Kateryna Gashynova1, Kateryna Bogatska1 and Nataliia Sanina2
Medicine 1, SI DMA MOH of Ukraine, Dnipropetrovs'k, Ukraine, 2DSMA,
to evaluate the impact of changes in nutritive status on the
probability of exacerbations and hospitalizations due to exacerbations
in outpatients with COPD.
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.
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.
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