Correlating nutritional status with severity of chronic obstructive pulmonary disease in adult females

Bhakare, Meenakshi; Godbole, Gauri; Khismatrao, Deepak S; Pophale, Himanshu S; Magar, Pankaj; Kulkarni, Shraddha; Bhakare, Nikhil H

doi:10.4103/0975-2870.192157

Cited by 3 publications

(3 citation statements)

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“…MNA score and waist‐height ratio decreased toward malnutrition significantly as severity of COPD increased (F = 2.353, df = 3, P < 0.05; F = 2.582, df = 3, P < 0.05 respectively) using analysis of variance. Waist‐hip ratio, BMI, serum albumin level, and serum hemoglobin did not have any significant correlation with severity of COPD . The studies highlighted above indicate MNA is a valuable tool for evaluating the nutrition risk of patients with COPD and could be effectively incorporated into the routine care of COPD patients in applicable populations.…”

Section: Established Screening and Assessment Toolsmentioning

confidence: 99%

Nutrition Status and Chronic Obstructive Pulmonary Disease: Can We Move Beyond the Body Mass Index?

2019

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Chronic obstructive pulmonary disease (COPD) represents an important global public health concern. Malnutrition is common in patients with COPD and often leads to worse outcomes for these patients. Recognition of overall nutrition status for patients with COPD is an important aspect of their care and treatment. Several methods have been studied that move beyond the standard/frequent use of body mass index alone. The purpose of this review is to summarize the current evidence for other tools to evaluate nutrition status in patients with COPD and highlight patients who may benefit from nutrition interventions. (Nutr Clin Pract. 2019;34:330-339)

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Section: Established Screening and Assessment Toolsmentioning

confidence: 99%

Nutrition Status and Chronic Obstructive Pulmonary Disease: Can We Move Beyond the Body Mass Index?

2019

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“…* Parameters and units of measurement applied in the studies for lean body mass: free-fat mass (FFM) in kilogram (kg) (n 8 studies) (41,42,44,46,47,50,51,62) , FFM index in kilogram per square meter (kg/m 2 ) (n 3 studies) (48,53,54) , FFM (%) (n 1 study) (58) and appendicular skeletal muscle mass in kg (n 1 study) (61) . † Units of measurement applied in the studies for handgrip strength: kilogram-force (kgf) (n 5 studies) (10,16,21,23,24) and kilogram (kg) (n 7 studies) (11,19,22,26,30,39,41) . ‡ Units of measurement applied in the studies for quadriceps strength: kgf (n 1 study) (21) , kg (n 1 study) (29) , Newton-meter (n 7 studies) (22)(23)(24)(25)32,37,40) and Newtons per kg (n 1 study) (35) .…”

Section: Effect Of Intervention In Fat Massmentioning

confidence: 99%

“…Unintentional weight loss occurs in almost 50 % of the patients with severe COPD and about 15 % of patients with mild-to-moderate COPD (18) . The decline in pulmonary function (19,20) , acceleration in disease progression (16) and impaired resistance to infections can be expected in malnourished COPD patients (17) . In addition, COPD patients present peripheral muscle dysfunction and atrophy, expressed as muscle strength and endurance reduction (21) .…”

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confidence: 99%

Increased energy and/or protein intake improves anthropometry and muscle strength in chronic obstructive pulmonary disease patients: a systematic review with meta-analysis on randomised controlled clinical trials

et al. 2022

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Compromised nutritional status is associated with a poor prognosis in COPD patients. However, the impact of nutritional support in this group of patients is controversial. The present study systematically reviewed the effect of energy and or protein supplements or food fortification on anthropometry and muscle strength of COPD patients. We searched MEDLINE (PubMed), EMBASE, Cochrane Library, and Scopus for all published randomized clinical trials (RCTs) without language restriction up to May 2021. Three reviewers performed study selection and data extraction independently. We judged the risk of bias by RoB 2 and the certainty of evidence by the GRADE approach. We included thirty-two randomized controlled trials and compiled 31 of them (1,414 participants) in the random-effects model meta-analyses. Interventions were energy and/or protein oral nutritional supplements or food fortification added to the diet for at least one week. Pooled analysis revealed that nutritional interventions increased body weight (MD=1.44 kg, 95%CI 0.81 to 2.08, I2=73%), lean body mass (SMD=0.37; 95%CI 0.15 to 0.59, I2=46%), midarm muscle circumference (MD= 0.29 mm2, 95% CI 0.02 to 0.57, I2=0%), triceps skinfold (MD= 1.09 mm, 95% CI 0.01 to 2.16, I2=0%), and handgrip strength (SMD= 0.39, 95% CI 0.07 to 0.71, I2=62%) compared to control diets. Certainty of evidence ranged from very low to low, and most studies were judged with some concerns or at high risk of bias. This meta-analysis revealed, with limited evidence, that increased protein and/or energy intake positively impacts anthropometric measures and handgrip strength of COPD patients.. PROSPERO CRD: 42020207577

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A Study on Evaluation of Nutritional Status in Patients with Chronic Obstructive Pulmonary Disease

Challa¹,

Shaik²,

Musku³

2020

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Correlating nutritional status with severity of chronic obstructive pulmonary disease in adult females

Cited by 3 publications

References 0 publications

Nutrition Status and Chronic Obstructive Pulmonary Disease: Can We Move Beyond the Body Mass Index?

Nutrition Status and Chronic Obstructive Pulmonary Disease: Can We Move Beyond the Body Mass Index?

Increased energy and/or protein intake improves anthropometry and muscle strength in chronic obstructive pulmonary disease patients: a systematic review with meta-analysis on randomised controlled clinical trials

A Study on Evaluation of Nutritional Status in Patients with Chronic Obstructive Pulmonary Disease

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