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Prevalence of malnutrition in COPD and its relationship with the parameters related to disease severity

Authors Mete B, Pehlivan E, Gülbaş G, Günen H

Received 9 July 2018

Accepted for publication 23 August 2018

Published 11 October 2018 Volume 2018:13 Pages 3307—3312

DOI https://doi.org/10.2147/COPD.S179609

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Dr Richard Russell


Burak Mete,1 Erkan Pehlivan,1 Gazi Gülbaş,2 Hakan Günen3

1Department of Public Health, Faculty of Medicine, İnönü University, Malatya, Turkey; 2Department of Pulmonary Medicine, Faculty of Medicine, İnönü University, Malatya, Turkey; 3Sureyyapasa Research and Training Center for Chest Diseases and Thoracic Surgery, Health Sciences University, Ministry of Health, Istanbul, Turkey

Objective: The aim of the study was to determine the nutritional status and anthropometric values in a group of patients with COPD and to examine the relationship between these factors and disease severity.
Methods: A total of 105 COPD patients were included in this cross-sectional study. The patients underwent spirometric exmination. Mini nutritional assessment form was applied, and the anthropometric values of the patients were measured by bioelectrical impedance method. Nutrient registration forms were given using a 3-day, 24-hour recall method to assess the nutrient uptake. COPD severity was determined using the Global Initiative for Chronic Obstructive Lung Disease criteria, and the correlations between nutritional status and disease severity parameters were measured.
Results: The prevalence of malnutrition in our patients with COPD was found to be 17%. Spirometric parameters were found to be significantly lower in patients with low body mass index (BMI) and malnutrition. As the modified Medical Research Council dyspnea scale score increased, the frequency of malnutrition increased (P=0.002). Positive significant correlation was found between spirometric variables and muscle mass and fat external tissue volume of the patients. Patients receiving higher protein content in diet showed a better muscle mass amount (P<0.001).
Conclusion: Our study results confirmed that malnutrition is an important and frequently encountered problem in COPD patients, and spirometric values of the patients with malnourishment and with low BMI are significantly lower. We think that nutritional status should be evaluated in every COPD patient, and nutritional intake should be tailored individually.

Keywords: COPD, malnutrition, nutritional status

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