Abstract
Introduction: It has been shown that fat-free mass (FFM) depletion is a better predictor of mortality than BMI alone in COPD patients.
Aim: to examine the nutritional status of stable male COPD patients and to evaluate energy, macro- and micronutrient intakes in relation to fat free mass index.
Methods: we conducted a cross sectional study including patients with a diagnosis of COPD, clinically stable and aged between 45 and 75 years. Nutritional intake was assessed by using a 24h dietary recall questionnaire. Total intake of macro and micronutrient was calculated using BILNUT 2000 software. Weight, height, mid-upper arm circumference (MUAC), and body composition measurements were taken by a trained dietitian. The data were analyzed with SPSS 14.0 software.
Results: The mean age of the patients (N=65) was 66 ± 9 years. Among all of the patients 14.8% was underweight (BMI < 21 kg/m2) and 17.5% had a low fat-free mass index (FFMI < 16 kg/m2). The percentage of the patients who did not meet the daily recommended intakes (RNI) was highest for zinc (100%) and calcium (86.3%). Mean daily consumptions of milk-yogurt, red meat and fruits were significantly low in the low FFMI group compared to normal FFMI group (for all; p < 0.05). Patients with normal FFMI had significantly higher weight, MUAC, fat and fat-free mass than the patients with low FFMI (for all; p < 0.05).
Conclusions: health professionals should be aware of COPD patients with low FFMI in order to evaluate the nutritional intake and therefore plan nutritional strategies to improve prognosis of the disease.
Footnotes
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4306.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2019