Body weight and nutritional changes after reduction pneumoplasty for severe emphysema: A randomized study
Background: The impact of reduction pneumoplasty on body weight and nutritional status has not previously been tested in a controlled study. Methods: We investigated 60 patients with severe emphysema who were randomly assigned to receive either reduction pneumoplasty (n = 30) or a 6-week respiratory...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2002-10, Vol.124 (4), p.660-667 |
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| description | Background: The impact of reduction pneumoplasty on body weight and nutritional status has not previously been tested in a controlled study. Methods: We investigated 60 patients with severe emphysema who were randomly assigned to receive either reduction pneumoplasty (n = 30) or a 6-week respiratory rehabilitation program (n = 30). Nutritional status was evaluated by means of body mass index, triceps skin fold measurement, midarm muscle circumference, and biochemical blood values. Fat mass and fat-free mass were calculated by bioelectric impedance. Two treatment-related deaths occurred after reduction pneumoplasty and 1 death occurred after respiratory rehabilitation. Results: Functional and subjective improvements were significantly showed in reduction pneumoplasty group. Despite insignificant differences in energy intake, the reduction pneumoplasty group showed significant gain (P |
| doi_str_mv | 10.1067/mtc.2002.123807 |
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J Thorac Cardiovasc Surg 2002;124:660-7</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1067/mtc.2002.123807</identifier><identifier>PMID: 12324722</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Algorithms ; Biological and medical sciences ; Body Mass Index ; Body Weight ; Emphysema - complications ; Emphysema - rehabilitation ; Emphysema - surgery ; Energy Intake ; Forced Expiratory Volume ; Humans ; Medical sciences ; Nutrition Assessment ; Nutrition Disorders - etiology ; Nutritional Status ; Pneumonectomy - methods ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Treatment Outcome</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2002-10, Vol.124 (4), p.660-667</ispartof><rights>2002 American Association for Thoracic Surgery</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-235f336c5f13e8eb514794a3411d20d9b13654974278c580810ee1ad6835f3d33</citedby><cites>FETCH-LOGICAL-c446t-235f336c5f13e8eb514794a3411d20d9b13654974278c580810ee1ad6835f3d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mtc.2002.123807$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13956753$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12324722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mineo, Tommaso Claudio</creatorcontrib><creatorcontrib>Ambrogi, Vincenzo</creatorcontrib><creatorcontrib>Pompeo, Eugenio</creatorcontrib><creatorcontrib>Bollero, Patrizio</creatorcontrib><creatorcontrib>Mineo, Davide</creatorcontrib><creatorcontrib>Nofroni, Italo</creatorcontrib><creatorcontrib>Pulmonary Emphysema Research Group</creatorcontrib><title>Body weight and nutritional changes after reduction pneumoplasty for severe emphysema: A randomized study</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Background: The impact of reduction pneumoplasty on body weight and nutritional status has not previously been tested in a controlled study. Methods: We investigated 60 patients with severe emphysema who were randomly assigned to receive either reduction pneumoplasty (n = 30) or a 6-week respiratory rehabilitation program (n = 30). Nutritional status was evaluated by means of body mass index, triceps skin fold measurement, midarm muscle circumference, and biochemical blood values. Fat mass and fat-free mass were calculated by bioelectric impedance. Two treatment-related deaths occurred after reduction pneumoplasty and 1 death occurred after respiratory rehabilitation. Results: Functional and subjective improvements were significantly showed in reduction pneumoplasty group. Despite insignificant differences in energy intake, the reduction pneumoplasty group showed significant gain (P <.0001) relative to the respiratory rehabilitation group in mean weight changes at 3 months (1.82 ± 2.63 kg vs −0.57 ± 2.25 kg), 6 months (2.87 ± 3.79 kg vs −1.11 ± 2.64 kg), and 12 months (3.29 ± 4.01 kg vs −0.95 ± 1.90 kg). Both fat mass and fat-free mass increased after surgery, but only fat-free mass had a significant improvement (P =.001). Six-month weight gain in the reduction pneumoplasty group was significantly correlated with low baseline weight (ρ = −0.437, P =.02) and residual volume reduction (ρ = −0.446, P =.01). Total proteins (P =.003), albumin (P =.03), transferrin (P =.04), cholesterol (P =.003), hemoglobin (P =.01), triceps skin fold measurement (P <.0001), and midarm muscle circumference (P <.0001) were significantly increased only in the reduction pneumoplasty group. Conversely, in the respiratory rehabilitation group no nutritional index was significantly increased at 6 months after rehabilitation. Conclusions: Body weight and nutritional status improved only after reduction pneumoplasty and not after respiratory rehabilitation, and this was significantly related to fat-free mass increment. In the reduction pneumoplasty group, the residual volume result was significantly correlated with postoperative weight gain.
J Thorac Cardiovasc Surg 2002;124:660-7</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Emphysema - complications</subject><subject>Emphysema - rehabilitation</subject><subject>Emphysema - surgery</subject><subject>Energy Intake</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Nutrition Assessment</subject><subject>Nutrition Disorders - etiology</subject><subject>Nutritional Status</subject><subject>Pneumonectomy - methods</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Treatment Outcome</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL9v1TAUhS0Eoq-FmQ15Aaa8-lfshK2tKCBVYgGJzfKzb_pcJXGwnVbhr8dRntSJ6Q7nO0dXH0LvKNlTItXlkO2eEcL2lPGGqBdoR0mrKtnUv1-iXQlYVTPGz9B5Sg-EEEVo-xqdFZoJxdgO-evgFvwE_v6YsRkdHuccffZhND22RzPeQ8KmyxBxBDfbNcHTCPMQpt6kvOAuRJzgESJgGKbjkmAwn_EVjmUtDP4vOJzy7JY36FVn-gRvT_cC_br98vPmW3X34-v3m6u7ygohc8V43XEubd1RDg0caipUKwwXlDpGXHugXNaiVYKpxtYNaSgBoMbJZi06zi_Qx213iuHPDCnrwScLfW9GCHPSilEmJacFvNxAG0NKETo9RT-YuGhK9GpXF7t6tas3u6Xx_jQ9HwZwz_xJZwE-nACTrOm74sD69MzxtpaqXn_8tHHH4v3JR9BpMH1fZql-yDZRJrTQUpJCthsJRdmjh6iT9TBacKVls3bB__fdf0_Go7Q</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Mineo, Tommaso Claudio</creator><creator>Ambrogi, Vincenzo</creator><creator>Pompeo, Eugenio</creator><creator>Bollero, Patrizio</creator><creator>Mineo, Davide</creator><creator>Nofroni, Italo</creator><general>Elsevier Inc</general><general>AATS/WTSA</general><general>Elsevier</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>7X8</scope></search><sort><creationdate>20021001</creationdate><title>Body weight and nutritional changes after reduction pneumoplasty for severe emphysema: A randomized study</title><author>Mineo, Tommaso Claudio ; Ambrogi, Vincenzo ; Pompeo, Eugenio ; Bollero, Patrizio ; Mineo, Davide ; Nofroni, Italo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-235f336c5f13e8eb514794a3411d20d9b13654974278c580810ee1ad6835f3d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Emphysema - complications</topic><topic>Emphysema - rehabilitation</topic><topic>Emphysema - surgery</topic><topic>Energy Intake</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Nutrition Assessment</topic><topic>Nutrition Disorders - etiology</topic><topic>Nutritional Status</topic><topic>Pneumonectomy - methods</topic><topic>Prospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mineo, Tommaso Claudio</creatorcontrib><creatorcontrib>Ambrogi, Vincenzo</creatorcontrib><creatorcontrib>Pompeo, Eugenio</creatorcontrib><creatorcontrib>Bollero, Patrizio</creatorcontrib><creatorcontrib>Mineo, Davide</creatorcontrib><creatorcontrib>Nofroni, Italo</creatorcontrib><creatorcontrib>Pulmonary Emphysema Research 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>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mineo, Tommaso Claudio</au><au>Ambrogi, Vincenzo</au><au>Pompeo, Eugenio</au><au>Bollero, Patrizio</au><au>Mineo, Davide</au><au>Nofroni, Italo</au><aucorp>Pulmonary Emphysema Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body weight and nutritional changes after reduction pneumoplasty for severe emphysema: A randomized study</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>124</volume><issue>4</issue><spage>660</spage><epage>667</epage><pages>660-667</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Background: The impact of reduction pneumoplasty on body weight and nutritional status has not previously been tested in a controlled study. Methods: We investigated 60 patients with severe emphysema who were randomly assigned to receive either reduction pneumoplasty (n = 30) or a 6-week respiratory rehabilitation program (n = 30). Nutritional status was evaluated by means of body mass index, triceps skin fold measurement, midarm muscle circumference, and biochemical blood values. Fat mass and fat-free mass were calculated by bioelectric impedance. Two treatment-related deaths occurred after reduction pneumoplasty and 1 death occurred after respiratory rehabilitation. Results: Functional and subjective improvements were significantly showed in reduction pneumoplasty group. Despite insignificant differences in energy intake, the reduction pneumoplasty group showed significant gain (P <.0001) relative to the respiratory rehabilitation group in mean weight changes at 3 months (1.82 ± 2.63 kg vs −0.57 ± 2.25 kg), 6 months (2.87 ± 3.79 kg vs −1.11 ± 2.64 kg), and 12 months (3.29 ± 4.01 kg vs −0.95 ± 1.90 kg). Both fat mass and fat-free mass increased after surgery, but only fat-free mass had a significant improvement (P =.001). Six-month weight gain in the reduction pneumoplasty group was significantly correlated with low baseline weight (ρ = −0.437, P =.02) and residual volume reduction (ρ = −0.446, P =.01). Total proteins (P =.003), albumin (P =.03), transferrin (P =.04), cholesterol (P =.003), hemoglobin (P =.01), triceps skin fold measurement (P <.0001), and midarm muscle circumference (P <.0001) were significantly increased only in the reduction pneumoplasty group. Conversely, in the respiratory rehabilitation group no nutritional index was significantly increased at 6 months after rehabilitation. Conclusions: Body weight and nutritional status improved only after reduction pneumoplasty and not after respiratory rehabilitation, and this was significantly related to fat-free mass increment. In the reduction pneumoplasty group, the residual volume result was significantly correlated with postoperative weight gain.
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| subjects | Algorithms Biological and medical sciences Body Mass Index Body Weight Emphysema - complications Emphysema - rehabilitation Emphysema - surgery Energy Intake Forced Expiratory Volume Humans Medical sciences Nutrition Assessment Nutrition Disorders - etiology Nutritional Status Pneumonectomy - methods Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Treatment Outcome |
| title | Body weight and nutritional changes after reduction pneumoplasty for severe emphysema: A randomized study |
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