RT Journal Article
SR Electronic
T1 Nutritional status of pulmonary rehabilitation patients
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P1909
VO 40
IS Suppl 56
A1 Heinz Juergen Stark
A1 Dragan Stojanovic
A1 Konrad Schultz
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P1909.abstract
AB IntroductionOnly about one-third of all adult German men and about 50% of women are normal weight. By contrast, the percent of overweight/obesity has reached epidemic proportions. Underweight is relatively rare. The nutritional status of the pneumologically ill varies considerably from this disease pattern. The prevalence of underweight in COPD III and IV (FEV1 < 50%) cases ranges from 20%-60%.Aims and objectivesThe aim of the present study is to ascertain the nutritional status of a pneumological patient population and the respective frequency and meaning of underweight and overweight/obesity, using a large database.MethodsFrom 2005 to end of 2011, the nutritional status of all pneumological patients was ascertained at a German inpatient rehabilitation clinic (n=13804). Additional from July 2010 until January 2012 the nutritional status of COPD patients with severity levels of III and IV based on GOLD was also ascertained for a sub-population.ResultsOf all patients (n=13804), the percent of underweight was 8.4%, normal weight 27.5% and overweight/obese 64.1%. Of all COPD patients (n=5470), 10.8% were underweight, 28.3% normal weight and 60.9% overweight /obese. Of the COPD III patients 20.6% were underweight and of the COPD IV group even 25.1%. The asthmatic (n=3811) had a lower percent of underweight (4.1%) but 72.5% overweight/obese.Conclusions The prevalence of underweight and obesity in a pneumological patient population is strikingly manifest when compared to a normal population. The percentage of underweight is significantly higher for COPD. Within the COPD, results show considerable differences, depending on degree of severity.