Nutritional Status of Chronic Obstructive Pulmonary Disease Patients according to the Severity of Disease.
- Author:
Young Mi PARK
1
;
Ho Il YOON
;
Cheongmin SOHN
;
Ryowon CHOUE
Author Information
1. Department of Medical Nutrition, Graduate School of East-West Medical Science, Yongin 446-701, Korea. rwcho@khu.ac.kr
- Publication Type:Original Article
- Keywords:
chronic obstructive pulmonary disease;
forced vital capacity;
severity of disease;
dietary quality;
nutrient intake
- MeSH:
Adipose Tissue;
Anorexia;
Body Weight;
Calcium;
Diet;
Dyspepsia;
Dyspnea;
Electric Impedance;
Folic Acid;
Humans;
Male;
Mastication;
Nutritional Status;
Nutritive Value;
Pulmonary Disease, Chronic Obstructive;
Riboflavin;
Snacks;
Vital Capacity
- From:The Korean Journal of Nutrition
2008;41(4):307-316
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of the study was to investigate nutritional status of chronic obstructive pulmonary disease (COPD) patients and to find out the differences according to the stages of disease. From March to October, 2006, 41 stable male patients of mild to severe COPD patients were recruited from Seoul National University hospital. The patients' of body weight and fat free mass were assessed by bioelectrical impedance analysis. The nutritional status of the patients was also assessed by 3-day recall, index of nutritional quality (INQ), dietary diversity score (DDS), dietary variety score (DVS), food group index pattern and dietary quality index (DQI). The total of 41 patients were classified into three groups, stage I, stage II and stage III groups according to the classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) standard. The mean age of the patients in each stage were 67.2-66.9 years showing no significant difference. The ratio of FEV1/FVC were 57.5 +/- 7.3, 46.9 +/- 7.6 and 38.2 +/- 6.8%, respectively showing significant differences according to the stages of disease. The fat free mass of the stage II (48.2 +/- 4.7 kg) and III (47.3 +/- 4.5 kg) was significantly lower than that of stage I (53.1 +/- 6.9 kg) patients. There were significant correlation of fat free mass with FEV1, and BMI (body mass index) with FEV1/FVC ratio (p < 0.05). COPD patients showed the diet-related clinical symptoms of anorexia, dyspnea, dyspepsia, and chewing difficulty. Daily intakes of calorie, K, vitamin B2 and folate of the patients were very low (83.8 +/- 20.7%, 58.9 +/- 14.4%, 70.7 +/- 19.6% and 74.7 +/- 10.2%, respectively) however, they did not significantly different according to the stages of disease. Daily intake of calcium was significantly lower in the stage III patients (p < 0.05). The mean scores of dietary variety score was significantly lower in the stage III patients (p < 0.001). Dietary quality index of the patients were not different among the stages of disease and the scores indicated poor quality of diet. As a summary, we found that body fat free mass, regularity of exercise, frequency of having snacks and dietary variety score were significantly associated with the severity of chronic obstructive pulmonary disease.
