KANG Junren, YU kang, LIU Yanping, YAN Jie, DOU Pan, HUA Xin, Beijing Quality Control and Improvement Center for Clinical Nutrition Therapy. Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023)[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 75-80. DOI: 10.12290/xhyxzz.2023-0019
Citation: KANG Junren, YU kang, LIU Yanping, YAN Jie, DOU Pan, HUA Xin, Beijing Quality Control and Improvement Center for Clinical Nutrition Therapy. Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023)[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 75-80. DOI: 10.12290/xhyxzz.2023-0019

Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023)

Funds: 

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-055

More Information
  • Corresponding author:

    YU Kang, E-mail: yuk1997@sina.com

  • Received Date: January 08, 2023
  • Accepted Date: January 08, 2023
  • Issue Publish Date: January 29, 2023
  • The standardized nutrition support therapy can improve the nutritional status, immunity, quality of life, and clinical outcomes of patients with novel coronavirus disease (COVID-19) infection. The latest Chinese government policy also clearly states that nutrition support therapy should be included in the whole process of treatment and recovery of patients with COVID-19. Therefore, the Beijing Quality Control and Improvement Center for Clinical Nutrition Therapy has organized relevant experts to formulate the Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023), following the latest clinical nutrition guidelines, research evidence and clinical practice of nutrition support of COVID-19. The recommendations suggest that individualized nutrition management be implemented by following the standardized pathway of nutrition management, which includes nutrition-risk screening, malnutrition diagnosis, nutrition treatment and nutrition monitoring, and by taking into account the clinical characteristics of patients with COVID-19.
  • [1]
    国家卫生健康委办公厅, 国家中医药局综合司. 新型冠状病毒感染诊疗方案(试行第十版)[EB/OL]. (2023-01-06)[2023-01-09]. http://www.nhc.gov.cn/ylyjs/pqt/202301/32de5b2ff9bf4eaa88e75bdf7223a65a.shtml.
    [2]
    北京协和医院新型冠状病毒诊疗多学科专家组. 北京协和医院新型冠状病毒感染基层诊疗建议(2023)[J]. 协和医学杂志, 2023, 14: 60-74. DOI: 10.12290/xhyxzz.2023-0014
    [3]
    Barazzoni R, Bischoff SC, Breda J, et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection[J]. Clin Nutr, 2020, 39: 1631-1638. DOI: 10.1016/j.clnu.2020.03.022
    [4]
    于康. 临床营养支持治疗(第3版)[M]. 北京: 中国协和医科大学出版社, 2021.
    [5]
    中华医学会. 临床诊疗指南肠外肠内营养学分册[M]. 北京: 人民卫生出版社, 2008.
    [6]
    McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N. )[J]. JPEN J Parenter Enteral Nutr, 2016, 40: 159-211. DOI: 10.1177/0148607115621863
    [7]
    Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit[J]. Clin Nutr, 2019, 38: 48-79. DOI: 10.1016/j.clnu.2018.08.037
    [8]
    中国医师协会呼吸医师分会危重症专业委员会, 中华医学会呼吸病学分会危重症医学学组, 《中国呼吸危重症疾病营养支持治疗专家共识》专家委员会. 中国呼吸危重症患者营养支持治疗专家共识[J]. 中华医学杂志, 2020, 100: 573-585. DOI: 10.3760/cma.j.issn.0376-2491.2020.08.004
    [9]
    Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22: 321-336. DOI: 10.1016/S0261-5614(02)00214-5
    [10]
    Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial[J]. Lancet, 2019, 393: 2312-2321. DOI: 10.1016/S0140-6736(18)32776-4
    [11]
    McCarthy H, Dixon M, Crabtree I, et al. The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP©) for use by healthcare staff[J]. J Hum Nutr Diet, 2012, 25: 311-318. DOI: 10.1111/j.1365-277X.2012.01234.x
    [12]
    Zhu XM, Qian SY, Lu GP, et al. Chinese guidelines for the assessment and provision of nutrition support therapy in critically ill children[J]. World J Pediatr, 2018, 14: 419-428. DOI: 10.1007/s12519-018-0175-1
    [13]
    Volkert D, Beck AM, Cederholm T, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics[J]. Clin Nutr, 2019, 38: 10-47. DOI: 10.1016/j.clnu.2018.05.024
    [14]
    中国营养学会. 中国居民膳食指南(2022) [M]. 北京: 人民卫生出版社, 2022.
    [15]
    Smith ER, Oakley E, Grandner GW, et al. Clinical risk factors of adverse outcomes among women with COVID-19 in the pregnancy and postpartum period: a sequential, prospective meta-analysis[J]. Am J Obstet Gynecol, 2022, S0002-9378: 00680-00689.
    [16]
    McClave SA, DiBaise JK, Mullin GE, et al. ACG Clinical Guideline: Nutrition Therapy in the Adult Hospitalized Patient[J]. Am J Gastroenterol, 2016, 111: 315-334. DOI: 10.1038/ajg.2016.28
    [17]
    Mehta NM, Skillman HE, Irving SY, et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition[J]. JPEN J Parenter Enteral Nutr, 2017, 41: 706-742. DOI: 10.1177/0148607117711387
    [18]
    Berger MM, Shenkin A, Schweinlin A, et al. ESPEN micronutrient guideline [J]. Clin Nutr, 2022, 41: 1357-1424. DOI: 10.1016/j.clnu.2022.02.015
    [19]
    Aubry E, Friedli N, Schuetz P, et al. Refeeding syndrome in the frail elderly population: prevention, diagnosis and management[J]. Clin Exp Gastroenterol, 2018, 11: 255-264. DOI: 10.2147/CEG.S136429
    [20]
    Israel A, Cicurel A, Feldhamer I, et al. Vitamin D deficiency is associated with higher risks for SARS-CoV-2 infection and COVID-19 severity: a retrospective case-control study[J]. Intern Emerg Med, 2022, 17: 1053-1063. DOI: 10.1007/s11739-021-02902-w
    [21]
    Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy[J]. JPEN J Parenter Enteral Nutr, 2017, 41: 15-103. DOI: 10.1177/0148607116673053
    [22]
    Schörghuber M, Fruhwald S. Effects of enteral nutrition on gastrointestinal function in patients who are critically ill[J]. Lancet Gastroenterol Hepatol, 2018, 3: 281-287. DOI: 10.1016/S2468-1253(18)30036-0
    [23]
    中华医学会肠外肠内营养分会. 成人补充性肠外营养中国专家共识[J]. 中华胃肠外科杂志, 2017, 20: 9-13.
    [24]
    Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery[J]. Clin Nutr, 2017, 36: 623-650.
    [25]
    Mesotten D, Joosten K, van Kempen A, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Carbohydrates[J]. Clin Nutr, 2018, 37: 2337-2343. DOI: 10.1016/j.clnu.2018.06.947
    [26]
    Gomes F, Schuetz P, Bounoure L, et al. ESPEN guidelines on nutritional support for polymorbid internal medicine patients[J]. Clin Nutr, 2018, 37: 336-353.
    [27]
    Mak JWY, Chan FKL, Ng SC. Probiotics and COVID-19: one size does not fit all[J]. Lancet Gastroenterol Hepatol, 2020, 5: 644-645. DOI: 10.1016/S2468-1253(20)30122-9
  • Related Articles

    [1]JIA Chunyu, WANG Gangan, WANG Jiahui, CHEN Gang, ZHENG Ke, LI Xuemei. Correlation Between Neutrophil to Lymphocyte Ratio and eGFR in Diabetic Patients: A Cross-sectional Analysis Based on NHANES Data[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(2): 379-385. DOI: 10.12290/xhyxzz.2024-0908
    [2]ZHANG Zhanjie, XIAO Yunqing, CHANG Qing, PAN Hui, ZHOU Jiong, GAO Jingsong, ZHANG Yu, MA Xiaojun. Strengthening the Maternal Health Management System to Safeguard Regional Maternal and Child Safety[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2025-0118
    [3]LIANG Yan. Interpretation on the 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guidelines for the Management of Patients with Chronic Coronary Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 312-319. DOI: 10.12290/xhyxzz.2024-0043
    [4]LIU Wanrong, TANG Hui, ZHOU Na, QIU Wei, LI Xiaoyuan, WANG Xiang, BAI Chunmei, ZHOU Jianfeng, ZHAO Lin. Incidence of COVID-19 in Patients with Tumor During the Omicron Pandemic[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1238-1245. DOI: 10.12290/xhyxzz.2023-0281
    [5]LIU Huan, HUANG Xiaoling, DAI Mengying, GUO Jiejie, GAO feng. Clinical Characteristics and Inflammatory Markers of Omicron BA.5.2 Variant Infection in Hospitalized Patients and Their Predictive Role in Disease Prognosis[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1038-1045. DOI: 10.12290/xhyxzz.2023-0055
    [6]QIU Luyao, TANG Wenjing, YANG Lu, LYU Ge, CHEN Junjie, SUN Gan, WANG Yanping, ZHOU Lina, AN Yunfei, ZHANG Zhiyong, TANG Xuemei, ZHAO Xiaodong, DU Hongqiang. Clinical Phenotype and Immunological Characteristics of A Patient with De Novo Heterozygous Mutation of PTEN[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 373-378. DOI: 10.12290/xhyxzz.2023-0023
    [7]MA Liang-kun, DUAN Yan-ping, ZHENG Rui-min, ZENG Xue-jun, LIU Jun-tao, WEI Jing. Expert Proposal on Maternal Psychological Adjustment during the Outbreak of Coronavirus Disease 2019[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 665-668. DOI: 10.3969/j.issn.1674-9081.20200031
    [8]MAIMAITI Nu-rong-gu-li, Hua-bing ZHANG, Xiao-ping XING. Clinical and Genetic Analysis of a Uyghur Patient with Gitelman's Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(6): 427-431. DOI: 10.3969/j.issn.1674-9081.2015.06.006
    [9]Creasy & Resnik's Maternal-Fetal Medicine:Principles and Practice (7th ed.) (2014)[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(4): 388-388.
    [10]Xin-yu REN, Yu-feng YIN, Jie GAO, Sha-fei WU, Ke WANG, Wen-ze WANG, Xuan ZENG, Zhi-yong LIANG. Detection of HER2/neu Gene in Pancreatic and Gastric Adenocarcinoma among Chinese Patients[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(1): 21-25. DOI: 10.3969/j.issn.1674-9081.2012.01.006
  • Cited by

    Periodical cited type(13)

    1. 中国老年医学学会营养与食品安全分会 ,四川省营养师协会 ,四川大学华西医院临床营养科 ,四川大学华西医院临床流行病学与循证医学中心. 新型冠状病毒感染医学营养管理专家共识. 中国循证医学杂志. 2025(01): 24-31 .
    2. 贾新华,马先. 从“清激调补”探讨新型冠状病毒二次感染的临证思路. 山东中医杂志. 2024(01): 1-4+14 .
    3. 杨倩倩,刘师伟,段瑞雪,豆婉荣,杨杰,陈晓琴,高林琳. 新型冠状病毒感染合并2型糖尿病患者的临床特征及不良结局危险因素分析. 中华临床营养杂志. 2024(01): 35-43 .
    4. 高小娇,黄晓,楼迪栋,蔡琨,徐艳,汪关贵. 贵州某高校学生自我报告奥密克戎病毒感染临床症状及感染期间的食物选择. 微量元素与健康研究. 2024(05): 51-53 .
    5. 史莎莎,任昊天,宋丽菲,李佳妮,周岩,张雁. 重症脑卒中患者肠内营养后高血糖管理的最佳证据总结. 临床荟萃. 2024(11): 1000-1006 .
    6. 李洪广,李悦,黄雨婷. 营养支持及其启动时间对新型冠状病毒感染重症住院患者临床结局的影响. 华南预防医学. 2024(12): 1170-1173+1178 .
    7. 康军仁,于康,康琳,王方. 新型冠状病毒感染老年住院患者营养管理建议. 中华临床营养杂志. 2023(01): 48-53 .
    8. 西安交通大学第二附属医院新冠感染诊疗推荐意见编委会,刘昌,李宗芳,杨拴盈,张洁,刘昀,方萍,董西林,付荣国,高登峰,和平,柯蕊,李学义,明宗娟,史红阳,宋敏,王春亚,吴喜利,杨侠,袁海峰,张明. 关于新型冠状病毒感染若干问题的多学科临床诊疗推荐意见. 西安交通大学学报(医学版). 2023(03): 331-347 .
    9. 郑文婷,张占杰,张杰石,彭华,周炯,马小军. 新冠疫情防控新20条政策实施后应急救治管理探索. 中国医疗管理科学. 2023(03): 106-110 .
    10. 王雪婷,王志平. 新型冠状病毒感染患者多器官功能衰竭程度与营养状态的相关性分析. 江苏医药. 2023(09): 942-944 .
    11. 王丹,熊华容,范敏,宋攀,权小艳,周瑞,石镁虹. 新型冠状病毒感染患者深静脉血栓发生的相关影响因素:基于706例患者的观察研究. 血栓与止血学. 2023(05): 201-206 .
    12. 艾华. 呼吸道病毒感染的通用性膳食营养和运动建议. 科技导报. 2023(23): 6-13 .
    13. 上海市重症医学质量控制中心,上海市医院协会重症医学管理专业委员会,上海市医师协会重症医学医师分会. 成人新型冠状病毒感染重症/危重症防治上海专家共识. 中华传染病杂志. 2023(12): 754-767 .

    Other cited types(1)

Catalog

    Article Metrics

    Article views (918) PDF downloads (605) Cited by(14)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close