Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis

<b>Introduction:</b> Idiopathic pulmonaryy fibrosis (IPF) is a progressive interstitial lung disease with a poor prognosis. While comorbidities like pulmonary hypertension and lung cancer have been studied extensively, less attention has been paid to the implications of malnutrition and...

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Main Authors: Eva Cabrera-César, Rocío Fernández-Jiménez, Javier Lopez-Garcia, Alicia Sanmartín-Sánchez, Miguel Benítez Cano-Gamonoso, Isabel Asschert Agüero, Francisco Espíldora-Hernández, Luis Fernandez de Rota Garcia, Isabel Vega-Aguilar, Maria del Mar Amaya-Campos, Francisco J. Tinahones, Jose Manuel Garcia-Almeida, Jose Luis Velasco-Garrido
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Advances in Respiratory Medicine
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Online Access:https://www.mdpi.com/2543-6031/93/3/11
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author Eva Cabrera-César
Rocío Fernández-Jiménez
Javier Lopez-Garcia
Alicia Sanmartín-Sánchez
Miguel Benítez Cano-Gamonoso
Isabel Asschert Agüero
Francisco Espíldora-Hernández
Luis Fernandez de Rota Garcia
Isabel Vega-Aguilar
Maria del Mar Amaya-Campos
Francisco J. Tinahones
Jose Manuel Garcia-Almeida
Jose Luis Velasco-Garrido
author_facet Eva Cabrera-César
Rocío Fernández-Jiménez
Javier Lopez-Garcia
Alicia Sanmartín-Sánchez
Miguel Benítez Cano-Gamonoso
Isabel Asschert Agüero
Francisco Espíldora-Hernández
Luis Fernandez de Rota Garcia
Isabel Vega-Aguilar
Maria del Mar Amaya-Campos
Francisco J. Tinahones
Jose Manuel Garcia-Almeida
Jose Luis Velasco-Garrido
author_sort Eva Cabrera-César
collection DOAJ
description <b>Introduction:</b> Idiopathic pulmonaryy fibrosis (IPF) is a progressive interstitial lung disease with a poor prognosis. While comorbidities like pulmonary hypertension and lung cancer have been studied extensively, less attention has been paid to the implications of malnutrition and sarcopenia in patients with IPF. This study aimed to assess the prevalence of malnutrition, sarcopenia, and the combined malnutrition-sarcopenia syndrome in patients with IPF using the latest diagnostic criteria from the Global Leadership Initiative on Malnutrition (GLIM) and the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). <b>Methods:</b> A prospective, observational, multicenter study was conducted, focusing on patients with idiopathic pulmonary fibrosis (IPF). All participants provided informed consent, and the study followed ethical guidelines. Malnutrition was diagnosed based on the GLIM criteria, requiring one phenotypic and one etiological criterion, with muscle mass assessed via bioelectrical impedance analysis (BIA). Sarcopenia was screened following the EWGSOP2 recommendations. The statistical analysis was performed using JAMOVI version 2.3.22, with significance set at <i>p</i> < 0.05. <b>Results:</b> The findings revealed that 77.65% of the participants were malnourished, and 20% had sarcopenia. The malnourished patients had significantly lower body weight, height, and muscle mass compared to the non-malnourished patients. Furthermore, the patients with malnutrition exhibited poorer health-related quality of life scores. This study also identified the malnutrition-sarcopenia syndrome in 8.23% of the participants. <b>Conclusions:</b> Malnutrition, based on the GLIM criteria was identified in three out of four patients with IPF, while sarcopenia according to the EWGSOP2 was present in one out of five. This study underscores the necessity for routine screening for malnutrition and sarcopenia in patients with IPF.
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spelling doaj-art-6e2c404a34a543d0844dbe7e5abaf0e12025-08-20T03:26:25ZengMDPI AGAdvances in Respiratory Medicine2543-60312025-05-019331110.3390/arm93030011Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary FibrosisEva Cabrera-César0Rocío Fernández-Jiménez1Javier Lopez-Garcia2Alicia Sanmartín-Sánchez3Miguel Benítez Cano-Gamonoso4Isabel Asschert Agüero5Francisco Espíldora-Hernández6Luis Fernandez de Rota Garcia7Isabel Vega-Aguilar8Maria del Mar Amaya-Campos9Francisco J. Tinahones10Jose Manuel Garcia-Almeida11Jose Luis Velasco-Garrido12Department of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, SpainDepartment of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 Malaga, SpainDepartment of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, SpainDepartment of Endocrinology and Nutrition, Son Espases Universitary Hospital, Carretera de Valldemossa, 07120 Palma, SpainDepartment of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, SpainDepartment of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, SpainDepartment of Neumology, Carlos de Haya Regional University Hospital, 29010 Malaga, SpainDepartment of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, SpainDepartment of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 Malaga, SpainDepartment of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 Malaga, SpainDepartment of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 Malaga, SpainDepartment of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 Malaga, SpainDepartment of Neumology, Virgen de la Victoria University Hospital, 29010 Málaga, Spain<b>Introduction:</b> Idiopathic pulmonaryy fibrosis (IPF) is a progressive interstitial lung disease with a poor prognosis. While comorbidities like pulmonary hypertension and lung cancer have been studied extensively, less attention has been paid to the implications of malnutrition and sarcopenia in patients with IPF. This study aimed to assess the prevalence of malnutrition, sarcopenia, and the combined malnutrition-sarcopenia syndrome in patients with IPF using the latest diagnostic criteria from the Global Leadership Initiative on Malnutrition (GLIM) and the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). <b>Methods:</b> A prospective, observational, multicenter study was conducted, focusing on patients with idiopathic pulmonary fibrosis (IPF). All participants provided informed consent, and the study followed ethical guidelines. Malnutrition was diagnosed based on the GLIM criteria, requiring one phenotypic and one etiological criterion, with muscle mass assessed via bioelectrical impedance analysis (BIA). Sarcopenia was screened following the EWGSOP2 recommendations. The statistical analysis was performed using JAMOVI version 2.3.22, with significance set at <i>p</i> < 0.05. <b>Results:</b> The findings revealed that 77.65% of the participants were malnourished, and 20% had sarcopenia. The malnourished patients had significantly lower body weight, height, and muscle mass compared to the non-malnourished patients. Furthermore, the patients with malnutrition exhibited poorer health-related quality of life scores. This study also identified the malnutrition-sarcopenia syndrome in 8.23% of the participants. <b>Conclusions:</b> Malnutrition, based on the GLIM criteria was identified in three out of four patients with IPF, while sarcopenia according to the EWGSOP2 was present in one out of five. This study underscores the necessity for routine screening for malnutrition and sarcopenia in patients with IPF.https://www.mdpi.com/2543-6031/93/3/11idiopathic pulmonary fibrosismalnutritionsarcopeniaGLIMEWGSOP2
spellingShingle Eva Cabrera-César
Rocío Fernández-Jiménez
Javier Lopez-Garcia
Alicia Sanmartín-Sánchez
Miguel Benítez Cano-Gamonoso
Isabel Asschert Agüero
Francisco Espíldora-Hernández
Luis Fernandez de Rota Garcia
Isabel Vega-Aguilar
Maria del Mar Amaya-Campos
Francisco J. Tinahones
Jose Manuel Garcia-Almeida
Jose Luis Velasco-Garrido
Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
Advances in Respiratory Medicine
idiopathic pulmonary fibrosis
malnutrition
sarcopenia
GLIM
EWGSOP2
title Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
title_full Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
title_fullStr Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
title_full_unstemmed Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
title_short Malnutrition, Sarcopenia, and Malnutrition Sarcopenia Syndrome in Idiopathic Pulmonary Fibrosis
title_sort malnutrition sarcopenia and malnutrition sarcopenia syndrome in idiopathic pulmonary fibrosis
topic idiopathic pulmonary fibrosis
malnutrition
sarcopenia
GLIM
EWGSOP2
url https://www.mdpi.com/2543-6031/93/3/11
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