Predictors' Factors of Nutritional Status of Male Chronic Obstructive Pulmonary Disease Patients

Abstract

Chronic obstructive pulmonary disease (COPD) is a systemic disease that leads to weight loss and muscle dysfunction resulting in an increase in mortality. This study aimed to determine the prevalence rate of malnutrition and nutritional status and also factors associated with nutritional status. A total of 149 subjects were involved in the cross-sectional study. The study was conducted at two medical centers in Kuala Lumpur, Malaysia. The results of the study showed that malnutrition was more prevalent (52.4%) in the subjects with severe stages of COPD as compared to mild and moderate COPD stages (26.2%) (P < 0.05). Fat-free mass depletion as assessed using fat-free mass index (FFMI) affected 41.9% of the subjects. Plasma vitamin A, peak expiratory flow (PEF), and handgrip were the predictors for body mass index (BMI) (R 2 = 0.190, P < 0.001). Plasma vitamin A and force expiratory volume in one second (FEV1) were the predictors of FFMI (R 2 = 0.082, P = 0.007). BMI was the predictor of respiratory factors, that is, FEV1% predicted (R 2 = 0.052, P = 0.011). It can be concluded that there is a need to identify malnourished COPD patients for an appropriate nutrition intervention.

Nutritional deficiency and associated factors among new pulmonary tuberculosis patients of Bale Zone Hospitals, southeast Ethiopia

“…The opposite studies done in African countries conjointly show similar results; Ghana, 51% [6]; Malawi, 59% [17] and Uganda, 62% [18]. The study done in Gulbarga, India, 62.2% [19]; kuala Lumpur, Malesia, 52.4% [20]; and Bahia, Salvador, Brazil, 50% [21] are also not far from the present finding.…”

Factors Associated With Malnutrition Risk Among Elderly With Chronic Obstructive Pulmonary Disease From Hospital Serdang and Institut Perubatan Respiratori

“…The low handgrip strength in COPD patients as seen in the present study is consistent with the finding of Pirabbasi et al, (2012) Skeletal muscle dysfunction and wasting occurring in COPD patients might be due to hypoxemia, increased of oxidation stress and systematic inflammation (Comellas et al, 2006;Degens & Always, 2006;Westerterp & Kayser, 2006).…”

“…A study in Malaysia among COPD patients found that most of them did not achieve Malaysian RNI for energy intake based on their three day diet intake (Pirabbasi et al, 2012). Other studies found that most of the COPD elderly patients tended to decrease in food intake due to the breathlessness and taste difficulties (Vanderwee et al, 2010) and that COPD elderly patients had a lower dietary energy intake (Schols et al, 1991).…”

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“…But again, association if any, between malnutrition and COPD in people with HIV infection has yet to be investigated. The prevalence of malnutrition among COPD patients from Latin America vary between 20 and 50% and malnutrition is even more severe in the advanced forms of COPD [28]. A third of our COPD participants were malnourished (i.e BMI < 18.5 kg/m 2 ).…”