Nutritional status and its relationship with different dimensions of functional status in patients with chronic obstructive pulmonary disease
Keywords:
Activities of daily living, Evaluation, Chronic obstructive pulmonary disease, Nutricional statusAbstract
Objective
To investigate whether there is a relationship between nutritional status and limitations in activities of daily living in patients with chronic obstructive pulmonary disease.
Methods
A cross sectional study was conducted from July to December 2011 in Santa Catarina. Seventeen chronic obstructive pulmonary disease patients [age (years) = 67±8; forced expiratory volume in one second (% of the predicted value) = 38.6±16.1; body mass index (kg/m2) = 24.7±5.4] underwent the assessments: pulmonary function (spirometry); functional status (London Chest Activity of Daily Living scale, physical activities in daily life, and Glittre ADL-Test; nutritional status (anthropometry and dual-energy X-Ray absorptiometry).
Results
The total score of the London Chest Activity of Daily Living scale correlated with fat-free mass (r=-0.50; p=0.04) and lean mass (r=-0.50; p=0.04). The lying time in physical activities in daily life correlated with bone mineral content (r=-0.50; p=0.04). Nutricional status was not correlated with time spent on Glittre ADL-test.Conclusion Variables that reflect muscle mass depletion are related to variables of self-reported limitation in activities of daily living. Bone mineral content is correlated with time patients spend lying, reflecting the impact of inactive postures on the nutritional status of these patients.
References
Choudhury G, Rabinovich R, MacNee W. Comorbidities and systemic effects of chronic obstructive pulmonary disease. Clin Chest Med. 2014; 35(1):101-30. http://dx.doi.org/10.1016/j. ccm.2013.10.007
Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005; 171(9):972-7. http://dx.doi.org/10.1164/rccm. 200407-855OC
Vermeeren MA, Creutzberg EC, Schols AM, Postma DS, Pieters WR, Roldaan AC, et al. Prevalence of nutritional depletion in a large out-patient population of patients with COPD. Respir Med. 2006; 100(8):1349-55. http://dx.doi.org/10.1016/ j.rmed.2005.11.023
Humphreys K, Cross G, Frith P, Cafarella P. Nutritional status and dietary intake of outpatients with chronic obstructive pulmonary disease. Nutr Diet. 2008; 65(2):168-74. http://dx.doi.org/10.1111/j.1747-00 80-2008.00235.x
Maltais F, Decramer M, Casaburi R, Barreiro E, Burelle Y, Debigare R, et al. An official American Thoracic Society/European Respiratory Societystatement: Update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014; 189(9):e15-62. http://dx.doi. org/10.1164/rccm.201402-0373ST
Lahaije AJ, van Helvoort HA, Dekhuijzen PN, Heijdra YF. Physiologic limitations during daily life activities in COPD patients. Respir Med. 2010; 104(8):1152-9. http://dx.doi.org/10.1016/j.rmed.2010.02.011
Franssen FM, Broekhuizen R, Janssen PP, Wouters EF, Schols AM. Effects of whole-body exercise training on body composition and functional capacity in normal-weight patients with COPD. Chest. 2004; 125(6):2021-8.
Lan CC, Su CP, Chou LL, Yang MC, Lim CS, Wu YK. Association of body mass index with exercise cardiopulmonary responses in lung function matched patients with chronic obstructive pulmonary disease. Heart Lung. 2012; 41(4):374-81. http://dx. doi.org/10.1016/j.hrtlng.2012.02.010
Aiello M, Teopompi E, Tzani P, Ramponi S, Gioia MR, Marangio E, et al. Maximal exercise in obese patients with COPD: The role of fat free mass. BMC Pulm Med. 2014; 14:96. http://dx.doi.org/10.1186/ 1471-2466-14-96
Galesanu RG, Bernard S, Marquis K, Lacasse Y, Poirier P, Bourbeau J, et al. Obesity in chronic obstructive pulmonary disease: Is fatter really better? Can Respir J. 2014; 21(5):297-301.
Sabino PG, Silva BM, Brunetto AF. Nutritional status is related to fat-free mass, exercise capacity and inspiratory strength in severe chronic obstructive pulmonary disease patients. Clinics. 2010; 65(6):599-605. http://dx.doi.org/10.1590/s1807-5 9322010000600007
Luo Y, Zhou L, Li Y, Guo S, Li X, Zheng J, et al. Fat Free Mass Index for Evaluating the Nutritional Status and Disease Severity in COPD. Respir Care. 2016; 61(5):680-8. http://dx.doi.org/10.4187/respcare. 04358
Leidy NK. Using functional status to assess treatment outcomes. Chest. 1994; 106(6):1645-6.
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005; 26(2):319-38. http:// dx.doi.org/10.1183/09031936.05.00034805
Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease. Gold. 2016 [cited 2016 May 4]. Available from: http://goldcopd.org/
Pereira CA, Sato T, Rodrigues SC. New reference values for forced spirometry in white adults in Brazil. J Bras Pneumol. 2007; 33(4):397-406.
Carpes MF, Mayer AF, Simon KM, Jardim JR, Garrod R. The Brazilian Portuguese version of the London Chest Activity of Daily Living scale for use in patients with chronic obstructive pulmonary disease. J Bras Pneumol. 2008; 34(3):143-51.
Skumlien S, Hagelund T, Bjortuft O, Ryg MS. A field test of functional status as performance of activities of daily living in COPD patients. Respir Med. 2006; 100(2):316-23. http://dx.doi.org/10.1016/j.rmed. 2005.04.022
Worl Health Organization. Physical status: The use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva: WHO; 1995. Technical Report Series, 854.
Andreoli A, Scalzo G, Masala S, Tarantino U, Guglielmi G. Body composition assessment by dual energy X-Ray absorptiometry (DXA). Radiol Med. 2009; 114(2):286-300. http://dx.doi.org/10.1007/ s 11547-009-0369-7
Engelen MP, Schols AM, Heidendal GA, Wouters EF. Dual-energy X-Ray absorptiometry in the clinical evaluation of body composition and bone mineral density in patients with chronic obstructive pulmonary disease. Am J Clin Nutr. 1998; 68(6):1298-303.
VanItallie TB, Yang MU, Heymsfield SB, Funk RC, Boileau RA. Height-normalized indices of the body’s fat-free mass and fat mass: Potentially useful indicators of nutritional status. Am J Clin Nutr. 1990; 52(6):953-9.
Schols AM, Broekhuizen R, Weling-Scheepers CA, Wouters EF. Body composition and mortality in chronic obstructive pulmonary disease. Am J Clin Nutr. 2005; 82(1):53-9.
Ischaki E, Papatheodorou G, Gaki E, Papa I, Koulouris N, Loukides S. Body mass and fat-free mass indices in COPD: Relation with variables expressing disease severity. Chest. 2007; 132(1):164-9. http:/dx. doi.org/10.1378/chest.06-2789
Hernandes NA, Teixeira DC, Probst VS, Brunetto AF, Ramos EM, Pitta F. Profile of the level of physical activity in the daily lives of patients with COPD in Brazil. J Bras Pneumol. 2009; 35(10):949-56.
Pitta F, Breyer MK, Hernandes NA, Teixeira D, Sant’Anna TJ, Fontana AD, et al. Comparison of daily physical activity between COPD patients from Central Europe and South America. Respir Med. 2009; 103(3):421-6. http://dx.doi.org/10.1016/j. rmed.2008.09.019
Simon KM, Carpes MF, Correa KS, Santos K, Karloh M, Mayer AF. Relationship between daily living activities (ADL) limitation and the BODE index in patients with chronic obstructive pulmonary disease. Rev Bras Fisioter. 2011; 15(3):212-8.
Inoue D, Watanabe R, Okazaki R. COPD and osteoporosis: Links, risks, and treatment challenges. Int J Chron Obstruct Pulmon Dis. 2016; 11:637-48. http://dx.doi.org/10.2147/copd.s79638
Laurent MR, Dubois V, Claessens F, Verschueren SM, Vanderschueren D, Gielen E, et al. Muscle-bone interactions: From experimental models to the clinic? A critical update. Mol Cell Endocrinol. 2015. http://dx.doi.org/10.1016/j.mce.2015.10.017
Johansson J, Nordstrom A, Nordstrom P. Objectively measured physical activity is associated with parameters of bone in 70-year-old men and women. Bone. 2015; 81:72-9. http://dx.doi.org/10. 1016/j.bone.2015.07.001
Liu WT, Kuo HP, Liao TH, Chiang LL, Chen LF, Hsu MF, et al. Low bone mineral density in COPD patients with osteoporosis is related to low daily physical activity and high COPD assessment test scores. Int J Chron Obstruct Pulmon Dis. 2015; 10:1737-44. http://dx.doi.org/10.2147/copd.s87 110
Monteiro F, Camillo CA, Vitorasso R, Sant’Anna T, Hernandes NA, Probst VS, et al. Obesity and physical activity in the daily life of patients with COPD. Lung. 2012; 190(4):403-10. http://dx.doi.org/10.1007/s0 0408-012-9381-0
Waschki B, Kirsten AM, Holz O, Mueller KC, Schaper M, Sack AL, et al. Disease Progression and Changes in Physical Activity in Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2015; 192(3):295-306. http://dx.doi. org/10.1164/rccm.201501-0081OC
Gouzi F, Prefaut C, Abdellaoui A, Vuillemin A, Molinari N, Ninot G, et al. Evidence of an early physical activity reduction in chronic obstructive pulmonary disease patients. Arch Phys Med Rehabil. 2011; 92(10):1611-7.e2. http://dx.doi.org/10.1016/j. apmr.2011.05.012
Obase Y, Mouri K, Shimizu H, Ohue Y, Kobashi Y, Kawahara K, et al. Nutritional deficits in elderly smokers with respiratory symptoms that do not fulfill the criteria for COPD. Int J Chron Obstruct Pulmon Dis. 2011; 6:679-83. http://dx.doi.org/ 10.2147/copd.s25293
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Copyright (c) 2023 Fernanda Rodrigues FONSECA, Manuela KARLOH, Cintia Laura Pereira de ARAUJO, Karoliny dos SANTOS, Anamaria Fleig MAYER
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