Nutritional status and dietary intake in patients with chonic obstructive pulmonary disease

Copyright © 2021 SPLF. Published by Elsevier Masson SAS. All rights reserved..

INTRODUCTION: Undernutrition is a predictor of mortality in chronic obstructive pulmonary disease (COPD). The objectives of our study were to assess nutritional intake in COPD and to study its relationship with disease severity.

METHODS: A cross-sectional study that included 66 patients followed for COPD. Patients included had a body composition study and a respiratory and nutritional assessment.

RESULTS: The mean age of the population was 66±9 years. The lean body mass index (LMI) was reduced in 26.1% of patients. It was significantly associated with the GOLD group (P=0.04) and significantly correlated with the forced expiratory volume in the first second (FEV1) (P=0.02) and the distance covered during the six-minute walk test (TM6) (P=0.01). A significant difference was found between the caloric intakes and the different GOLD groups (P=0.04). Mean intakes of calories (P=0.002; r=0.07), protein (P=0.01; r=0.16), carbohydrates (P=0.02; r=0.2) and iron (P=0.01; r=0.13) were significantly correlated with the TM6 results. Caloric intake was significantly correlated with LMI (P=0.01; r=0.16), body mass index (P=0.04; r=0.12), FEV1 (P=0.04; r=-0.12) and GOLD stage (0.002). Similarly, protein intake was significantly correlated with LMI (P=0.001; r=0.11), body mass index (P=0.02; r=0.16), FEV1(%) (P=0.001; r=-0.16) and GOLD stage (P=0.002).

CONCLUSION: Undernutrition in COPD is caused by decreased food intake and increased resting energy expenditure. Adequate intakes of glucose, protein, fibers, vitamins and zinc are associated with improved ventilatory function.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Revue des maladies respiratoires - 38(2021), 7 vom: 29. Sept., Seite 689-697

Sprache:

Französisch

Weiterer Titel:

Apports nutritionnels et état nutritionnel au cours de la broncho-pneumopathie chronique obstructive

Beteiligte Personen:

Hedhli, A [VerfasserIn]
Slim, A [VerfasserIn]
Mjid, M [VerfasserIn]
Ouachi, Y [VerfasserIn]
Kacem, M [VerfasserIn]
Cheikh Rouhou, S [VerfasserIn]
Merai, S [VerfasserIn]
Toujani, S [VerfasserIn]
Dhahri, B [VerfasserIn]

Links:

Volltext

Themen:

État nutritionnel
Bronchopneumopathie chronique obstructive
Chronic obstructive
Journal Article
Malnutrition
Nutritional status
Ration calorique
Sarcopénie
Sarcopenia
Tests de la fonction respiratoire

Anmerkungen:

Date Completed 17.09.2021

Date Revised 17.09.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmr.2021.04.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM326406735