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Comparison of functionality and symptoms in COPD patients with different nutritional status

Irene Torres Sanchez, Marie Carmen Valenza, Tamara Del Corral Núñez-Flores, Laura López-López, Janet Rodríguez-Torres
European Respiratory Journal 2016 48: PA4449; DOI: 10.1183/13993003.congress-2016.PA4449
Irene Torres Sanchez
1Physical Therapy Department, University of Granada, Granada, Spain
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Marie Carmen Valenza
1Physical Therapy Department, University of Granada, Granada, Spain
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Tamara Del Corral Núñez-Flores
2Physical Therapy Department, University La Salle, University Autonoma of Madrid, Madrid, Spain
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Laura López-López
1Physical Therapy Department, University of Granada, Granada, Spain
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Janet Rodríguez-Torres
1Physical Therapy Department, University of Granada, Granada, Spain
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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.

VariableMNA ≥ 24 (n=83)MNA < 24 (n=71)p-value
Clinical profile
FEV1%35.71±14.4335.18±20.100.859
HAD total score12.82±7.3716.27±8.210.007*
Barthel Index94.40±8.5085.51±20.170.001*
SGRQ total score59.89±13.9268.10±11,21p<0.001**
Functionality related to symptoms
LCADL total score27.17±12.2633.52±15.820.031*
Symptomatology
Dyspnea5.36±2.546.19±2.530.043*
LCQ total score15.01±3.2613.37±3.920.070
  • 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**

TABLE 1.

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.

  • COPD - management
  • Copyright ©the authors 2016
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Comparison of functionality and symptoms in COPD patients with different nutritional status
Irene Torres Sanchez, Marie Carmen Valenza, Tamara Del Corral Núñez-Flores, Laura López-López, Janet Rodríguez-Torres
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4449; DOI: 10.1183/13993003.congress-2016.PA4449

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Comparison of functionality and symptoms in COPD patients with different nutritional status
Irene Torres Sanchez, Marie Carmen Valenza, Tamara Del Corral Núñez-Flores, Laura López-López, Janet Rodríguez-Torres
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4449; DOI: 10.1183/13993003.congress-2016.PA4449
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