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COPD: Influence of patients' nutritive status on the exacerbations rate

penyakit paru

Kateryna Gashynova1, Kateryna Bogatska1 and Nataliia Sanina2
1Internal Medicine 1, SI DMA MOH of Ukraine, Dnipropetrovs'k, Ukraine, 2DSMA, Dnipro, Ukraine

Aim: to evaluate the impact of changes in nutritive status on the probability of exacerbations and hospitalizations due to exacerbations in outpatients with COPD.

Material and methods: Outpatients with stable COPD were included in the prospective study. Lung function, anthropometric data (sex, age, height, weight) wereassessed; body mass index (BMI) was calculated. Fat tissue % (% FT) and the free of fat tissue % (% FFT) were measured to characterize the nutritive status. The results obtained were processed using descriptive and analytical statistics.

Results: Data of 112 patients (GOLD I-IV) were selected for the final analysis. All patients were divided into two main groups: Group I ? without exacerbations within 12 previouse months (n = 51); Group II ?with one or more exacerbation in the past year (n = 61). Significantly (p = 0.002) lower FFT % was found in patients with exacerbations during the last year, compared with those who had stable disease (29.00 [23,10-33,70]% and 32.50 [31,40-36,20]% respectively). Significantly (p = 0.015) higher percentage of patients with low FFT % was established among persons with a history of exacerbations.

1. Low FFT% increases the likelihood of COPD exacerbations.
2. FT % in outpatients does not influence on the occurrence of exacerbations and the likelihood of hospitalizations in COPD.

Source :
Image :

PDPI Malang. 19/09/17.

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