The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators
Introduction. Malnutrition is underdiagnosed in chronic obstructive pulmonary disease. Objectives. This study aimed to evaluate the nutritional status of COPD patients and the link between dyspnea and nutritional status. Methods. This longitudinal observational study included patients hospitalized w...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2022/3101486 |
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| author | Carina Rôlo Silvestre Tiago Dias Domingues Luís Mateus Maria Cavaco André Nunes Ricardo Cordeiro Teresa Silva Santos Teresa Falcão António Domingos |
| author_facet | Carina Rôlo Silvestre Tiago Dias Domingues Luís Mateus Maria Cavaco André Nunes Ricardo Cordeiro Teresa Silva Santos Teresa Falcão António Domingos |
| author_sort | Carina Rôlo Silvestre |
| collection | DOAJ |
| description | Introduction. Malnutrition is underdiagnosed in chronic obstructive pulmonary disease. Objectives. This study aimed to evaluate the nutritional status of COPD patients and the link between dyspnea and nutritional status. Methods. This longitudinal observational study included patients hospitalized with exacerbated COPD. Nutritional status was assessed using Nutrition Risk Screening 2002, anthropometric, and biochemical assessments, in the first 48 hours of hospitalization. Results. Thirty patients were evaluated. According to the Nutrition Risk Screening 2002, half of the patients were at increased risk of malnutrition. 36.7% were classified as malnourished if we only considered the body mass index. From the evaluation of the tricipital skin fold, 69.0% were classified as malnourished, with 48.3% having severe malnutrition. According to the serum albumin level, 29.6% had malnutrition criteria. A significant association between dyspnea and increasing age (p=0.037) was found. There was a strong association between the fold classification and the degrees of severity of dyspnea (Fisher exact test: 13.60, p=0.001, V Cramer = 0.826). Most patients were malnourished and had higher grades of dyspnea. Tricipital skinfold reflects subcutaneous adipose tissue; this anthropometric measurement seems to be a good method to classify the nutritional status of COPD patients. It classified the biggest portion of patients as malnourished. Conclusion. The number of patients classified as malnourished changed with the method under analysis. The tricipital skin fold parameter was strongly associated with the dyspnea score. Most patients had adipose tissue and muscular mass depletion. |
| format | Article |
| id | doaj-art-4a2a04d5a3414345be4785be49238a7b |
| institution | DOAJ |
| issn | 1916-7245 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-4a2a04d5a3414345be4785be49238a7b2025-08-20T03:20:12ZengWileyCanadian Respiratory Journal1916-72452022-01-01202210.1155/2022/3101486The Nutritional Status of Chronic Obstructive Pulmonary Disease ExacerbatorsCarina Rôlo Silvestre0Tiago Dias Domingues1Luís Mateus2Maria Cavaco3André Nunes4Ricardo Cordeiro5Teresa Silva Santos6Teresa Falcão7António Domingos8Serviço de PneumologiaCEAULServiço de PneumologiaServiço de PneumologiaServiço de PneumologiaServiço de PneumologiaServiço de NutriçãoServiço de PneumologiaServiço de PneumologiaIntroduction. Malnutrition is underdiagnosed in chronic obstructive pulmonary disease. Objectives. This study aimed to evaluate the nutritional status of COPD patients and the link between dyspnea and nutritional status. Methods. This longitudinal observational study included patients hospitalized with exacerbated COPD. Nutritional status was assessed using Nutrition Risk Screening 2002, anthropometric, and biochemical assessments, in the first 48 hours of hospitalization. Results. Thirty patients were evaluated. According to the Nutrition Risk Screening 2002, half of the patients were at increased risk of malnutrition. 36.7% were classified as malnourished if we only considered the body mass index. From the evaluation of the tricipital skin fold, 69.0% were classified as malnourished, with 48.3% having severe malnutrition. According to the serum albumin level, 29.6% had malnutrition criteria. A significant association between dyspnea and increasing age (p=0.037) was found. There was a strong association between the fold classification and the degrees of severity of dyspnea (Fisher exact test: 13.60, p=0.001, V Cramer = 0.826). Most patients were malnourished and had higher grades of dyspnea. Tricipital skinfold reflects subcutaneous adipose tissue; this anthropometric measurement seems to be a good method to classify the nutritional status of COPD patients. It classified the biggest portion of patients as malnourished. Conclusion. The number of patients classified as malnourished changed with the method under analysis. The tricipital skin fold parameter was strongly associated with the dyspnea score. Most patients had adipose tissue and muscular mass depletion.http://dx.doi.org/10.1155/2022/3101486 |
| spellingShingle | Carina Rôlo Silvestre Tiago Dias Domingues Luís Mateus Maria Cavaco André Nunes Ricardo Cordeiro Teresa Silva Santos Teresa Falcão António Domingos The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators Canadian Respiratory Journal |
| title | The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators |
| title_full | The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators |
| title_fullStr | The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators |
| title_full_unstemmed | The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators |
| title_short | The Nutritional Status of Chronic Obstructive Pulmonary Disease Exacerbators |
| title_sort | nutritional status of chronic obstructive pulmonary disease exacerbators |
| url | http://dx.doi.org/10.1155/2022/3101486 |
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