This article summarizes the morbidity and mortality associated with COPD and was created from a presentation given at the 130th AAIM Annual Meeting. The author reviews what most medical directors already know about COPD, but with particular attention paid to the Pulmonary Function Tests dealing with spirometry. Underwriters and medical directors need to understand the three basic measurements of spirometry (FVC, FEV1, and FEF25-75), as well as the significance of the FEV1/FVC ratio, in establishing an applicant as having an obstructive or restrictive impairment.
defined as total energy expenditure in twenty-four hours/ basal metabolic rate. The relationships between PAL and BMI were compared using correlational analysis. Results: 75 participants, 25 in each BMI category (normal: BMI <25, overweight: BMI 25-30 and obese: BMI >30 kg.m −2). 28% of participants were female. Results (mean (SD): Age 59.2 (14.4) years overall BMI 27.4 (5.77) PAL 1.66 (0.45). PAL tended to decrease as BMI increased (p<0.001): Normal: 1.78 (0.5), Overweight: 1.69 (0.46), Obese: 1.49 (0.34). Obese transplant patients were significantly less active than normal BMI (p=0.03). There was a weak but statistically significant correlation between BMI and PAL r=-0.34(p=0.0025). Conclusion: Following transplant, Obese subjects are less physically active than those with normal BMI. Programs aimed at increasing activity appear warranted.
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