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Journals / Solunum Hastalıkları / 2005 / Cilt: 16 - Sayı: 4

The effect of nutrition on the pulmonary functions in COPD

KOAH'da nütrisyonel durumun belirlenmesi ve solunum parametreleri ile ilişkisinin değerlendirilmesi

Özgür COŞKUN
Feza UĞURMAN
Behiye AKKALYONCU
Ayşe GÖZÜ
Gülnur ÖNDE
Belgin SAMURKAŞOĞLU
Pages
153–160
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Lower BMI of the COPD group and the positive correlation between BMI and FEV1/FVC ratio point out that nutritional status affects the pulmonary functions.

📌 3 Key Takeaways

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Objective & Hypothesis:Forty stable chronic obstructive pulmonary disease (COPD) patients (20 emphysema, 20 chronic bronchitis) and 30 healthy individuals as the control group were included in the study in order to determinate the nutritional status of stable COPD patients and the impacts of nutrition on pulmonary functional parameters.
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Key Findings & Data:There was a significant positive correlation between BMI and FEV1/FVC ratios of the emphysema group.
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Conclusion & Impact:Lower BMI of the COPD group and the positive correlation between BMI and FEV1/FVC ratio point out that nutritional status affects the pulmonary functions.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Beslenme durumu · Vücut kitle indeksi · Elektrik özdirenci

Abstract

Forty stable chronic obstructive pulmonary disease (COPD) patients (20 emphysema, 20 chronic bronchitis) and 30 healthy individuals as the control group were included in the study in order to determinate the nutritional status of stable COPD patients and the impacts of nutrition on pulmonary functional parameters. Pulmonary function tests, arterial blood gas analysis were performed and dyspnea score was determined. Anthropometric measurements, bioetectrical impedance and biochemical analysis were performed to assess the nutritional status. Body mass indexes (BMI) of the patients with emphysema were lower than those of the patients with chronic bronchitis. There was a significant positive correlation between BMI and FEV1/FVC ratios of the emphysema group. FEV1/ FVC ratios of the group with low BMI were lower when compared to the patients with normal BMI. There was no correlation between arterial blood gas analysis, diffusion capacity and BMI. Fat free mass (FFM) measurements of the patients with emphysema and chronic bronchitis were lower than those of the control group. Albumin, prealbumin and total protein levels of the COPD group were significantly lower when compared to the control group. BMI of the emphysema group was found to be lower when compared to the chronic bronchitis group. Lower BMI of the COPD group and the positive correlation between BMI and FEV1/FVC ratio point out that nutritional status affects the pulmonary functions.

Özet

Stabil kronik obstrüktif akciğer hastalığı (KOAH) olan hastalarda nütrisyonel durumun değerlendirilmesi ve solunum fonksiyon parametreleri ile ilişkisini ortaya koymak amacıyla stabil dönemde olan 20 amfizem, 20 kronik bronşitli KOAH hastası ve kontrol grubu olarak 30 sağlıklı birey çalışmaya alındı. Hastaların dispne skorları, solunum fonksiyon testi (SFT), difüzyon testi ve arteryel kan gazı analizleri yapıldı. Nütrisyonel durumun değerlendirilmesi amacıyla antropometrik ölçümler, biyoelektriksel impedans analizi ve biyokimyasal markerler değerlendirildi. Amfizemli grupta, kronik bronşitli hastalara göre beden kitle indeksi (BKİ) anlamlı olarak düşük bulundu. Ayrıca, BKİ ile FEV 1/FVC arasında anlamlı pozitif korelas¬yon saptandı. BKİ'si düşük grupta FEV1/FVC oranları da BKİ normal hastalara göre daha düşüktü. Ancak kan gazı parametreleri ve difüzyon testi ile BKİ arasında ilişki bulunamadı. Biyoelektriksel impedans ile ölçülen yağsız beden kitlesi (Fat Free Mass- FFM) değerleri; amfizem ve kronik bronşit gruplarında kontrol grubuna göre anlamlı olarak düşük saptandı. Albumin, prealbumin ve total protein seviyeleri KOAH grubunda kontrole göre anlamlı olarak düşüktü. KOAH'lı olguların nütrisyonel durumunu değerlendirmek amacıyla yapılan çalışmada BKİ'nin amfizem grubunda kronik bronşit grubuna göre düşük olduğu saptandı. KOAH grubunda BKİ'nin kontrol grubuna göre daha düşük saptanması ve FEV 1/FVC oranı arasındaki ilişkinin anlamlı bulunması, nütrisyonel durumun solunum parametrelerini etkileyebileceğini düşündürmüştür.

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Cite This Article

COŞKUN, Ö., UĞURMAN, F., AKKALYONCU, B., GÖZÜ, A., ÖNDE, G., SAMURKAŞOĞLU, B. (2005). The effect of nutrition on the pulmonary functions in COPD. Solunum Hastalıkları, Cilt: 16 - Sayı: 4, 153–160. https://ajindex.com/articles/318588

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