The Differences in Resting Pulmonary Function in Relation to the Nutritional status of Patients with Chronic Obstructive Pulmonary Disease.

Mun, Yeung Chul; Yu, Sung Keun; Park, Hye Jung; Park, Jong Won; Shin, Kyeong Cheol; Chung, Jin Hong; Lee, Kwan Ho; Kim, Jung Soon

doi:2001.51.6.570

Tuberc Respir Dis > Volume 51(6); 2001 > Article

Original Article

Tuberculosis and Respiratory Diseases 2001;51(6):570-578.
DOI: https://doi.org/10.4046/trd.2001.51.6.570 Published online December 1, 2001.

The Differences in Resting Pulmonary Function in Relation to the Nutritional status of Patients with Chronic Obstructive Pulmonary Disease.

Yeung Chul Mun, Sung Keun Yu, Hye Jung Park, Jong Won Park, Kyeong Cheol Shin, Jin Hong Chung, Kwan Ho Lee, Jung Soon Kim

Abstract

BACKGROUND
With cases of chronic obstructive pulmonary disease(COPD), weight loss and low body weight have been found to correlate with increased mortality and poor prognosis. Therefore, nutritional aspects are an important part of the treatment in cases of COPD. In Korea, there is only limited data available for the changes of resting pulmonary function in relation to nutritional status. This study was carried out to investigated the differences of resting pulmonary function in relation to the nutritional status of patients with COPD. METHOD: 83 stable patients, with moderate to severe COPD, were clinically assessed for their nutritional status and resting pulmonary function. The patients' nutritional status was evaluated by body weight and fat-free mass (FFM), which was assessed by bioelectrical impedance analysis. According to their nutritional status, the 83 patients were divided into two groups, designated as the depleted, and non-depleted, groups. RESULT: Of the 83 patients, 31% were characterized by body weight loss and depletion of FFM, whereas 28% had either weight loss or depleted FFM. In the depleted group, significantly lower peak expiratory flow rate(p<0.05) and Kco(p<0.01), but significantly higher airway resistance(Raw, p<0.05) were noted. There was no difference for the non-depleted group in forced expiratory volume at one second, residual volume, inspiratory vital capacity, or total lung capacity. Maximal inspiratory pressure(PImax) was also significantly lower in the depleted group(p<0.05). CONCLUSION: We conclude, from our clinical studies, that nutritional depletion is significantly associated with the change in resting pulmonary function for patients with moderate to severe COPD.

Key Words: Nutritional depletion, Pulmonary function, Chronic obstructive pulmonary disease