PMID- 38217931 OWN - NLM STAT- MEDLINE DCOM- 20240123 LR - 20240131 IS - 1876-035X (Electronic) IS - 1876-0341 (Linking) VI - 17 IP - 2 DP - 2024 Feb TI - Nutritional status of elderly patients previously ill with COVID-19: Assessment with nutritional risk screening 2002 (NRS-2002) and mini nutritional assessment (MNA-sf). PG - 372-377 LID - S1876-0341(23)00392-1 [pii] LID - 10.1016/j.jiph.2023.11.005 [doi] AB - BACKGROUND: Long-term effects of COVID-19 showed a wide range of symptoms. Also, it was found that older patients were five times more likely than younger patients to develop long-COVID symptoms (1). This study aimed to investigate the use of Nutrition Risk Screening 2002 (NRS-2002) and the Mini Nutrition Assessment-Short Form (MNA-sf) among COVID-19 in elderly patients in Saudi Arabia. METHODS: A total of (n = 159) COVID-19 elderly patients were recruited in the study; the relationship between patients' characteristics, including age, gender, Body Mass Index (BMI), infection history, vaccination and chronic disease were evaluated using NRS-2002 and MNA-sf. Multivariate logistic regression to estimate the Odd Ratio (OR) by comparing the OR of different variables between normal nutritional Status and at-risk and Cohen's kappa (kappa) coefficient was assessed to analyse the agreement between both tools. RESULTS: MNA-sf showed a positive association between age and malnutrition risk >/= 66 years old P = 0.035. Both tools showed a negative association between BMI (P < 0.001 and P = 0.046), respectively and vaccination (P = 0.002 and P = 0.01), respectively, with risk for malnutrition. There was no significant association between Diabetes (DM) and malnutrition risk, but elderly Cardiovascular Disease (CVD) were at malnutrition risk using the NRS- 2002 tool P = 0.003. Inversely, people infected six months or more before malnutrition assessment have a lower risk of malnutrition P = 0.05. CONCLUSIONS: Both tools were valuable and practical tools for screening elderly people with COVID-19 who are at nutritional risk and those in need of additional nutritional intervention. Further research needed to be applied in the relationship between nutritional status during and post-infectious disease for elderly people using cross-sectional and intervention studies in order to prevent malnutrition complications in Saudi Arabia. CI - Copyright (c) 2023. Published by Elsevier Ltd. FAU - Shamlan, Ghalia AU - Shamlan G AD - Department of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi Arabia. Electronic address: Shamlana@ksu.du.sa. FAU - Albreiki, Mohammed AU - Albreiki M AD - Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates; Biosecurity Affairs Division, Innovation and Development Sector, Abu Dhabi Agriculture and Food Safety Authority, Abu Dhabi, United Arab Emirates. Electronic address: m.albreiki1987@gmail.com. FAU - Almasoudi, Hadeel O AU - Almasoudi HO AD - Department of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi Arabia. FAU - Alshehri, Lina A AU - Alshehri LA AD - Department of Human Nutrition, College of food science and agriculture, King Saud University, Riyadh, Saudi Arabia. FAU - Ghaith, Mazen M AU - Ghaith MM AD - Department of Clinical Laboratory Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, P.O. Box 7607, Al Abdeyah, Makkah, Saudi Arabia. FAU - Alharthi, Abdulrahman S AU - Alharthi AS AD - Department of Animal Production, College of food science and agriculture, King Saud University, Riyadh, Saudi Arabia. FAU - Aleanizy, Fadilah S AU - Aleanizy FS AD - Department of Pharmacutics, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20231107 PL - England TA - J Infect Public Health JT - Journal of infection and public health JID - 101487384 SB - IM MH - Humans MH - Aged MH - Nutritional Status MH - Nutrition Assessment MH - Post-Acute COVID-19 Syndrome MH - Cross-Sectional Studies MH - *COVID-19/epidemiology MH - Risk Assessment MH - *Malnutrition/complications/epidemiology/diagnosis OTO - NOTNLM OT - COVID-19 OT - Elderly OT - Malnutrition OT - Mini Nutritional Assessment-Short Form (MNA-sf) OT - Nutritional Risk Screening-2002 (NRS-2002) COIS- Declaration of Competing Interest The authors declare no conflict of interest. EDAT- 2024/01/14 12:42 MHDA- 2024/01/23 06:42 CRDT- 2024/01/13 18:02 PHST- 2023/06/09 00:00 [received] PHST- 2023/09/19 00:00 [revised] PHST- 2023/11/02 00:00 [accepted] PHST- 2024/01/23 06:42 [medline] PHST- 2024/01/14 12:42 [pubmed] PHST- 2024/01/13 18:02 [entrez] AID - S1876-0341(23)00392-1 [pii] AID - 10.1016/j.jiph.2023.11.005 [doi] PST - ppublish SO - J Infect Public Health. 2024 Feb;17(2):372-377. doi: 10.1016/j.jiph.2023.11.005. Epub 2023 Nov 7.