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dc.contributor.authorIngadottir, Arora Ros
dc.contributor.authorBeck, Anne Marie
dc.contributor.authorBaldwin, Christine
dc.contributor.authorWeekes, C. Elizabeth
dc.contributor.authorGeirsdottir, Olof Gudny
dc.contributor.authorRamel, Alfons
dc.contributor.authorGislason, Thorarinn
dc.contributor.authorGunnarsdottir, Ingibjorg
dc.date.accessioned2018-08-10T11:09:09Z
dc.date.available2018-08-10T11:09:09Z
dc.date.issued2018-08
dc.date.submitted2018
dc.identifier.citationTwo components of the new ESPEN diagnostic criteria for malnutrition are independent predictors of lung function in hospitalized patients with chronic obstructive pulmonary disease (COPD) 2018, 37 (4):1323 Clinical Nutritionen
dc.identifier.issn02615614
dc.identifier.doi10.1016/j.clnu.2017.05.031
dc.identifier.urihttp://hdl.handle.net/2336/620649
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen
dc.description.abstractINTRODUCTION: Low fat free mass index (FFMI) is a component of the ESPEN diagnosis criteria of malnutrition, that only when accompanied with weight loss is considered to be a determinant of malnutrition. Our aims were to assess the prevalence of malnutrition in patients with chronic obstructive pulmonary disease (COPD) applying the ESPEN criteria, and to examine the ability of different components of the criteria to predict COPD severity, length of stay (LOS), hospital readmissions within 30 days and mortality. METHODS: Subjects were COPD patients (n = 121) admitted to Landspitali University Hospital from March 2015 to March 2016. Patients were screened for nutritional risk using Icelandic screening tool (ISS) and NRS-2002. Body composition was measured by bioelectrical impedance analysis (BIA). Lung function was measured by spirometry. RESULTS: The prevalence of malnutrition according to the ESPEN criteria was 21%. The association between nutritional assessment, applying different components of the ESPEN criteria, and COPD severity was highly significant, with the highest risk being associated with low FFMI OR (95% CI) 4.77 (2.03, 11.20; p < 0.001). There was a trend towards higher risk of hospitalization for >7 days in subjects with low FFMI (OR 2.46 95% CI 0.92, 6.59; p = 0.074) and increased risk of 6 and 9 months' mortality (OR 2.72 95% CI 0.88, 8.39, P = 0.082 and OR 2.72 95% CI 0.94, 7.87, P = 0.065, respectively) in subjects diagnosed as malnourished by the ESPEN criteria. CONCLUSION: This study describes the prevalence of malnutrition in hospitalized COPD patients using the ESPEN criteria from 2015. Our findings suggest that FFMI could be used independently of weight loss for the diagnosis of malnutrition in COPD patients, although there remain some problems associated with its measurement in the clinical setting.
dc.description.sponsorshipIcelandic Research Fund of the Icelandic Centre for Research University of Iceland Research Fund Landspitali University Hospital Research Funden
dc.language.isoenen
dc.publisherChurchill Livingstoneen
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S026156141730211Xen
dc.rightsArchived with thanks to Clinical Nutritionen
dc.subjectKæfisvefnen
dc.subjectNæringarskorturen
dc.subjectMataræðien
dc.subject.meshPulmonary Disease, Chronic Obstructiveen
dc.subject.meshMalnutritionen
dc.subject.meshNutrition Assessmenten
dc.subject.otheren
dc.subject.otheren
dc.titleTwo components of the new ESPEN diagnostic criteria for malnutrition are independent predictors of lung function in hospitalized patients with chronic obstructive pulmonary disease (COPD)en
dc.typeArticleen
dc.contributor.department1 ] Univ Iceland, Landspitali Univ Hosp, Unit Nutr Res, Reykjavik, Iceland Show more [ 2 ] Univ Iceland, Fac Food Sci & Nutr, Reykjavik, Iceland Show more [ 3 ] Landspitali Univ Hosp, Dept Clin Nutr, Reykjavik, Iceland [ 4 ] Metropolitan Univ Coll, Fac Hlth & Technol, Dept Nutr & Hlth, Copenhagen N, Denmark [ 5 ] Herlev & Gentofte Hosp, Res Unit Nutr, DK-2820 Gentofte, Denmark Show more [ 6 ] Kings Coll London, Div Diabet & Nutr Sci, London, England Show more [ 7 ] Landspitali Univ Hosp, Iceland Gerontol Res Ctr, Reykjavik, Iceland Show more [ 8 ] Univ Iceland, Reykjavik, Iceland Show more [ 9 ] Univ Iceland, Fac Med, Reykjavik, Iceland Show more [ 10 ] Landspitali Univ Hosp, Dept Resp Med & Sleep, Reykjavik, Icelanen
dc.identifier.journalClinical Nutritionen
dc.rights.accessNational Consortium - Landsaðganguren
dc.departmentcodeNUR12
dc.departmentcodePAD12
html.description.abstractINTRODUCTION: Low fat free mass index (FFMI) is a component of the ESPEN diagnosis criteria of malnutrition, that only when accompanied with weight loss is considered to be a determinant of malnutrition. Our aims were to assess the prevalence of malnutrition in patients with chronic obstructive pulmonary disease (COPD) applying the ESPEN criteria, and to examine the ability of different components of the criteria to predict COPD severity, length of stay (LOS), hospital readmissions within 30 days and mortality. METHODS: Subjects were COPD patients (n = 121) admitted to Landspitali University Hospital from March 2015 to March 2016. Patients were screened for nutritional risk using Icelandic screening tool (ISS) and NRS-2002. Body composition was measured by bioelectrical impedance analysis (BIA). Lung function was measured by spirometry. RESULTS: The prevalence of malnutrition according to the ESPEN criteria was 21%. The association between nutritional assessment, applying different components of the ESPEN criteria, and COPD severity was highly significant, with the highest risk being associated with low FFMI OR (95% CI) 4.77 (2.03, 11.20; p < 0.001). There was a trend towards higher risk of hospitalization for >7 days in subjects with low FFMI (OR 2.46 95% CI 0.92, 6.59; p = 0.074) and increased risk of 6 and 9 months' mortality (OR 2.72 95% CI 0.88, 8.39, P = 0.082 and OR 2.72 95% CI 0.94, 7.87, P = 0.065, respectively) in subjects diagnosed as malnourished by the ESPEN criteria. CONCLUSION: This study describes the prevalence of malnutrition in hospitalized COPD patients using the ESPEN criteria from 2015. Our findings suggest that FFMI could be used independently of weight loss for the diagnosis of malnutrition in COPD patients, although there remain some problems associated with its measurement in the clinical setting.


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