Effect of nutritional status in individuals with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation
Effect of nutritional status in individuals with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation
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DOI：
10.1111/resp.12133
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发表时间：
2013-11-01
期刊：
影响因子：
6.9
通讯作者：
Demir, Nese
中科院分区：
文献类型：
--
作者：
Gunay, Ersin;Kaymaz, Dicle;Demir, Nese
背景与目的慢性阻塞性肺疾病（COPD）是世界性的重大公共卫生问题.体重减轻、肌肉和脂肪量减少是COPD患者常见的营养问题，是肺功能、健康状况、残疾和死亡的决定性因素。我们的目的是评估营养状况和感知呼吸困难，肺功能测试（PFT），运动能力和健康相关的生活质量（HRQoL）之间的关系，使用主观的全球评估（SGA）在COPD患者谁被称为肺康复programmes.MethodsA共163例稳定的COPD患者谁是门诊肺康复计划的候选人被纳入本研究。通过SGA评估所有患者的营养状况。SGA评分（A，B和C）和人体测量，PFT，呼吸困难量表（医学研究理事会和休息博格量表），HRQoL（圣乔治呼吸问卷和慢性呼吸系统疾病问卷）和运动试验（穿梭行走试验）的协会进行了研究的统计意义。第一秒用力呼气量（FEV1）较治疗前明显下降（P=0.009），医学研究理事会量表评分（P
Background and objectiveChronic obstructive pulmonary disease (COPD) is considered a worldwide major public health problem. Weight loss, muscle and fat mass depletion are common nutritional problems in COPD patients and are determinant factors in pulmonary function, health status, disability and mortality. We aimed to assess the relationships between nutritional status and perception of dyspnoea, pulmonary function tests (PFT), exercise capacity and health-related quality of life (HRQoL) using the subjective global assessment (SGA) in COPD patients who were referred for pulmonary rehabilitation programme.MethodsA total of 163 patients with stable COPD who are candidates for outpatient pulmonary rehabilitation programme were included in this study. Nutritional status for all patients was assessed by SGA. Association of SGA scores (A, B and C) and anthropometric measurements, PFT, dyspnoea scales (Medical Research Council and resting BORG scale), HRQoL (St. George Respiratory Questionnaire and Chronic Respiratory Diseases Questionnaire) and exercise testing (shuttle walking test) were studied for statistical significance.ResultsBased on SGA, 9.2% of patients were severely malnourished (SGA-C). There were significant decreases in forced expiratory volume in the first second (FEV1) (P=0.009), Medical Research Council scales (P