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Clinical Nutrition 39 (2020) 2324

Contents lists available at ScienceDirect

Clinical Nutrition
journal homepage: http://www.elsevier.com/locate/clnu

Letter to the Editor

ESPEN expert statements and practical guidance on clinical nutrition in


COVID-19 patients

Dear Editor, Weak Disciplines of Shanghai Health Commission-Clinical Nutri-


tion (2019ZB0105).
We read with great interest the recent European Society for
Clinical Nutrition and Metabolism (ESPEN) concise guidance on Author contributions
clinical nutrition in COVID-19 patients, with regard to those in
the ICU setting or in the presence of 70 older age and polymor- Guohao Wu designed the manuscript. Shanjun Tan drafted the
bidity [1]. The guidance included 10 practical recommendations, manuscript. All authors critically revised the article and approved
which were based on current ESPEN guidelines and further the final manuscript.
expert advice. This is a timely and excellent work and the au-
thors should be congratulated. However, we have one but Conflicts of interest
possible very important issue concerning the disease that the
guidance focused on. The authors declare no conflicts of interest.
In the present guidance, the term SARS-CoV-2 appeared several
times, but its detailed information, especially the relationship with
COVID-19 was not stated, and this may easily cause confusion References
among readers, what is SARS-CoV-2, whether COVID-19 is induced
by SARS-CoV-2, or it is another new coronavirus virus. In fact, the [1] Barazzoni R, Bischoff SC, Breda J, Wickramasinghe K, Krznaric Z, Nitzan D, et al.
ESPEN expert statements and practical guidance for nutritional management of
term SARS-CoV-2 was used to name the novel coronavirus virus individuals with SARS-CoV-2 infection. Clin Nutr 2020;39:1631e8.
that induced COVID-19 pandemic in 2019, which was proposed [2] Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al.
by the Coronavirus Study Group of the International Committee The species Severe acute respiratory syndrome-related coronavirus: classifying
2019-nCoV and naming it SARS-CoV-2. Nat Microbiol 2020;5:536e44.
on Taxonomy of Viruses [2]. Therefore, to avoid the confusion
above, more information about SARS-CoV-2 is necessary.
We would welcome other comments as this would be helpful to Shanjun Tan, Guohao Wu*
better understand this practical guidance for nutritional manage- Department of General Surgery/Shanghai Clinical Nutrition Research
ment of COVID-19 patients. Center, Zhongshan Hospital, Fudan University, Shanghai, China

*
Financial support Corresponding author. Department of General Surgery/Shanghai
Clinical Nutrition Research Center, Zhongshan Hospital, Fudan
This study was sponsored by National Natural Science Founda- University, 180 Fenglin Road, Xuhui District, Shanghai 200032,
tion of China (81900484), Project funded by China Postdoctoral Sci- China.
ence Foundation (2019M661370), Shanghai Sailing Program E-mail address: prowugh@163.com (G. Wu).
(18YF1404700), Municipal Natural Science Foundation of Shanghai
of China (19ZR1409100), and Construction Program of Key but 2 April 2020

https://doi.org/10.1016/j.clnu.2020.05.026
0261-5614/© 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

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