肺炎患者醫院營養管理專家意見(2020). 協和醫學雜志, 2021, 12(1): 27-32.
18. 張家瑛, 邵春海, 楊嘉紅, 等. 新型冠狀病毒肺炎危重癥患者營養治療專家建議. 中國臨床醫學, 2020, 27(2): 167-174.
19. 中國老年醫學學會營養與食品安全分會. 新型冠狀病毒感染肺炎流行時期居家老年人群營養膳食緊急推薦. 中國循證醫學雜志, 2020, 20(5): 515-524.
20. Mechanick JI, Carbone S, Dickerson RN, et al. Clinical nutrition research and the COVID-19 pandemic: a scoping review of the ASPEN COVID-19 Task Force on nutrition research. Jpen J Parenter Enteral Nutr, 2021, 45(1): 13-31.
21. Barros-Neto JA, Mello CS, Vasconcelos SML, et al. Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: multicenter study. Nutrition, 2022, 101: 111677.
22. Beaney T, Neves AL, Alboksmaty A, et al. Trends and associated factors for Covid-19 hospitalisation and fatality risk in 2. 3 million adults in England. Nat Commun, 2022, 13(1): 2356.
23. Eastment MC, Berry K, Locke E, et al. BMI and outcomes of SARS-CoV-2 among US veterans. Obesity (Silver Spring), 2021, 29(5): 900-908.
24. Ioannou GN, Locke E, Green P, et al. Risk factors for hospitalization, mechanical ventilation, or death among 10 131 US veterans with SARS-CoV-2 infection. JAMA Netw Open, 2020, 3(9): e2022310.
25. Mehta HB, Li S, Goodwin JS. Risk factors associated with SARS-CoV-2 infections, hospitalization, and mortality among US nursing home residents. JAMA Netw Open, 2021, 4(3): e216315.
26. Sakamoto Y, Satoh K, Tanaka T, et al. Risk factors associated with hospitalization in patients with asymptomatic or mild COVID-19 in public accommodation facilities in Tokyo. J Infect Chemother, 2022, 28(10): 1439-1444.
27. Kompaniyets L, Goodman AB, Belay B, et al. Body mass index and risk for COVID-19-related hospitalization, intensive care unit admission, invasive mechanical ventilation, and death - United States, March-December 2020. MMWR Morb Mortal Wkly Rep, 2021, 70(10): 355-361.
28. Petrilli CM, Jones SA, Yang J, et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study. BMJ, 2020, 369: m1966.
29. Reilev M, Kristensen KB, Potteg?rd A, et al. Characteristics and predictors of hospitalization and death in the first 11 122 cases with a positive RT-PCR test for SARS-CoV-2 in Denmark: a nationwide cohort. Int J Epidemiol, 2020, 49(5): 1468-1481.
30. Singh S, Bilal M, Pakhchanian H, et al. Impact of obesity on outcomes of patients with coronavirus disease 2019 in the United States: a multicenter electronic health records network study. Gastroenterology, 2020, 159(6): 2221-2225.
31. Castilla J, Guevara M, Miqueleiz A, et al. Risk factors of infection, hospitalization and death from SARS-CoV-2: a population-based cohort study. J Clin Med, 2021, 10(12): 2608.
32. Fresán U, Guevara M, Elía F, et al. Independent role of severe obesity as a risk factor for COVID-19 hospitalization: a Spanish population-based cohort study. Obesity (Silver Spring), 2021, 29(1): 29-37.
33. Chandarana H, Pisuchpen N, Krieger R, et al. Association of body composition parameters measured on CT with risk of hospitalization in patients with Covid-19. Eur J Radiol, 2021, 145: 110031.
34. Yoshiji S, Tanaka D, Minamino H, et al. Causal associations between body fat accumulation and COVID-19 severity: a Mendelian randomization study. Front Endocrinol (Lausanne), 2022, 13: 899625.
35. Feng X, Liu Z, He X, et al. Risk of malnutrition in hospitalized COVID-19 patients: a systematic review and meta-analysis. Nutrients, 2022, 14(24): 5267.
36. 吳石威, 寧麗娟, 胡毅翔, 等. 采用NRS2002評估新型冠狀病毒肺炎患者的營養風險及與臨床結局的關系研究. 中南藥學, 2020, 18(5): 743-747.
37. Can B, Senturk Durmus N, Olgun Y?ld?zeli S, et al. Nutrition risk assessed by Nutritional Risk Screening 2002 is associated with in-hospital mortality in older patients with COVID-19. Nutr Clin Pract, 2022, 37(3): 605-614.
38. Pinheiro VE, Ribeiro AS, Camillo CAM, et al. Undernutrition risk is independently associated with worsened indicators of hospital rehabilitation in COVID-19 patients. Hosp Pract (1995), 2023, 51(5): 267-274.
39. Cederholm T, Bosaeus I, Barazzoni R, et al. Diagnostic criteria for malnutrition - an ESPEN Consensus Statement. Clin Nutr, 2015, 34(3): 335-340.
40. Boaz M, Kaufman-Shriqui V. Systematic review and meta-analysis: malnutrition and in-hospital death in adults hospitalized with COVID-19. Nutrients, 2023, 15(5): 1298.
41. Ponce J, Anzalone AJ, Bailey K, et al. Impact of malnutrition on clinical outcomes in patients diagnosed with COVID-19. JPEN J Parenter Enteral Nutr, 2022, 46(8): 1797-1807.
42. Da Porto A, Tascini C, Peghin M, et al. Prognostic role of malnutrition diagnosed by bioelectrical impedance vector analysis in older adults hospitalized with COVID-19 pneumonia: a prospective study. Nutrients, 2021, 13(11): 4085.
43. Tadayon Najafabadi B, Rayner DG, Shokraee K, et al. Obesity as an independent risk factor for COVID-19 severity and mortality. Cochrane Database Syst Rev, 2023, (5): CD015201.
44. Marano D, Amaral Y, Rebelo F, et al. The effect of obesity on the mortality of hospitalized adults with COVID-19 considering the human development index: a systematic review and meta-analysis. Obes Rev, 2023, 24(9): e13591.
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Chinese Journal of Evidence-Based Medicine

Expert consensus on medical nutritional management of novel coronavirus infection

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