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Aim: As consequence of Covid-19 pandemic a large number of people were admitted to rehabilitation programs. Specific nutritional counseling and dietary advices for Covid-19 patients are not yet available with the exception of generally dietary recommendations. The scope of this paper is to characterize the possible role of nutritional aspects in patients with Covid-19 admitted for rehabilitation. Design: Observational study. Setting: Subjects hospitalized for severe bilateral pneumonia and admitted to rehabilitation setting. Population: From March-2020 to May-2020, thirty-eight Covid-19-positive subjects hospitalized for severe bilateral pneumonia and admitted to rehabilitation. Methods: All subjects were evaluated the first day of admission (T0). Clinical, anthropometric, biochemical (laboratory), and dietary data were recorded. Dietary intake was assessed through a detailed interviewer-administered food frequency questionnaire. In addition, was used the Malnutrition Universal Screening Tool (MUST). Results: Patients’ age ranged from 52 to 89 years (73.95 ± 8.27years). Eleven subjects were female and 27 males. All the patients were recognized to be at high risk of malnutrition at MUST: 9 subjects reported 2 points, 19 subjects 3 points, 8 subjects 4 points, and 2 subjects 5 points. The Pearson's correlation showed a direct correlation between hemoglobin and protein total values r = 0.417 (p = 0.009) and between the 4-M Walk Test (WT4m) and the Barthel index r = 0.772 (p = 0.005); inverse correlation were found between Barthel index and age values r = -458 (p = 0.004) and between age and hemoglobin r = -420 (p = 0.009). Finally, in our samples the results showed an inverse correlation between C-Reactive Protein (CRP) and albumin with r = -0.592 (p < 001). Conclusion: Our findings confirm the fundamental role of nutritional aspects in patients Covid-19 positive admitted for rehabilitation. We observed that all subjects have shown at the admission at rehabilitative setting a Medium/High Risk of malnutrition and a statistical correlation between nutritional Haematochemical tests, clinical features and inflammatory status. Further studies that include a larger sample size are needed to confirm our results.

Nutritional Aspects in Patients with Covid-19 Admitted for Rehabilitation