Nutritional Indicators are Correlated with the Radiological Severity Score in Patients with Mycobacterium avium Complex Pulmonary Disease: A Cross-sectional Study

Objective Body weight loss in patients with Mycobacterium avium complex (MAC) pulmonary disease can be fatal. The administration of nutritional supplements should be an important component in the treatment of this disease. Objective data regarding the association between the nutritional status and d...

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Veröffentlicht in:Internal Medicine 2014, Vol.53(5), pp.397-401
Hauptverfasser: Morimoto, Kozo, Yoshiyama, Takashi, Kurashima, Atsuyuki, Sasaki, Yuka, Hoshino, Yoshihiko, Yoshimori, Kouzou, Ogata, Hideo, Gemma, Akihiko, Kudoh, Shoji, Shiraishi, Yuji
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container_end_page 401
container_issue 5
container_start_page 397
container_title Internal Medicine
container_volume 53
creator Morimoto, Kozo
Yoshiyama, Takashi
Kurashima, Atsuyuki
Sasaki, Yuka
Hoshino, Yoshihiko
Yoshimori, Kouzou
Ogata, Hideo
Gemma, Akihiko
Kudoh, Shoji
Shiraishi, Yuji
description Objective Body weight loss in patients with Mycobacterium avium complex (MAC) pulmonary disease can be fatal. The administration of nutritional supplements should be an important component in the treatment of this disease. Objective data regarding the association between the nutritional status and disease severity have not been reported. This cross-sectional study aimed to compare the nutritional status and radiological severity scores in MAC pulmonary disease patients. Methods We retrospectively reviewed the records of 40 patients who were admitted to our institution for the treatment of MAC pulmonary disease between July 2008 and July 2010. Nutritional indices, including the ideal body weight ratio, triceps skinfold, mid-upper arm muscle circumference, and percentage of predicted resting energy expenditure, were compared with the radiological severity scores. Quantitative values of the extent of nodules, infiltration shadows, cavities, and bronchiectasis on the computed tomography scans were used to evaluate the radiological severity scores. Results The patients suffered from a significantly decreased percentage of ideal body weight, body fat and muscle mass. The average radiological score was 17.6±8.4 points. The percentage of ideal body weight (p
doi_str_mv 10.2169/internalmedicine.53.1277
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The administration of nutritional supplements should be an important component in the treatment of this disease. Objective data regarding the association between the nutritional status and disease severity have not been reported. This cross-sectional study aimed to compare the nutritional status and radiological severity scores in MAC pulmonary disease patients. Methods We retrospectively reviewed the records of 40 patients who were admitted to our institution for the treatment of MAC pulmonary disease between July 2008 and July 2010. Nutritional indices, including the ideal body weight ratio, triceps skinfold, mid-upper arm muscle circumference, and percentage of predicted resting energy expenditure, were compared with the radiological severity scores. Quantitative values of the extent of nodules, infiltration shadows, cavities, and bronchiectasis on the computed tomography scans were used to evaluate the radiological severity scores. Results The patients suffered from a significantly decreased percentage of ideal body weight, body fat and muscle mass. The average radiological score was 17.6±8.4 points. The percentage of ideal body weight (p&lt;0.001), percentage of triceps skinfold (p&lt;0.001) and percentage of mid-upper arm muscle circumference (p&lt;0.002) were negatively correlated with the radiological scores, while the percentage of the predicted resting energy expenditure (p&lt;0.001) was positively correlated with the scores. Conclusion A poor nutritional status is common in patients with progressive MAC pulmonary disease, which supports the hypothesis that aggressive nutritional interventions are indicated in the treatment of this disease.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.53.1277</identifier><identifier>PMID: 24583426</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aged ; chest computed tomography ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; Japan - epidemiology ; Lung Diseases - diagnostic imaging ; Lung Diseases - epidemiology ; Lung Diseases - microbiology ; Male ; Middle Aged ; Mycobacterium avium ; Mycobacterium avium complex ; Mycobacterium avium Complex - isolation &amp; purification ; Mycobacterium avium-intracellulare Infection - diagnostic imaging ; Mycobacterium avium-intracellulare Infection - epidemiology ; Mycobacterium avium-intracellulare Infection - microbiology ; nutrient assessment ; Nutritional Status ; pulmonary disease ; radiologic score ; Retrospective Studies ; Severity of Illness Index ; Skinfold Thickness ; Tomography, X-Ray Computed - methods</subject><ispartof>Internal Medicine, 2014, Vol.53(5), pp.397-401</ispartof><rights>2014 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c559t-a26553058c63b4b89fccc0eef314b50671986ef6898620aedf9f226c40089e623</citedby><cites>FETCH-LOGICAL-c559t-a26553058c63b4b89fccc0eef314b50671986ef6898620aedf9f226c40089e623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24583426$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morimoto, Kozo</creatorcontrib><creatorcontrib>Yoshiyama, Takashi</creatorcontrib><creatorcontrib>Kurashima, Atsuyuki</creatorcontrib><creatorcontrib>Sasaki, Yuka</creatorcontrib><creatorcontrib>Hoshino, Yoshihiko</creatorcontrib><creatorcontrib>Yoshimori, Kouzou</creatorcontrib><creatorcontrib>Ogata, Hideo</creatorcontrib><creatorcontrib>Gemma, Akihiko</creatorcontrib><creatorcontrib>Kudoh, Shoji</creatorcontrib><creatorcontrib>Shiraishi, Yuji</creatorcontrib><title>Nutritional Indicators are Correlated with the Radiological Severity Score in Patients with Mycobacterium avium Complex Pulmonary Disease: A Cross-sectional Study</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Objective Body weight loss in patients with Mycobacterium avium complex (MAC) pulmonary disease can be fatal. The administration of nutritional supplements should be an important component in the treatment of this disease. Objective data regarding the association between the nutritional status and disease severity have not been reported. This cross-sectional study aimed to compare the nutritional status and radiological severity scores in MAC pulmonary disease patients. Methods We retrospectively reviewed the records of 40 patients who were admitted to our institution for the treatment of MAC pulmonary disease between July 2008 and July 2010. Nutritional indices, including the ideal body weight ratio, triceps skinfold, mid-upper arm muscle circumference, and percentage of predicted resting energy expenditure, were compared with the radiological severity scores. Quantitative values of the extent of nodules, infiltration shadows, cavities, and bronchiectasis on the computed tomography scans were used to evaluate the radiological severity scores. Results The patients suffered from a significantly decreased percentage of ideal body weight, body fat and muscle mass. The average radiological score was 17.6±8.4 points. The percentage of ideal body weight (p&lt;0.001), percentage of triceps skinfold (p&lt;0.001) and percentage of mid-upper arm muscle circumference (p&lt;0.002) were negatively correlated with the radiological scores, while the percentage of the predicted resting energy expenditure (p&lt;0.001) was positively correlated with the scores. Conclusion A poor nutritional status is common in patients with progressive MAC pulmonary disease, which supports the hypothesis that aggressive nutritional interventions are indicated in the treatment of this disease.</description><subject>Aged</subject><subject>chest computed tomography</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Lung Diseases - diagnostic imaging</subject><subject>Lung Diseases - epidemiology</subject><subject>Lung Diseases - microbiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mycobacterium avium</subject><subject>Mycobacterium avium complex</subject><subject>Mycobacterium avium Complex - isolation &amp; purification</subject><subject>Mycobacterium avium-intracellulare Infection - diagnostic imaging</subject><subject>Mycobacterium avium-intracellulare Infection - epidemiology</subject><subject>Mycobacterium avium-intracellulare Infection - microbiology</subject><subject>nutrient assessment</subject><subject>Nutritional Status</subject><subject>pulmonary disease</subject><subject>radiologic score</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Skinfold Thickness</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhS0EokPhFZCXbDL4J3YcdtVQoFIpFQPryHFuOq6ceLCdwrwOT4pDhlkgJDbXC3_nnHt1EMKUrBmV9Ws7JgijdgN01tgR1oKvKauqR2hFeVkXFePiMVqRmqqC5XGGnsV4TwhXVc2eojNWCsVLJlfo582Ugk3WZzd8NWY7nXyIWAfAGx8COJ2gw99t2uG0A_xZd9Y7f5c5h7fwAFl8wFvjM29HfKuThTHFRfDxYHyrTd7VTgPWD_Pc-GHv4Ae-ndyQQ8MBv7URdIQ3-AJvgo-xiGCOC23T1B2eoye9dhFeHN9z9PXd5ZfNh-L60_urzcV1YYSoU6GZFIIToYzkbdmqujfGEICe07IVRFa0VhJ6qfLDiIaur3vGpCkJUTVIxs_Rq8V3H_y3CWJqBhsNOKdH8FNsqOCloorllP-jpKSSlXx2VQtq5tsC9M0-2CHf3VDSzGU2f5fZCN7MZWbpy2PK1ObPk_BPexm4WYD7mPQdnAAdkjUO_uksfo8l4QSanQ4NjPwXEH7AZQ</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Morimoto, Kozo</creator><creator>Yoshiyama, Takashi</creator><creator>Kurashima, Atsuyuki</creator><creator>Sasaki, Yuka</creator><creator>Hoshino, Yoshihiko</creator><creator>Yoshimori, Kouzou</creator><creator>Ogata, Hideo</creator><creator>Gemma, Akihiko</creator><creator>Kudoh, Shoji</creator><creator>Shiraishi, Yuji</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>20140101</creationdate><title>Nutritional Indicators are Correlated with the Radiological Severity Score in Patients with Mycobacterium avium Complex Pulmonary Disease: A Cross-sectional Study</title><author>Morimoto, Kozo ; Yoshiyama, Takashi ; Kurashima, Atsuyuki ; Sasaki, Yuka ; Hoshino, Yoshihiko ; Yoshimori, Kouzou ; Ogata, Hideo ; Gemma, Akihiko ; Kudoh, Shoji ; Shiraishi, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-a26553058c63b4b89fccc0eef314b50671986ef6898620aedf9f226c40089e623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>chest computed tomography</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Lung Diseases - diagnostic imaging</topic><topic>Lung Diseases - epidemiology</topic><topic>Lung Diseases - microbiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mycobacterium avium</topic><topic>Mycobacterium avium complex</topic><topic>Mycobacterium avium Complex - isolation &amp; purification</topic><topic>Mycobacterium avium-intracellulare Infection - diagnostic imaging</topic><topic>Mycobacterium avium-intracellulare Infection - epidemiology</topic><topic>Mycobacterium avium-intracellulare Infection - microbiology</topic><topic>nutrient assessment</topic><topic>Nutritional Status</topic><topic>pulmonary disease</topic><topic>radiologic score</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Skinfold Thickness</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morimoto, Kozo</creatorcontrib><creatorcontrib>Yoshiyama, Takashi</creatorcontrib><creatorcontrib>Kurashima, Atsuyuki</creatorcontrib><creatorcontrib>Sasaki, Yuka</creatorcontrib><creatorcontrib>Hoshino, Yoshihiko</creatorcontrib><creatorcontrib>Yoshimori, Kouzou</creatorcontrib><creatorcontrib>Ogata, Hideo</creatorcontrib><creatorcontrib>Gemma, Akihiko</creatorcontrib><creatorcontrib>Kudoh, Shoji</creatorcontrib><creatorcontrib>Shiraishi, Yuji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morimoto, Kozo</au><au>Yoshiyama, Takashi</au><au>Kurashima, Atsuyuki</au><au>Sasaki, Yuka</au><au>Hoshino, Yoshihiko</au><au>Yoshimori, Kouzou</au><au>Ogata, Hideo</au><au>Gemma, Akihiko</au><au>Kudoh, Shoji</au><au>Shiraishi, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional Indicators are Correlated with the Radiological Severity Score in Patients with Mycobacterium avium Complex Pulmonary Disease: A Cross-sectional Study</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>53</volume><issue>5</issue><spage>397</spage><epage>401</epage><pages>397-401</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Objective Body weight loss in patients with Mycobacterium avium complex (MAC) pulmonary disease can be fatal. The administration of nutritional supplements should be an important component in the treatment of this disease. Objective data regarding the association between the nutritional status and disease severity have not been reported. This cross-sectional study aimed to compare the nutritional status and radiological severity scores in MAC pulmonary disease patients. Methods We retrospectively reviewed the records of 40 patients who were admitted to our institution for the treatment of MAC pulmonary disease between July 2008 and July 2010. Nutritional indices, including the ideal body weight ratio, triceps skinfold, mid-upper arm muscle circumference, and percentage of predicted resting energy expenditure, were compared with the radiological severity scores. Quantitative values of the extent of nodules, infiltration shadows, cavities, and bronchiectasis on the computed tomography scans were used to evaluate the radiological severity scores. Results The patients suffered from a significantly decreased percentage of ideal body weight, body fat and muscle mass. The average radiological score was 17.6±8.4 points. The percentage of ideal body weight (p&lt;0.001), percentage of triceps skinfold (p&lt;0.001) and percentage of mid-upper arm muscle circumference (p&lt;0.002) were negatively correlated with the radiological scores, while the percentage of the predicted resting energy expenditure (p&lt;0.001) was positively correlated with the scores. Conclusion A poor nutritional status is common in patients with progressive MAC pulmonary disease, which supports the hypothesis that aggressive nutritional interventions are indicated in the treatment of this disease.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>24583426</pmid><doi>10.2169/internalmedicine.53.1277</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
chest computed tomography
Cross-Sectional Studies
Female
Humans
Incidence
Japan - epidemiology
Lung Diseases - diagnostic imaging
Lung Diseases - epidemiology
Lung Diseases - microbiology
Male
Middle Aged
Mycobacterium avium
Mycobacterium avium complex
Mycobacterium avium Complex - isolation & purification
Mycobacterium avium-intracellulare Infection - diagnostic imaging
Mycobacterium avium-intracellulare Infection - epidemiology
Mycobacterium avium-intracellulare Infection - microbiology
nutrient assessment
Nutritional Status
pulmonary disease
radiologic score
Retrospective Studies
Severity of Illness Index
Skinfold Thickness
Tomography, X-Ray Computed - methods
title Nutritional Indicators are Correlated with the Radiological Severity Score in Patients with Mycobacterium avium Complex Pulmonary Disease: A Cross-sectional Study
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