Adherence to covid-19 nutrition guidelines is associated with better nutritional management behaviors of hospitalized covid-19 patients

Amelia Faradina, Sung Hui Tseng, Dang Khanh Ngan Ho, Esti Nurwanti, Hamam Hadi, Sintha Dewi Purnamasari, Imaning Yulia Rochmah, Jung Su Chang

Research output: Contribution to journalArticlepeer-review

Abstract

Good nutritional support is crucial for the immune system to fight against coronavirus disease 2019 (COVID-19). However, in the context of a pandemic with a highly transmissible coronavirus, implementation of nutrition practice may be difficult. A multicenter electronic survey involving 62 dieticians was conducted, in order to understand barriers associated with dieticians’ adherence to nutrition guidelines for hospitalized COVID-19 patients in Indonesia. 69% of dieticians felt under stress when performing nutrition care, and 90% took supplements to boost their own immunity against the coronavirus. The concerns related to clinical practice included a lack of clear guidelines (74%), a lack of access to medical records (55%), inadequate experience or knowledge (48%), and a lack of self-efficacy/confidence (29%) in performing nutritional care. Half (52%) of the dieticians had performed nutrition education/counseling, 47% had monitored a patient’s body weight, and 76% had monitored a patient’s dietary intake. An adjusted linear regression showed that guideline adherence independently predicted the dieticians’ nutrition care behaviors of nutrition counselling (ß: 0.24 (0.002, 0.08); p = 0.04), and monitoring of body weight (ß: 0.43 (0.04, 0.11); p = 0.001) and dietary intake (ß: 0.47(0.03, 0.10); p = 0.001) of COVID-19 patients. Overall, adherence to COVID-19 nutrition guidelines is associated with better nutritional management behaviors in hospitalized COVID-19 patients.

Original languageEnglish
Article number1918
JournalNutrients
Volume13
Issue number6
DOIs
Publication statusPublished - Jun 2021

Keywords

  • COVID-19
  • Guidelines adherence
  • Indonesia
  • Length of stay
  • Mortality
  • Nutrition care

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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