Prevalence of nutritional depletion in a large out-patient population of patients with COPD
The present study focuses on the prevalence of nutritional depletion in relation to functional performance, airflow limitation, experienced dyspnoea and health status in a large multi-center out-patient population with chronic obstructive pulmonary disease (COPD). In 39 out-patient centers in The Ne...
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| Veröffentlicht in: | Respiratory medicine 2006-08, Vol.100 (8), p.1349-1355 |
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| creator | Vermeeren, M.A.P. Creutzberg, E.C. Schols, A.M.W.J. Postma, D.S. Pieters, W.R. Roldaan, A.C. Wouters, E.F.M. |
| description | The present study focuses on the prevalence of nutritional depletion in relation to functional performance, airflow limitation, experienced dyspnoea and health status in a large multi-center out-patient population with chronic obstructive pulmonary disease (COPD).
In 39 out-patient centers in The Netherlands, 389 patients with moderate to severe COPD (217 men) were recruited. The study evaluated on the baseline characteristics of the COSMIC study. Measurements included body composition by bioelectrical impedance analysis, dyspnoea by MRC-score, peripheral muscle function by isometric handgrip strength and disease-specific health status by St. George Respiratory Questionnaire.
The prevalence of nutritional depletion (defined as body mass index (BMI) ⩽21
kg/m
2 and/or fat-free mass index (FFMI) ⩽15 (females) or ⩽16 (males)
kg/m
2) was high (27%). Prevalence of normal BMI and low FFMI was 15%, and of low BMI and low FFMI 11%. The prevalence of low BMI as well as low FFMI was significantly higher in female than in male COPD patients, 18% and 40% vs. 10% and 20%, respectively (both
P |
| doi_str_mv | 10.1016/j.rmed.2005.11.023 |
| format | Article |
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In 39 out-patient centers in The Netherlands, 389 patients with moderate to severe COPD (217 men) were recruited. The study evaluated on the baseline characteristics of the COSMIC study. Measurements included body composition by bioelectrical impedance analysis, dyspnoea by MRC-score, peripheral muscle function by isometric handgrip strength and disease-specific health status by St. George Respiratory Questionnaire.
The prevalence of nutritional depletion (defined as body mass index (BMI) ⩽21
kg/m
2 and/or fat-free mass index (FFMI) ⩽15 (females) or ⩽16 (males)
kg/m
2) was high (27%). Prevalence of normal BMI and low FFMI was 15%, and of low BMI and low FFMI 11%. The prevalence of low BMI as well as low FFMI was significantly higher in female than in male COPD patients, 18% and 40% vs. 10% and 20%, respectively (both
P<0.01). No differences in FEV
1%predicted, dyspnoea score and health status were observed between depleted and non-depleted COPD patients. Multiple linear regression analysis in the total group showed that handgrip strength correlated with FFMI after correction for sex distribution and age, but not FEV
1%predicted.
The prevalence of nutritional depletion was high in a large out-patient COPD population in The Netherlands, especially in female COPD patients. Depletion of FFM was associated with impaired peripheral muscle strength, independent of disease severity.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2005.11.023</identifier><identifier>PMID: 16412624</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Body Composition ; Body mass index ; COPD ; Disease ; Dyspnea - complications ; Dyspnea - epidemiology ; Emphysema ; Female ; Females ; Forced Expiratory Volume ; Gender differences ; Hand Strength ; Health Status ; Humans ; Male ; Males ; Medical ethics ; Medical sciences ; Middle Aged ; Mortality ; Netherlands - epidemiology ; Nutrition Disorders - complications ; Nutrition Disorders - epidemiology ; Nutritional depletion ; Nutritional Status ; Out-patient population ; Oxygen therapy ; Pneumology ; Prevalence ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - epidemiology</subject><ispartof>Respiratory medicine, 2006-08, Vol.100 (8), p.1349-1355</ispartof><rights>2005 Elsevier Ltd</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-95e0c247a370392385c137126f164b3eee9f4337ee3e07d5b21e8bc6911be3063</citedby><cites>FETCH-LOGICAL-c456t-95e0c247a370392385c137126f164b3eee9f4337ee3e07d5b21e8bc6911be3063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.rmed.2005.11.023$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17940198$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16412624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vermeeren, M.A.P.</creatorcontrib><creatorcontrib>Creutzberg, E.C.</creatorcontrib><creatorcontrib>Schols, A.M.W.J.</creatorcontrib><creatorcontrib>Postma, D.S.</creatorcontrib><creatorcontrib>Pieters, W.R.</creatorcontrib><creatorcontrib>Roldaan, A.C.</creatorcontrib><creatorcontrib>Wouters, E.F.M.</creatorcontrib><creatorcontrib>on behalf of the COSMIC Study Group</creatorcontrib><creatorcontrib>COSMIC Study Group</creatorcontrib><title>Prevalence of nutritional depletion in a large out-patient population of patients with COPD</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>The present study focuses on the prevalence of nutritional depletion in relation to functional performance, airflow limitation, experienced dyspnoea and health status in a large multi-center out-patient population with chronic obstructive pulmonary disease (COPD).
In 39 out-patient centers in The Netherlands, 389 patients with moderate to severe COPD (217 men) were recruited. The study evaluated on the baseline characteristics of the COSMIC study. Measurements included body composition by bioelectrical impedance analysis, dyspnoea by MRC-score, peripheral muscle function by isometric handgrip strength and disease-specific health status by St. George Respiratory Questionnaire.
The prevalence of nutritional depletion (defined as body mass index (BMI) ⩽21
kg/m
2 and/or fat-free mass index (FFMI) ⩽15 (females) or ⩽16 (males)
kg/m
2) was high (27%). Prevalence of normal BMI and low FFMI was 15%, and of low BMI and low FFMI 11%. The prevalence of low BMI as well as low FFMI was significantly higher in female than in male COPD patients, 18% and 40% vs. 10% and 20%, respectively (both
P<0.01). No differences in FEV
1%predicted, dyspnoea score and health status were observed between depleted and non-depleted COPD patients. Multiple linear regression analysis in the total group showed that handgrip strength correlated with FFMI after correction for sex distribution and age, but not FEV
1%predicted.
The prevalence of nutritional depletion was high in a large out-patient COPD population in The Netherlands, especially in female COPD patients. Depletion of FFM was associated with impaired peripheral muscle strength, independent of disease severity.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body mass index</subject><subject>COPD</subject><subject>Disease</subject><subject>Dyspnea - complications</subject><subject>Dyspnea - epidemiology</subject><subject>Emphysema</subject><subject>Female</subject><subject>Females</subject><subject>Forced Expiratory Volume</subject><subject>Gender differences</subject><subject>Hand Strength</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Medical ethics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Netherlands - epidemiology</subject><subject>Nutrition Disorders - complications</subject><subject>Nutrition Disorders - epidemiology</subject><subject>Nutritional depletion</subject><subject>Nutritional Status</subject><subject>Out-patient population</subject><subject>Oxygen therapy</subject><subject>Pneumology</subject><subject>Prevalence</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1TAUhoMoznX0D7iQguiuNSdfvQE3w_UTBmYWunIR0vRUc8lta5KO-O9NvUXBhauEnOcc3vOEkKdAG6CgXh2beMK-YZTKBqChjN8jO5Cc1ZwqcZ_sqJaiVgBwQR6ldKSUaiHoQ3IBSgBTTOzIl9uIdzbg6LCahmpccvTZT6MNVY9zwPVe-bGyVbDxa2GWXM82exxzNU_zEuxvorRur6n64fO36nBz--YxeTDYkPDJdl6Sz-_efjp8qK9v3n88XF3XTkiVay2ROiZay1vKNeN76YC3Jd9QYnYcEfUgOG8ROdK2lx0D3HdOaYAOy6b8krw8z53j9H3BlM3JJ4ch2BGnJRm1VxSEFgV8_g94nJZYdk0GKJdUSNGyQrEz5eKUUsTBzNGfbPxZILOKN0ezijereANgivjS9GwbvXRr7U_LZroALzbAJmfDEO3ofPrLtVpQ0PvCvT5zWIzdeYwmOb9-T-8jumz6yf8vxy9L75_F</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Vermeeren, M.A.P.</creator><creator>Creutzberg, E.C.</creator><creator>Schols, A.M.W.J.</creator><creator>Postma, D.S.</creator><creator>Pieters, W.R.</creator><creator>Roldaan, A.C.</creator><creator>Wouters, E.F.M.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>Prevalence of nutritional depletion in a large out-patient population of patients with COPD</title><author>Vermeeren, M.A.P. ; Creutzberg, E.C. ; Schols, A.M.W.J. ; Postma, D.S. ; Pieters, W.R. ; Roldaan, A.C. ; Wouters, E.F.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-95e0c247a370392385c137126f164b3eee9f4337ee3e07d5b21e8bc6911be3063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body mass index</topic><topic>COPD</topic><topic>Disease</topic><topic>Dyspnea - complications</topic><topic>Dyspnea - epidemiology</topic><topic>Emphysema</topic><topic>Female</topic><topic>Females</topic><topic>Forced Expiratory Volume</topic><topic>Gender differences</topic><topic>Hand Strength</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>Medical ethics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Netherlands - epidemiology</topic><topic>Nutrition Disorders - complications</topic><topic>Nutrition Disorders - epidemiology</topic><topic>Nutritional depletion</topic><topic>Nutritional Status</topic><topic>Out-patient population</topic><topic>Oxygen therapy</topic><topic>Pneumology</topic><topic>Prevalence</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vermeeren, M.A.P.</creatorcontrib><creatorcontrib>Creutzberg, E.C.</creatorcontrib><creatorcontrib>Schols, A.M.W.J.</creatorcontrib><creatorcontrib>Postma, D.S.</creatorcontrib><creatorcontrib>Pieters, W.R.</creatorcontrib><creatorcontrib>Roldaan, A.C.</creatorcontrib><creatorcontrib>Wouters, E.F.M.</creatorcontrib><creatorcontrib>on behalf of the COSMIC Study Group</creatorcontrib><creatorcontrib>COSMIC Study Group</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vermeeren, M.A.P.</au><au>Creutzberg, E.C.</au><au>Schols, A.M.W.J.</au><au>Postma, D.S.</au><au>Pieters, W.R.</au><au>Roldaan, A.C.</au><au>Wouters, E.F.M.</au><aucorp>on behalf of the COSMIC Study Group</aucorp><aucorp>COSMIC Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of nutritional depletion in a large out-patient population of patients with COPD</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>100</volume><issue>8</issue><spage>1349</spage><epage>1355</epage><pages>1349-1355</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>The present study focuses on the prevalence of nutritional depletion in relation to functional performance, airflow limitation, experienced dyspnoea and health status in a large multi-center out-patient population with chronic obstructive pulmonary disease (COPD).
In 39 out-patient centers in The Netherlands, 389 patients with moderate to severe COPD (217 men) were recruited. The study evaluated on the baseline characteristics of the COSMIC study. Measurements included body composition by bioelectrical impedance analysis, dyspnoea by MRC-score, peripheral muscle function by isometric handgrip strength and disease-specific health status by St. George Respiratory Questionnaire.
The prevalence of nutritional depletion (defined as body mass index (BMI) ⩽21
kg/m
2 and/or fat-free mass index (FFMI) ⩽15 (females) or ⩽16 (males)
kg/m
2) was high (27%). Prevalence of normal BMI and low FFMI was 15%, and of low BMI and low FFMI 11%. The prevalence of low BMI as well as low FFMI was significantly higher in female than in male COPD patients, 18% and 40% vs. 10% and 20%, respectively (both
P<0.01). No differences in FEV
1%predicted, dyspnoea score and health status were observed between depleted and non-depleted COPD patients. Multiple linear regression analysis in the total group showed that handgrip strength correlated with FFMI after correction for sex distribution and age, but not FEV
1%predicted.
The prevalence of nutritional depletion was high in a large out-patient COPD population in The Netherlands, especially in female COPD patients. Depletion of FFM was associated with impaired peripheral muscle strength, independent of disease severity.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>16412624</pmid><doi>10.1016/j.rmed.2005.11.023</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Body Composition Body mass index COPD Disease Dyspnea - complications Dyspnea - epidemiology Emphysema Female Females Forced Expiratory Volume Gender differences Hand Strength Health Status Humans Male Males Medical ethics Medical sciences Middle Aged Mortality Netherlands - epidemiology Nutrition Disorders - complications Nutrition Disorders - epidemiology Nutritional depletion Nutritional Status Out-patient population Oxygen therapy Pneumology Prevalence Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - epidemiology |
| title | Prevalence of nutritional depletion in a large out-patient population of patients with COPD |
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