Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syndrome in Older Adults with COPD
Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world population. In addition to airflow obstruction, COPD is associated with multiple systemic manifestations, including impaired nutritional status or malnutrition and changes in body composition (low muscle m...
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| Veröffentlicht in: | Nutrients 2021-12, Vol.14 (1), p.44 |
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| creator | Kaluźniak-Szymanowska, Aleksandra Krzymińska-Siemaszko, Roma Deskur-Śmielecka, Ewa Lewandowicz, Marta Kaczmarek, Beata Wieczorowska-Tobis, Katarzyna |
| description | Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world population. In addition to airflow obstruction, COPD is associated with multiple systemic manifestations, including impaired nutritional status or malnutrition and changes in body composition (low muscle mass, LMM). Poor nutritional status and sarcopenia in subjects with COPD leads to a worse prognosis and increases health-related costs. Data from previous studies indicate that 30-60% of subjects with COPD are malnourished, 20-40% have low muscle mass, and 15-21.6% have sarcopenia. This study aimed to assess the prevalence of malnutrition, sarcopenia, and malnutrition-sarcopenia syndrome in elderly subjects with COPD and investigate the relationship between COPD severity and these conditions.
A cross-sectional study involving 124 patients with stable COPD, aged ≥60, participating in a stationary pulmonary rehabilitation program. Nutritional status was assessed following the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia with the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria. The results of pulmonary function tests and exercise capacity were obtained from the hospital database.
22.6% of participants had malnutrition according to the GLIM criteria. Subjects with malnutrition had lower gait speed (
= 0.0112) and worse results of the Six Minute Walk Test. Sixteen participants (12.9%) had sarcopenia; 12 subjects with sarcopenia had concomitant malnutrition. The prevalence of severe and very severe obstruction (GOLD3/GOLD4) was 91.7%. It was significantly higher in patients with malnutrition-sarcopenia syndrome.
Malnutrition was found in nearly one out of four subjects with COPD, while sarcopenia was one out of seven patients. About 10% of our study sample had malnutrition-sarcopenia syndrome. The prevalence of severe and very severe obstruction was significantly higher in patients with malnutrition-sarcopenia syndrome. |
| doi_str_mv | 10.3390/nu14010044 |
| format | Article |
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A cross-sectional study involving 124 patients with stable COPD, aged ≥60, participating in a stationary pulmonary rehabilitation program. Nutritional status was assessed following the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia with the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria. The results of pulmonary function tests and exercise capacity were obtained from the hospital database.
22.6% of participants had malnutrition according to the GLIM criteria. Subjects with malnutrition had lower gait speed (
= 0.0112) and worse results of the Six Minute Walk Test. Sixteen participants (12.9%) had sarcopenia; 12 subjects with sarcopenia had concomitant malnutrition. The prevalence of severe and very severe obstruction (GOLD3/GOLD4) was 91.7%. It was significantly higher in patients with malnutrition-sarcopenia syndrome.
Malnutrition was found in nearly one out of four subjects with COPD, while sarcopenia was one out of seven patients. About 10% of our study sample had malnutrition-sarcopenia syndrome. The prevalence of severe and very severe obstruction was significantly higher in patients with malnutrition-sarcopenia syndrome.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14010044</identifier><identifier>PMID: 35010919</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aged ; Air flow ; Body composition ; Body mass index ; Chronic obstructive pulmonary disease ; Cognitive ability ; Criteria ; Cross-Sectional Studies ; Female ; Gait ; Geriatric Assessment - methods ; Gold ; Hospitals ; Humans ; Leadership ; Lung diseases ; Male ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Middle Aged ; Mortality ; Muscle Strength ; Muscles ; Nutrition Assessment ; Nutritional Status ; Obstructive lung disease ; Older people ; Patients ; Prevalence ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary functions ; Quality of life ; Questionnaires ; Rehabilitation ; Respiratory function ; Respiratory Function Tests - methods ; Sarcopenia ; Sarcopenia - diagnosis ; Sarcopenia - epidemiology ; Severity of Illness Index ; Spirometry ; Surveys and Questionnaires ; Thoracic surgery ; Walking Speed ; World population</subject><ispartof>Nutrients, 2021-12, Vol.14 (1), p.44</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-33037f39742be40e49cbba307977e644ac67fb0625be74ddd14d6f1524311c223</citedby><cites>FETCH-LOGICAL-c406t-33037f39742be40e49cbba307977e644ac67fb0625be74ddd14d6f1524311c223</cites><orcidid>0000-0002-6770-7321</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8746722/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8746722/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35010919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaluźniak-Szymanowska, Aleksandra</creatorcontrib><creatorcontrib>Krzymińska-Siemaszko, Roma</creatorcontrib><creatorcontrib>Deskur-Śmielecka, Ewa</creatorcontrib><creatorcontrib>Lewandowicz, Marta</creatorcontrib><creatorcontrib>Kaczmarek, Beata</creatorcontrib><creatorcontrib>Wieczorowska-Tobis, Katarzyna</creatorcontrib><title>Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syndrome in Older Adults with COPD</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world population. In addition to airflow obstruction, COPD is associated with multiple systemic manifestations, including impaired nutritional status or malnutrition and changes in body composition (low muscle mass, LMM). Poor nutritional status and sarcopenia in subjects with COPD leads to a worse prognosis and increases health-related costs. Data from previous studies indicate that 30-60% of subjects with COPD are malnourished, 20-40% have low muscle mass, and 15-21.6% have sarcopenia. This study aimed to assess the prevalence of malnutrition, sarcopenia, and malnutrition-sarcopenia syndrome in elderly subjects with COPD and investigate the relationship between COPD severity and these conditions.
A cross-sectional study involving 124 patients with stable COPD, aged ≥60, participating in a stationary pulmonary rehabilitation program. Nutritional status was assessed following the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia with the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria. The results of pulmonary function tests and exercise capacity were obtained from the hospital database.
22.6% of participants had malnutrition according to the GLIM criteria. Subjects with malnutrition had lower gait speed (
= 0.0112) and worse results of the Six Minute Walk Test. Sixteen participants (12.9%) had sarcopenia; 12 subjects with sarcopenia had concomitant malnutrition. The prevalence of severe and very severe obstruction (GOLD3/GOLD4) was 91.7%. It was significantly higher in patients with malnutrition-sarcopenia syndrome.
Malnutrition was found in nearly one out of four subjects with COPD, while sarcopenia was one out of seven patients. About 10% of our study sample had malnutrition-sarcopenia syndrome. The prevalence of severe and very severe obstruction was significantly higher in patients with malnutrition-sarcopenia syndrome.</description><subject>Aged</subject><subject>Air flow</subject><subject>Body composition</subject><subject>Body mass index</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cognitive ability</subject><subject>Criteria</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gait</subject><subject>Geriatric Assessment - methods</subject><subject>Gold</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Leadership</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Muscle Strength</subject><subject>Muscles</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Obstructive lung disease</subject><subject>Older people</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><subject>Pulmonary functions</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Respiratory function</subject><subject>Respiratory Function Tests - methods</subject><subject>Sarcopenia</subject><subject>Sarcopenia - diagnosis</subject><subject>Sarcopenia - epidemiology</subject><subject>Severity of Illness Index</subject><subject>Spirometry</subject><subject>Surveys and Questionnaires</subject><subject>Thoracic surgery</subject><subject>Walking Speed</subject><subject>World population</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkVtLAzEQhYMoVrQv_gAJ-CLS1dyaNC9CqVeoVFDBt5DdZG3KNqnJrtJ_b2urVudlBs43hxkOAIcYnVEq0blvMEMYIca2wB5BgmScM7q9MbdAO6UJWpZAgtNd0KLdxYrEcg-83OvKN3V0tQu-Ax91LMLMeqc7UHsDN9XsV4SPc29imFroPBxVxkbYN01VJ_jh6jEcjB4uD8BOqatk2-u-D56vr54Gt9lwdHM36A-zgiFeZ5QiKkoqBSO5ZcgyWeS5pkhIISxnTBdclDnipJtbwYwxmBle4i5hFOOCELoPLla-syafWlNYX0ddqVl0Ux3nKmin_irejdVreFc9wbj4MjhZG8Tw1thUq6lLha0q7W1okiIc9yQWXIoFevwPnYQm-sV7XxRhEvOl4emKKmJIKdry5xiM1DIz9ZvZAj7aPP8H_U6IfgK_MJC4</recordid><startdate>20211223</startdate><enddate>20211223</enddate><creator>Kaluźniak-Szymanowska, Aleksandra</creator><creator>Krzymińska-Siemaszko, Roma</creator><creator>Deskur-Śmielecka, Ewa</creator><creator>Lewandowicz, Marta</creator><creator>Kaczmarek, Beata</creator><creator>Wieczorowska-Tobis, Katarzyna</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6770-7321</orcidid></search><sort><creationdate>20211223</creationdate><title>Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syndrome in Older Adults with COPD</title><author>Kaluźniak-Szymanowska, Aleksandra ; Krzymińska-Siemaszko, Roma ; Deskur-Śmielecka, Ewa ; Lewandowicz, Marta ; Kaczmarek, Beata ; Wieczorowska-Tobis, Katarzyna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-33037f39742be40e49cbba307977e644ac67fb0625be74ddd14d6f1524311c223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Air flow</topic><topic>Body composition</topic><topic>Body mass index</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cognitive ability</topic><topic>Criteria</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gait</topic><topic>Geriatric Assessment - methods</topic><topic>Gold</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Leadership</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - epidemiology</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Muscle Strength</topic><topic>Muscles</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Obstructive lung disease</topic><topic>Older people</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Pulmonary Disease, Chronic Obstructive - epidemiology</topic><topic>Pulmonary functions</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Rehabilitation</topic><topic>Respiratory function</topic><topic>Respiratory Function Tests - methods</topic><topic>Sarcopenia</topic><topic>Sarcopenia - diagnosis</topic><topic>Sarcopenia - epidemiology</topic><topic>Severity of Illness Index</topic><topic>Spirometry</topic><topic>Surveys and Questionnaires</topic><topic>Thoracic surgery</topic><topic>Walking Speed</topic><topic>World population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaluźniak-Szymanowska, Aleksandra</creatorcontrib><creatorcontrib>Krzymińska-Siemaszko, Roma</creatorcontrib><creatorcontrib>Deskur-Śmielecka, Ewa</creatorcontrib><creatorcontrib>Lewandowicz, Marta</creatorcontrib><creatorcontrib>Kaczmarek, Beata</creatorcontrib><creatorcontrib>Wieczorowska-Tobis, Katarzyna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaluźniak-Szymanowska, Aleksandra</au><au>Krzymińska-Siemaszko, Roma</au><au>Deskur-Śmielecka, Ewa</au><au>Lewandowicz, Marta</au><au>Kaczmarek, Beata</au><au>Wieczorowska-Tobis, Katarzyna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syndrome in Older Adults with COPD</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2021-12-23</date><risdate>2021</risdate><volume>14</volume><issue>1</issue><spage>44</spage><pages>44-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in the world population. In addition to airflow obstruction, COPD is associated with multiple systemic manifestations, including impaired nutritional status or malnutrition and changes in body composition (low muscle mass, LMM). Poor nutritional status and sarcopenia in subjects with COPD leads to a worse prognosis and increases health-related costs. Data from previous studies indicate that 30-60% of subjects with COPD are malnourished, 20-40% have low muscle mass, and 15-21.6% have sarcopenia. This study aimed to assess the prevalence of malnutrition, sarcopenia, and malnutrition-sarcopenia syndrome in elderly subjects with COPD and investigate the relationship between COPD severity and these conditions.
A cross-sectional study involving 124 patients with stable COPD, aged ≥60, participating in a stationary pulmonary rehabilitation program. Nutritional status was assessed following the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia with the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria. The results of pulmonary function tests and exercise capacity were obtained from the hospital database.
22.6% of participants had malnutrition according to the GLIM criteria. Subjects with malnutrition had lower gait speed (
= 0.0112) and worse results of the Six Minute Walk Test. Sixteen participants (12.9%) had sarcopenia; 12 subjects with sarcopenia had concomitant malnutrition. The prevalence of severe and very severe obstruction (GOLD3/GOLD4) was 91.7%. It was significantly higher in patients with malnutrition-sarcopenia syndrome.
Malnutrition was found in nearly one out of four subjects with COPD, while sarcopenia was one out of seven patients. About 10% of our study sample had malnutrition-sarcopenia syndrome. The prevalence of severe and very severe obstruction was significantly higher in patients with malnutrition-sarcopenia syndrome.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35010919</pmid><doi>10.3390/nu14010044</doi><orcidid>https://orcid.org/0000-0002-6770-7321</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Aged Air flow Body composition Body mass index Chronic obstructive pulmonary disease Cognitive ability Criteria Cross-Sectional Studies Female Gait Geriatric Assessment - methods Gold Hospitals Humans Leadership Lung diseases Male Malnutrition Malnutrition - diagnosis Malnutrition - epidemiology Middle Aged Mortality Muscle Strength Muscles Nutrition Assessment Nutritional Status Obstructive lung disease Older people Patients Prevalence Pulmonary Disease, Chronic Obstructive - epidemiology Pulmonary functions Quality of life Questionnaires Rehabilitation Respiratory function Respiratory Function Tests - methods Sarcopenia Sarcopenia - diagnosis Sarcopenia - epidemiology Severity of Illness Index Spirometry Surveys and Questionnaires Thoracic surgery Walking Speed World population |
| title | Malnutrition, Sarcopenia, and Malnutrition-Sarcopenia Syndrome in Older Adults with COPD |
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