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Critical care nutrition and COVID-19: a cause of malnutrition not to be underestimated
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  • Published on: 30 August 2021
    Need for screening children for malnutrition, with impending third wave of Covid 19
    • M PHADKE, Pediatrician Sr. Adv. NHM Govt. UNICEF, Mumbai,India
    • Other Contributors:
      • R Nair, Nutritioni specialist
      • P Menon, Pediatrician
      • A Deshpande, Pediatrician
      • S Saunik, IAS

    We read with interest an article by Timothy Eden and Shane McAuliffle that has appeared in BMJ nutrition, prevention and health in 2021 1. The author has described the case of a Somalian man who had significant COVID-19 admitted to critical care and was cachexic 1. The association of COVID-19 disease severity and obesity has been reported from the beginning of the pandemic. However, the association of malnutrition (undernutrition) and severity of disease has not been so highlighted and is herewith reported by Eden & McAuliffe 1. This is of special importance to India and other LMICs who are battling with the second wave of COVID-19. A third wave is likely to hit the world and may affect Indian children in greater or lesser numbers.

    Direct and indirect effects of COVID-19 on children: Children may suffer doubly in the pandemic. It is seen that there have been impacts of the lockdowns. It is estimated that over 10 million jobs were lost last year, in India. Job losses have resulted in food insecurity. Supply chain disruptions, unavailability, inaccessibility and unaffordability have compounded food insecurity further. Midday meal schemes are shut due to school closures. This is likely to have an indirect effect on nutritional status of children. NFHS- 5 data for the State of Maharashtra, India 2 has shown that wasting and stunting has increased from 9.4 to 10.9% and from 34.4 to 35.2% when compared to NFHS-4 data. The data is precovid times and collected in 2019....

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    Conflict of Interest:
    None declared.
  • Published on: 22 July 2021
    Need for screening children for malnutrition, with impending third wave of Covid 19
    • M PHADKE, Pediatrician Sr Adv,Govt,UNICEF,Mumbai,India
    • Other Contributors:
      • R Nair, Nutritioni specialist
      • p Menon, Pediatrician
      • A Deshpande, Pediatrician
      • S S, IAS

    We read with interest an article by Timothy Eden and Shane McAuliffle that has appeared in BMJ nutrition, prevention and health 20211 The author has described case of a Somalian man who had significant Covid 19 admitted to critical care and was cachexic1.The association of Covid 19 disease severity and obesity has been reported from the beginning of the pandemic. However, the association of malnutrition(under nutrition) and severity of disease has not been so highlighted and is herewith reported by Timothy Eden i.This is of special importance to India and other LMICs who are battling with the second wave of Covid 19. Third wave is likely to hit the world and may affect Indian children in greater or lesser numbers.
    Direct and indirect effects of Covid 19 on children :Children may suffer doubly in the pandemic. It is seen that there have been impacts of the lockdowns. It is estimated that over 10 million jobs were lost last year,in India. Job losses have resulted in food insecurity. Supply chain disruptions, unavailability, inaccessibility and unaffordability have compounded food insecurity further. Midday meal schemes are shut due to school closures. This is likely to have an indirect effect on nutritional status of children. NFHS- 5 data for the State of Maharashtra ,India2 has shown that wasting and stunting has increased from 9.4 to 10.9% and from 34.4 to 35.2% when compared to NFHS-4 data. The data is precovid times and collected in 2019.
    The secon...

    Show More
    Conflict of Interest:
    None declared.