Nutritional status and long-term mortality in hospitalised patients with chronic obstructive pulmonary disease (COPD).
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Suppli Ulrik, Charlotte
Nieminen, Markku M
MetadataShow full item record
CitationRespir Med 2007, 101(9):1954-60
AbstractPatients with chronic obstructive pulmonary disease (COPD) often have difficulties with keeping their weight. The aim of this investigation was to study nutritional status in hospitalised Nordic COPD patients and to investigate the association between nutritional status and long-term mortality in this patient group. In a multicentre study conducted at four university hospitals (Reykjavik, Uppsala, Tampere and Copenhagen) hospitalised patients with COPD were investigated. Patient height, weight and lung function was recorded. Health status was assessed with St. George's Hospital Respiratory Questionnaire. After 2 years, mortality data was obtained from the national registers in each country. Of the 261 patients in the study 19% where underweight (BMI <20), 41% were of normal weight (BMI 20-25), 26% were overweight (BMI 25-30) and 14% were obese. FEV(1) was lowest in the underweight and highest in the overweight group (p=0.001) whereas the prevalence of diabetes and cardio-vascular co-morbidity went the opposite direction. Of the 261 patients 49 (19%) had died within 2 years. The lowest mortality was found among the overweight patients, whereas underweight was related to increased overall mortality. The association between underweight in COPD-patients, and mortality remained significant after adjusting for possible confounders such as FEV(1) (hazard risk ratio (95% CI) 2.6 (1.3-5.2)). We conclude that COPD patients that are underweight at admission to hospital have a higher risk of dying within the next 2 years. Further studies are needed in order to show whether identifying and treating weight loss and depletion of fat-free mass (FFM) is a way forward in improving the prognosis for hospitalised COPD patients.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Link field
- Nutritional status, dietary energy intake and the risk of exacerbations in patients with chronic obstructive pulmonary disease (COPD).
- Authors: Hallin R, Koivisto-Hursti UK, Lindberg E, Janson C
- Issue date: 2006 Mar
- Walking distance is a predictor of exacerbations in patients with chronic obstructive pulmonary disease.
- Authors: Emtner MI, Arnardottir HR, Hallin R, Lindberg E, Janson C
- Issue date: 2007 May
- Recent improvement in long-term survival after a COPD hospitalisation.
- Authors: Almagro P, Salvadó M, Garcia-Vidal C, Rodriguez-Carballeira M, Delgado M, Barreiro B, Heredia JL, Soriano JB
- Issue date: 2010 Apr
- Inspiratory capacity predicts mortality in patients with chronic obstructive pulmonary disease.
- Authors: Tantucci C, Donati P, Nicosia F, Bertella E, Redolfi S, De Vecchi M, Corda L, Grassi V, Zulli R
- Issue date: 2008 Apr
- Chronic obstructive pulmonary disease and body mass index in five Latin America cities: the PLATINO study.
- Authors: Montes de Oca M, Tálamo C, Perez-Padilla R, Jardim JR, Muiño A, Lopez MV, Valdivia G, Pertuzé J, Moreno D, Halbert RJ, Menezes AM, PLATINO Team.
- Issue date: 2008 May