PT  - JOURNAL ARTICLE
AU  - Sonia Habibech
AU  - Hamida Kwas
AU  - Ines Zendah
AU  - Ayari Aymen
AU  - Amel Khattab
AU  - Ibtihel Khouaja
AU  - Habib Ghedira
TI  - Nutritional status in chronic obstructive pulmonary disease
DP  - 2014 Sep 01
TA  - European Respiratory Journal
PG  - P3601
VI  - 44
IP  - Suppl 58
4099  - http://erj.ersjournals.com/content/44/Suppl_58/P3601.short
4100  - http://erj.ersjournals.com/content/44/Suppl_58/P3601.full
SO  - Eur Respir J2014 Sep 01; 44
AB  - Introduction: Changes in nutritional status, such as weight loss and malnutrition, are a common complication in patients with chronic obstructive pulmonary disease (COPD). Malnutrition in these patients is mainly due to increases in resting energy expenditure and a high systemic inflammatory response.Aim: To evaluate nutritional status in COPD by measuring the body mass index (BMI) and to determine consequences of malnutrition on disease severity and its exacerbation.Patients and methods: Retrospective study including 53 patients (50 men and 3 women) hospitalized in our department for exacerbation of COPD.Results: The mean age was 64.3 years. Smoking was noted in 95% of the patients. Patients weight varied from 40 to 99 kg (mean 76 kg). The mean BMI was 32 Kg/m2 (14.3 to 35.8 Kg/ m2). The malnutrition was found in 80 % cases. It was severe in 15% cases (BMI < 16 Kg/ m2). Biologic finding revealed microcytic hypochromic anemia in 20% of cases and a plyglobulia in 17% of cases. The COPD was classified according to the GOLD classification :stage I (15%), stage II (30%), stage III (23%) and stage IV (32%). Treatment was based on fractioned hypercaloric feeding in malnourished patients. Mean hospitalization duration was 15 days (5-32 days). Ten patients with low BMI have necessitated noninvasive ventilation. Five patients with severe malnutrition were transferred to intensive care unit due to the deterioration of their respiratory status.Conclusion: This study underlines the correlation of the severity of the COPD and the nutritional status. In fact, over the BMI is low and therefore the nutritional status is poor more prognosis of COPD is severe and the treatment of exacerbations is more delicate.