{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:08:16Z","timestamp":1792112896365,"version":"4.4.0"},"reference-count":28,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG02483; 1R01AG064092"],"award-info":[{"award-number":["P30AG02483; 1R01AG064092"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016220","name":"CTSA","doi-asserted-by":"publisher","award":["UL1TR001439"],"award-info":[{"award-number":["UL1TR001439"]}],"id":[{"id":"10.13039\/100016220","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["T32HS02613303"],"award-info":[{"award-number":["T32HS02613303"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"name":"MD Anderson\u2019s Cancer Center Support Grant","award":["CA016672"],"award-info":[{"award-number":["CA016672"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Persistent malnutrition after COVID-19 infection may worsen outcomes, including delayed recovery and increased risk of rehospitalization. This study aimed to determine dietary intakes and nutrient distribution patterns after acute COVID-19 illness. Findings were also compared to national standards for intake of energy, protein, fruit, and vegetables, as well as protein intake distribution recommendations. Participants (\u226518 years old, n = 92) were enrolled after baseline visit at the Post-COVID Recovery Clinic. The broad screening battery included nutritional assessment and 24-h dietary recall. Participants were, on average, 53 years old, 63% female, 69% non-Hispanic White, and 59% obese\/morbidly obese. Participants at risk for malnutrition (48%) experienced significantly greater symptoms, such as gastric intestinal issues, loss of smell, loss of taste, or shortness of breath; in addition, they consumed significantly fewer calories. Most participants did not meet recommendations for fruit or vegetables. Less than 39% met the 1.2 g\/kg\/day proposed optimal protein intake for recovery from illness. Protein distribution throughout the day was skewed; only 3% met the recommendation at all meals, while over 30% never met the threshold at any meal. Our findings highlight the need for nutritional education and support for patients to account for lingering symptoms and optimize recovery after COVID-19 infection.<\/jats:p>","DOI":"10.3390\/nu14030642","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T05:42:33Z","timestamp":1643866953000},"page":"642","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Impact of COVID-19 Infection and Persistent Lingering Symptoms on Patient Reported Indicators of Nutritional Risk and Malnutrition"],"prefix":"10.3390","volume":"14","author":[{"given":"Rachel R.","family":"Deer","sequence":"first","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"},{"name":"Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Hosein","sequence":"additional","affiliation":[{"name":"Department of Anthropology, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madelyn","family":"Harvey","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trang","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Givan","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rae","family":"Kretzmer","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Rock","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4069-3089","authenticated-orcid":false,"given":"Maria C.","family":"Swartz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics-Research, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Seashore","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blair","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Messenger","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism, and Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.maturitas.2013.07.013","article-title":"Malnutrition in the elderly: A narrative review","volume":"76","author":"Agarwal","year":"2013","journal-title":"Maturitas"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1093\/advances\/nmaa125","article-title":"Coronavirus Disease 2019 (COVID-19) and Nutritional Status: The Missing Link?","volume":"12","author":"Silverio","year":"2020","journal-title":"Adv. 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Medrxiv.","DOI":"10.1101\/2021.03.20.21253896"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"103722","DOI":"10.1016\/j.ebiom.2021.103722","article-title":"Characterizing Long COVID: Deep Phenotype of a Complex Condition","volume":"74","author":"Deer","year":"2021","journal-title":"eBioMedicine"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1002\/ncp.10728","article-title":"Medical nutrition therapy for patients with malnutrition post\u2013intensive care unit discharge: A case report of recovery from coronavirus disease 2019 (COVID-19)","volume":"36","author":"Burslem","year":"2021","journal-title":"Nutr. Clin. Pr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13054-017-1906-8","article-title":"Tailoring nutrition therapy to illness and recovery","volume":"21","author":"Wischmeyer","year":"2017","journal-title":"Crit. Care"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Cardon-Thomas, D.K., Riviere, T., Tieges, Z., and Greig, C.A. (2017). Dietary Protein in Older Adults: Adequate Daily Intake but Potential for Improved Distribution. Nutrients, 9.","DOI":"10.3390\/nu9030184"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1016\/j.jada.2009.06.369","article-title":"A Moderate Serving of High-Quality Protein Maximally Stimulates Skeletal Muscle Protein Synthesis in Young and Elderly Subjects","volume":"109","author":"Symons","year":"2009","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Gwin, J.A., Church, D.D., Wolfe, R.R., Ferrando, A.A., and Pasiakos, S.M. (2020). Muscle Protein Synthesis and Whole-Body Protein Turnover Responses to Ingesting Essential Amino Acids, Intact Protein, and Protein-Containing Mixed Meals with Considerations for Energy Deficit. Nutrients, 12.","DOI":"10.3390\/nu12082457"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/MCO.0b013e32831cef8b","article-title":"Dietary protein recommendations and the prevention of sarcopenia","volume":"12","author":"Rasmussen","year":"2009","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2420","DOI":"10.1016\/j.clnu.2020.10.043","article-title":"COVID-19 is associated with clinically significant weight loss and risk of malnutrition, independent of hospitalisation: A post-hoc analysis of a prospective cohort study","volume":"40","author":"Sofia","year":"2021","journal-title":"Clin. Nutr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/MCO.0000000000000389","article-title":"Assessing nutritional status in cancer: Role of the Patient-Generated Subjective Global Assessment","volume":"20","author":"Ottery","year":"2017","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_13","unstructured":"U.S. Department of Agriculture, and U.S. Department of Health and Human Services (2021, December 06). Dietary Guidelines for Americans, 2020\u20132025. 9th Edition, Available online: https:\/\/www.dietaryguidelines.gov\/sites\/default\/files\/2020-12\/Dietary_Guidelines_for_Americans_2020-2025.pdf."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.jand.2013.01.014","article-title":"Characterization of Dietary Protein among Older Adults in the United States: Amount, Animal Sources, and Meal Patterns","volume":"113","author":"Berner","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"875","DOI":"10.3945\/ajcn.113.068122","article-title":"BMI and all-cause mortality in older adults: A meta-analysis","volume":"99","author":"Winter","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Courtney-Martin, G., Ball, R.O., Pencharz, P.B., and Elango, R. (2016). Protein Requirements during Aging. Nutrients, 8.","DOI":"10.3390\/nu8080492"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.jamda.2013.05.021","article-title":"Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group","volume":"14","author":"Bauer","year":"2013","journal-title":"J. Am. Med Dir. Assoc."},{"key":"ref_18","unstructured":"(2021, November 29). HEI Scores for Americans, Available online: https:\/\/www.fns.usda.gov\/hei-scores-americans."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12970-018-0215-1","article-title":"How much protein can the body use in a single meal for muscle-building? Implications for daily protein distribution","volume":"15","author":"Schoenfeld","year":"2018","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/gerona\/glu010","article-title":"The FNIH Sarcopenia Project: Rationale, Study Description, Conference Recommendations, and Final Estimates","volume":"69","author":"Studenski","year":"2014","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Bedock, D., Couffignal, J., Lassen, P.B., Soares, L., Mathian, A., Fadlallah, J., Amoura, Z., Oppert, J.-M., and Faucher, P. (2021). Evolution of Nutritional Status after Early Nutritional Management in COVID-19 Hospitalized Patients. Nutrients, 13.","DOI":"10.3390\/nu13072276"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e048948","DOI":"10.1136\/bmjopen-2021-048948","article-title":"Impact of severe SARS-CoV-2 infection on nutritional status and subjective functional loss in a prospective cohort of COVID-19 survivors","volume":"11","author":"Quilliot","year":"2021","journal-title":"BMJ Open"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"G\u00e9rard, M., Mahmutovic, M., Malgras, A., Michot, N., Scheyer, N., Jaussaud, R., Nguyen-Thi, P.-L., and Quilliot, D. (2021). Long-Term Evolution of Malnutrition and Loss of Muscle Strength after COVID-19: A Major and Neglected Component of Long COVID-19. Nutrients, 13.","DOI":"10.3390\/nu13113964"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.clnesp.2021.04.008","article-title":"Outcomes of nutritionally at-risk Coronavirus Disease 2019 (COVID 19) patients admitted in a tertiary government hospital: A follow-up study of the MalnutriCoV study","volume":"43","author":"Larrazabal","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s12603-020-1541-y","article-title":"Malnutrition Prolongs the Hospitalization of Patients with COVID-19 Infection: A Clinical Epidemiological Analysis","volume":"25","author":"Yu","year":"2021","journal-title":"J. Nutr. Heal. Aging"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Allard, L., Ouedraogo, E., Molleville, J., Bihan, H., Giroux-Leprieur, B., Sutton, A., Baudry, C., Josse, C., Didier, M., and Deutsch, D. (2020). Malnutrition: Percentage and Association with Prognosis in Patients Hospitalized for Coronavirus Disease 2019. Nutrients, 12.","DOI":"10.3390\/nu12123679"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Watson, D.L.B., Campbell, M., Hopkins, C., Smith, B., Kelly, C., and Deary, V. (2021). Altered smell and taste: Anosmia, parosmia and the impact of long COVID-19. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0256998"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Thompson, C.M., Rhidenour, K.B., Blackburn, K.G., Barrett, A.K., and Babu, S. (Patient Educ. Couns., 2021). Using crowdsourced medicine to manage uncertainty on Reddit: The case of COVID-19 long-haulers, Patient Educ. Couns., in press.","DOI":"10.1016\/j.pec.2021.07.011"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/3\/642\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:13:01Z","timestamp":1760134381000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/3\/642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,2]]},"references-count":28,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["nu14030642"],"URL":"https:\/\/doi.org\/10.3390\/nu14030642","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,2]]}}}