A diet protocol for patients on non-invasive ventilation admitted to a healthcare unit in a tertiary referral center in southern Brazil

Autores/as

  • Juliana Peçanha Antonio Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0003-0030-738X
  • Carolina Ribeiro Anele Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-3706-7845
  • Renata Schwartz Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0001-5093-8062
  • Michelle Nunes Silveira Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-0984-8169
  • Thais Ortiz Hammes Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0001-8010-3840
  • Mariana Rangel Ribeiro Falcetta Universidade Federal do Rio Grande do Sul, Serviço de Medicina Interna, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-9300-4013
  • Ana Maria Keller Jochims Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0001-5078-5238
  • Valesca Dall'Alba Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-8896-3199
  • Vera Lúcia Bosa Universidade Federal do Rio Grande do Sul, Serviço de Nutrição e Dietética, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-6283-9640

DOI:

https://doi.org/10.12957/demetra.2025.74941

Palabras clave:

COVID-19. SARS-CoV-2. Non-invasive Ventilation. Diet. Nutrition Therapy

Resumen

Introduction: The COVID-19 pandemic posed unprecedented challenges and threats to patients and healthcare systems worldwide. The high risk of malnutrition highlighted the importance of early nutrition intervention. Objective: To develop a personalized dietary protocol for patients requiring non-invasive ventilation (NIV). Methods: This was a descriptive observational study included adult NIV patients admitted to a tertiary referral center in southern Brazil between March and August 2021. Patients received a dietary protocol consisting of a fractionated, liquidized and pureed diet, supplemented with isolated whey protein. The protocol provided 2,000 kcal/day and 90 g of protein/day. Food intake was continuous monitored using a visual intake scale. The study was approved by the hospital’s ethics committee. Results: A total of 176 patients were evaluated, most male (57%), with a mean age of 56 ± 15 years. The median onset of respiratory symptoms was 9 days. According to the NRS-2002, 83% of the patients were classified as being at risk of malnutrition. Upon admission, 86% required oxygen support, and 94% were exclusively fedorally, with 50% receiving the prescribed diet protocol. Patients on NIV consumed more than half of the prescribed diet and were able to progress to a regular consistency diet by discharge. Conclusion: A fractionated, modified-consistency diet that is easy to chew appears to be a feasible alternative to nasoenteric tube feeding for patients on NIV. In this context, nutritional therapy should be considered a fundamental component of care for these patients in all healthcare settings.

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Publicado

2025-07-29

Cómo citar

1.
Antonio JP, Anele CR, Schwartz R, Silveira MN, Hammes TO, Falcetta MRR, et al. A diet protocol for patients on non-invasive ventilation admitted to a healthcare unit in a tertiary referral center in southern Brazil. DEMETRA [Internet]. 29 de julio de 2025 [citado 2 de octubre de 2025];20:e74941. Disponible en: https://www.e-publicacoes.uerj.br/demetra/article/view/74941

Número

Vol. 20 (2025)

Sección

Nutrição Clínica

Licencia

Derechos de autor 2025 Juliana Peçanha Antonio, Carolina Ribeiro Anele, Renata Schwartz, Michelle Nunes Silveira, Thais Ortiz Hammes, Mariana Rangel Ribeiro Falcetta, Ana Maria Keller Jochims, Valesca Dall'Alba, Vera Lúcia Bosa

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

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