2026-04-17T03:34:20Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1888922025-12-05T12:28:01Zcom_2072_1057col_2072_478916col_2072_478917

00925njm 22002777a 4500 dc Viasus, Diego author Pérez Vergara, Valentina author Carratalà, Jordi author 2022-09-12T10:00:16Z 2022-09-12T10:00:16Z 2022-08-07 2022-08-25T09:37:01Z Malnutrition comprises two groups of conditions: undernutrition and overweight or obesity. It has been associated with a high risk of contracting infectious diseases and with elevated mortality rates. Community-acquired pneumonia (CAP) is one of the most common infectious diseases worldwide and its prognosis is affected by a large number of recognizable risk factors. This narrative review updates the information on the impact of malnutrition, including both undernutrition and obesity, on the risk and prognosis of adults with CAP. Studies of CAP that have evaluated undernutrition have applied a variety of definitions when assessing the nutritional status of patients. Undernutrition has been associated with unfavorable clinical outcomes, such as prolonged hospital stay, need for intensive care unit admission, and mortality; in contrast, most published studies have found that increased body mass index is significantly associated with higher survival in patients with CAP. However, some authors have presented divergent results, mainly in relation to the etiology of CAP (bacterial versus viral). Influenza infection, caused by influenza A (H1N1) pdm09, has been associated with worse prognosis in obese patients. The current data underscore the need for larger studies to examine the physiological mechanisms that explain the differential impact of malnutrition on outcomes. Achieving a better understanding may help to guide the design of new interventions to improve prognosis. Pneumònia adquirida a la comunitat Malnutrició Obesitat Grip Mortalitat Community-acquired pneumonia Malnutrition Obesity Influenza Mortality Effect of Undernutrition and Obesity on Clinical Outcomes in Adults with Community-Acquired Pneumonia