• Mon. Dec 6th, 2021

Adi: “Covid has demonstrated role in nutrition, increase unity in hospitals”

Byeditorial

Oct 22, 2021

Increase the number of operational units dedicated to dietetics and clinical nutrition in Italian hospitals, also thanks to the injection of resources from the National Recovery and Resilience Plan. This is the appeal of the ADI, which has chosen Covid-19 and obesity among the key themes of the first days of its 24th National Congress, scheduled until 23 October at the Nuvola Lavazza in Turin. The Italian Association of Dietetics and Clinical Nutrition, the first association born in Italy (1950), addressed the problems of nutrition with debates and focuses, also in the light of the coronavirus pandemic; two apparently distinct phenomena, yet correlated from both a clinical and a social point of view. “The Sars-CoV-2 pandemic has shown with full evidence that malnutrition, both by excess and by defect, pre-existing or concomitant with viral infection, constituted an unfavorable prognostic factor in all patients, regardless of gender and ‘age – underlines Giuseppe Malfi, president of Adi – The scenario of complexity and unpredictability with which we found ourselves operating during the most acute phases of the pandemic has brought out even more how much the role of clinical nutrition is fundamental in the multi-professional and integrated management of Covid patients, but also of all hospitalization areas of health facilities “.” The survey carried out by ADI to monitor nutritional assistance to Covid patients, between April and July 2020 unfortunately gave amazing results – highlights Carmela Bagnato, Adi secretary – 80% of patients were not weighed, many did not have any nutritional screening to detect the state of malnutrition ion, both in excess and in defect, despite all the guidelines indicate how much the support to a correct diet is important for the outcome of the disease. It has been proven that malnutrition worsened the course of the disease. The obese, for example, were the patients who most died from Covid-19 “. During the Adi National Congress the fundamental role of malnutrition was reaffirmed also in the spread of chronic non-communicable diseases.” Obesity was recognized as disease in 2019 at the Chamber of Deputies – remembers Malfi – This is a premise for establishing adequate diagnostic paths throughout the national territory. 10% of the Italian population is obese, and the role of obesity is fundamental in determining the spread and mortality of a chronic non-communicable disease. Not to be overlooked is malnutrition by default, which we define as a ‘disease within a disease’: in the context of hospital pathways it can worsen the disease prognosis of patients hospitalized in many disciplines, both medical and surgical. The treatment of malnutrition at the hospital level is therefore very important to promote the recovery of patients and reduce the costs associated with a prolonged stay in hospitals “. Adi experts reiterated how the Operative Unit of Dietetics and Clinical Nutrition should be the reference within a multidisciplinary approach in the management of all hospitalized patients and above all in prevention, to safeguard both the health of the population and that of the planet thanks to the application of procedures aimed in the first case to identify patients at risk of malnutrition due to excess or deficiency or already malnourished, in the second to reduce food waste. “The constant presence of an operational unit of dietetics and clinical nutrition within a hospital, with a nutritional team and an adequate catering service formats – remarked the president Adi – allows us to offer patients healthy food, appe treatable and with therapeutic value, and consequently reduce hospitalization times and therefore the costs on the national health system. Unfortunately, diseases such as obesity, diabetes or malnutrition, unlike Covid, will not diminish with the use of a vaccine, but rather, without adequate prevention and treatment plans, they will increase more and more. For this reason, we hope that part of the funds of the NRP for health will be allocated to the increase and enhancement of clinical nutrition services throughout the country and to the development of educational interventions on schools as well as on families, so that they make the home pantry more Mediterranean. and become more aware of the excessive consumption of unhealthy products “.

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