open access

Vol 76, No 5 (2008)
ORIGINAL PAPERS
Published online: 2008-09-17
Submitted: 2013-02-22
Get Citation

Analysis of nutritional status disorders in patients with chronic obstructive pulmonary disease

Barbara Kuźnar-Kamińska, Halina Batura-Gabryel, Beata Brajer, Jacek Kamiński
Pneumonol Alergol Pol 2008;76(5):327-333.

open access

Vol 76, No 5 (2008)
ORIGINAL PAPERS
Published online: 2008-09-17
Submitted: 2013-02-22

Abstract


Introduction: Among the most common extrapulmonary manifestations of COPD are nutritional status disorders. The specific loss of weight, called cachexia, characterized by loss of lean body mass in some COPD patients is observed. The aim of the study was the quantitative and qualitative analysis of COPD patients’ nutritional status disturbances.
Material and methods: Fifty-five patients in different stages of COPD - 43 males and 12 females (mean age 62.31 ± 11.08) and 32 subjects from a control group (mean age 57.43 ± 8.79) participated in the study. In both groups nutritional status was assessed using different indicators such as PIBW - percentage of ideal body weight, BMI - body mass index, FFMI - fat-free mass index and FMI - fat mass index.
Results: Malnutrition measured by PIBW, BMI, BMI percentiles, and FFMI was observed in 5.45%, 3.64%, 3.64% and 18.18% of COPD patients, respectively, and in the control group 3.12%, 0%, 3.12% and 3.12%, respectively. The BMI mean value did not differ significantly between groups. It was confirmed that cachexia assessed by FFMI occured more frequently in COPD patients than in the control group - 19.05 kg/m2 vs. 20,55 kg/m2 (p = 0.04).
Conclusions: 1. Nutritional status disorders pose a serious problem, which concerns about 1/5 of the COPD population. 2. It is necessary to perform quantitative analysis of nutritional status (assessment of lean and fat mass) because indicators of body mass (PIBW, BMI) are not sufficient for cachexia detection. 3. Having normal body mass does not exclude the possibility of nutritional status disorders in COPD patients.

Abstract


Introduction: Among the most common extrapulmonary manifestations of COPD are nutritional status disorders. The specific loss of weight, called cachexia, characterized by loss of lean body mass in some COPD patients is observed. The aim of the study was the quantitative and qualitative analysis of COPD patients’ nutritional status disturbances.
Material and methods: Fifty-five patients in different stages of COPD - 43 males and 12 females (mean age 62.31 ± 11.08) and 32 subjects from a control group (mean age 57.43 ± 8.79) participated in the study. In both groups nutritional status was assessed using different indicators such as PIBW - percentage of ideal body weight, BMI - body mass index, FFMI - fat-free mass index and FMI - fat mass index.
Results: Malnutrition measured by PIBW, BMI, BMI percentiles, and FFMI was observed in 5.45%, 3.64%, 3.64% and 18.18% of COPD patients, respectively, and in the control group 3.12%, 0%, 3.12% and 3.12%, respectively. The BMI mean value did not differ significantly between groups. It was confirmed that cachexia assessed by FFMI occured more frequently in COPD patients than in the control group - 19.05 kg/m2 vs. 20,55 kg/m2 (p = 0.04).
Conclusions: 1. Nutritional status disorders pose a serious problem, which concerns about 1/5 of the COPD population. 2. It is necessary to perform quantitative analysis of nutritional status (assessment of lean and fat mass) because indicators of body mass (PIBW, BMI) are not sufficient for cachexia detection. 3. Having normal body mass does not exclude the possibility of nutritional status disorders in COPD patients.
Get Citation

Keywords

nutritional status; COPD; cachexia

About this article
Title

Analysis of nutritional status disorders in patients with chronic obstructive pulmonary disease

Journal

Advances in Respiratory Medicine

Issue

Vol 76, No 5 (2008)

Pages

327-333

Published online

2008-09-17

Bibliographic record

Pneumonol Alergol Pol 2008;76(5):327-333.

Keywords

nutritional status
COPD
cachexia

Authors

Barbara Kuźnar-Kamińska
Halina Batura-Gabryel
Beata Brajer
Jacek Kamiński

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl