Abstract
Introduction: Nutritional disturbances in patients with chronic obstructive pulmonary disease (COPD) are common. Different studies have related the severity of the disease with nutrition.
Objectives: To evaluate the nutritional status in COPD patients, and to compare the functionality and symptoms in COPD patients with different nutritional status
Methods: Observational study. Nutritional status was evaluated with the Mini Nutritional Assessment and patients were grouped depending on their punctuation. Clinical profile was evaluated including respiratory function, independence levels, quality of life and anxiety and depression. Additionally, functionality related to symptoms and respiratory symptoms were evaluated.
Results: 154 patients were included, 98 of them were males. 71 patients showed malnutrition and 83 had a normal nutritional status.
| Variable | MNA ≥ 24 (n=83) | MNA < 24 (n=71) | p-value | ||
| Clinical profile | |||||
| FEV1% | 35.71±14.43 | 35.18±20.10 | 0.859 | ||
| HAD total score | 12.82±7.37 | 16.27±8.21 | 0.007* | ||
| Barthel Index | 94.40±8.50 | 85.51±20.17 | 0.001* | ||
| SGRQ total score | 59.89±13.92 | 68.10±11,21 | p<0.001** | ||
| Functionality related to symptoms | |||||
| LCADL total score | 27.17±12.26 | 33.52±15.82 | 0.031* | ||
| Symptomatology | |||||
| Dyspnea | 5.36±2.54 | 6.19±2.53 | 0.043* | ||
| LCQ total score | 15.01±3.26 | 13.37±3.92 | 0.070 | ||
FEV1: Forced expiratory volume in the first second; HAD: Hospital anxiety and depression scale; SGRQ: Saint George Respiratory Questionnaire; LCADL: London Chest Activity of Daily Living Scale; LCQ: Leicester Cough Questionnaire; p<0.05*; p<0.001**
Comparison of COPD with different nutritional status
Conclusion: Patients with COPD and malnutrition have worse results in functionality and symptomatology than patients with COPD without malnutrition.
- Copyright ©the authors 2016
