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Risk of malnutrition in adult patients with chronic obstructive pulmonary disease | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 2, 2016, Pages 16-42 | ||
| Authors | ||
| Hadeel F Farhood; Moshtak A Wtwt; Zeina H Rasheed | ||
| Abstract | ||
| Background: Chronic obstructive pulmonary disease is considered a major public health problem in the world. Weight loss, muscle and fat mass depletion are common nutritional problems in chronic obstructive pulmonary disease patients. In the present study, we assessed nutritional status in chronic obstructive pulmonary disease patients. Objectives: For the assessment of nutritional status in patient with chronic obstructive pulmonary disease, assessment the risk of malnutrition, determine the relation between severity of Chronic obstructive pulmonary disease and risk of malnutrition and determine the atherogenic index as a risk factor for atherosclerosis and its relation with risk of malnutrition in patient with Chronic obstructive pulmonary disease. Patients and methods: A descriptive Cross-sectional study of 90 patients diagnosed with chronic obstructive pulmonary disease (64 males and 26 females) from the age of 35 years. conducted in Al-Hila city, in Merjan medical city. Data collection was carried out during the period from 1st of March to 30th of May 2014. Data obtained included questionnaires, anthropometric measurements (weight, height, body mass index, waist circumference, height circumference, and waist hip ratio), pulmonary function test, Biochemical investigations (includes glycated hemoglobin (HbA1c) and atherogenic index) were analyzed by statistical package for social sciences program version 18. Results: A ninety patients with chronic obstructive pulmonary disease were enrolled in this study with a mean age 59.2±6.0, range 35-65 years. 92.2% of study population were present with (50-65) years age, 97.3% of them had high risk of malnutrition and 88.7% had low risk of malnutrition, and71.1% were male and 28.9% were female. There was significant association between sever or low risk of malnutrition and marital status, residence, duration of chronic obstructive pulmonary disease, smoking history, intensity of cigarette smoking(pack-year) and alcohol ingestion, coronary artery diseases, eating alone and physical inability to shop, cook and/or feed self, Severity of chronic obstructive pulmonary disease and Atherogenic index. But there were no significant association with age group, gender, education, occupation, water pip, diabetes, hypertension, thyrotoxicosis, chronic kidney disease and carcinoma of lung, body mass index, waist-hip ratio and glycated hemoglobin, changed kind and or amount of food due to chronic obstructive pulmonary disease, number of meals per day and history of mouth or tooth problems that make you hard to eat. Conclusion: The study found that chronic obstructive pulmonary disease patients had high risk of malnutrition and those patients also had raiser values of atherogenic index that may lead to atherosclerosis and coronary artery diseases. | ||
| Keywords | ||
| Chronic obstructive pulmonary disease; malnutrition; nutritional assessment; atherogenic index of plasma | ||
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