Nutrition impact symptoms and body composition in patients with COPD

Norden, Justin; Gronberg, A; Bosæus, Ingvar; Forslund, Heléne Bertéus; Hulthén, Lena; Rothenberg, Elisabet; Karlsson, Jan; Wallengren, Ola; Slinde, Frode

doi:10.1038/ejcn.2014.76

Cited by 52 publications

(46 citation statements)

References 17 publications

(32 reference statements)

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“…Assessment of this symptom is warranted because it is associated with decreased nutritional intake and malnutrition. 27 Consistent with previous MSAS studies, 4,6 of the 14 symptoms with occurrence rates of >40%, five were psychological symptoms (i.e., worrying, feeling sad, feeling nervous, feeling irritable, difficulty concentrating). However, except for worrying, the occurrence rates and ratings of severity, frequency, and distress for these psychological symptoms did not differ among the disease severity groups.…”

Section: Common Symptoms In Copd Patientssupporting

confidence: 86%

Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Christensen

Holm

Cooper

et al. 2016

Journal of Pain and Symptom Management

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Section: Common Symptoms In Copd Patientssupporting

confidence: 86%

Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Christensen

Holm

Cooper

et al. 2016

Journal of Pain and Symptom Management

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“…26 Similarly, approximately 36% of subjects were malnourished in a nutritional analysis of 169 subjects with COPD conducted by Nordén et al 27 In our study, malnourishment was prevalent in subjects with stable COPD (48.5%), with the largest incidence of malnourishment in Group D. The higher incidence of malnourishment observed in our study than in previous reports may reflect differences in the ethnicity of the subjects, since the subjects in our study were Asians, who often have smaller body frames than whites. 28 Inter- Yılmaz et al 30 divided 65 stable subjects with COPD into a low-FFMI group and a normal group.…”

Section: Discussionmentioning

confidence: 99%

Fat-Free Mass Index for Evaluating the Nutritional Status and Disease Severity in COPD

Luo

Zhou

et al. 2016

Respir Care

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BACKGROUND: Despite the high prevalence of weight loss in subjects with COPD, the 2011 COPD management guidelines do not include an index measuring nutritional status. Fat-free mass index (FFMI) can accurately determine the nutritional status of subjects and may be closely correlated with COPD severity. We aimed to determine the nutritional status evaluated by FFMI according to the 2011 Global Initiative for Chronic Obstructive Lung Disease (GOLD) levels in stable subjects with COPD and the association between nutritional status and respiratory symptoms, exercise capacity, and respiratory muscle function. METHODS: We included 235 stable subjects with COPD in this cross-sectional study. All of the subjects were divided into the 2011 GOLD Groups A, B, C, and D. FFMI (measured by bioelectrical impedance), spirometry (FEV 1 , percent-of-predicted FEV 1 , and FEV 1 /FVC), respiratory muscle function (peak inspiratory and peak expiratory pressures), exercise capacity (6-min walk distance), and dyspnea severity (Modified Medical Research Council dyspnea scale) were measured and compared between the GOLD groups. RESULTS: Malnutrition was identified in 48.5% of subjects and most prevalent in Group D (Group A: 41%, Group B: 41%, Group C: 31%, and Group D: 62%). FFMI was significantly lower in Group D (P < .001), with both sexes considered malnourished. Low FFMI significantly correlated with frequent exacerbation, older age, decreased pulmonary function, 6-min walk distance, peak inspiratory pressure, and worsened dyspnea. FFMI was significantly lower in the emphysemadominant phenotype and mixed phenotype compared with the normal phenotype and airwaydominant phenotype. A stepwise multiple linear regression analysis identified peak inspiratory pressures and older age as independent predictors of FFMI. CONCLUSIONS: Malnutrition is highly prevalent in all COPD groups, particularly in Group D subjects, who warrant special attention for nutritional intervention and pulmonary rehabilitation. FFMI significantly correlated with exercise capacity, dyspnea, respiratory muscle function, and pulmonary function and may be a useful predictor of COPD severity.

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“…(9) Additionally loss of appetite and taste of food are more affected in fat-free mass depleted COPD patients. (10) Low body weight and low fat-free mass (FFM) have been recognized as unfavorable prognostic factors in patients with COPD. (11) Decrease in muscle mass with age is believed to contribute to decreased muscle strength which can affect nutritional status by impeding participation in food production, acquisition, preparation and in socialization at meals.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status in Patients With Chronic Obstructive Pulmonary Disease : A Cross Sectional Study

Panda¹,

Sharma²

2015

jebmh

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INTRODUCTION: Changes in nutritional status, such as weight loss and malnutrition, are a very common complication in patients with chronic obstructive pulmonary disease (COPD).These changes primarily affect the patients' quality of life and functional capacity and they are also independent prognostic indicators of both morbidity and mortality. The above information inspired us to evaluate the nutritional status in these patients by measuring daily oral intake and anthropometric measures. METHOD: This cross-sectional study was conducted during the period October 2008 to April 2009. Seventy two COPD patients in the age group of 40-65 years, with an FEV (1) < 65% of predicted and an FEV (1)/FVC ratio < 70% were included in the study. All the patients were assessed for anthropometric parameters such as height, body weight (BW), Body Mass Index (BMI), Hip Circumference, waist circumference and mid upper arm circumference (MUAC). Daily dietary intakes were calculated by 24 hour recall method with the help of cups, spoons, and glasses which were standardized with commonly consumed recipes. Standardized models of chapatti, rice, fruits, and snacks items were used for accurate data. Energy and nutrient intakes were derived using the Nutritive value of Indian foods. RESULTS: The prevalence of under nutrition were (30/72) 41.6% based on body mass index (<18.5 kg/m(2)) and (46/72) 63.8% based on mid-upper arm circumference (<24 cm).More number of patients was above 60 years of age in the income grouping 3000-5000 INR/ month living with family members of more than 3 per house. The daily intake of food as compared to reference RDA is as follows energy 54.51%, carbohydrates 84.85%, protein60.52% and Fats 71.2%. CONCLUSION: The prevalence of under nutrition were (30/72) 41.6% based on body mass index (<18.5 kg/m2) and (46/72) 63.8% based on mid-upper arm circumference (<24 cm). Nutritional assessment should be made mandatory in order to recognize malnutrition early and initiate timely nutritional therapy.

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Nutrition impact symptoms and body composition in patients with COPD

Abstract: NIS are common in patients with COPD, and depleted patients have more severe symptoms. To investigate how these symptoms are best prevented and/or managed and whether NIS prevention/treatment can affect development of malnutrition in patients with COPD is a challenge for the future.

Cited by 52 publications

References 17 publications

Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Fat-Free Mass Index for Evaluating the Nutritional Status and Disease Severity in COPD

Nutritional Status in Patients With Chronic Obstructive Pulmonary Disease : A Cross Sectional Study

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