Izvorni znanstveni članak
https://doi.org/10.31895/hcptbn.21.si12.1
MALNUTRITION RISK AS A DETERMINANT OF RESPIRATORY FUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Alda Ranogajec
; Special Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia
Ana Ilić
; University of Zagreb Faculty of Food Technology and Biotechnology, Zagreb, Croatia
*
Vesna Vukičević Lazarević
; Special Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia
Snježana Benko Meštrović
; University of Zagreb Faculty of Food Technology and Biotechnology, Zagreb, Croatia
Ivana Rumbak
; University of Zagreb Faculty of Food Technology and Biotechnology, Zagreb, Croatia
* Dopisni autor.
Sažetak
Chronic obstructive pulmonary disease (COPD) is a chronic lung disease characterized by abnormalities of the airflow. The scientific literature points out that patients with COPD often have diet-related comorbidities, which can correlate with worse patient outcomes and higher mortality. The aim of this study was to assess the risk of malnutrition and to determine whether the severity of risk has an impact on respiratory and pulmonary function in adult patients with COPD. This cross-sectional study (September 2023–May 2024) involved 68 patients (55% men) aged between 40 and 75 years who suffered from COPD and were in the Special Hospital for Pulmonary Disease day clinic for Pulmonary rehabilitation. The collection of personal data, anthropometric measurements, the risk of malnutrition assessment (Nutrition Risk Score-2002, NRS-2002) and pulmonary function were performed according to standard protocols during the visit to the hospital. For further analysis, the patients were divided into three groups according to the points achieved on the NRS-2002 (group 1 = NRS-2002 score 1; group 2 = NRS-2002 score 2; group 3 = NRS-2002 score ≥ 3). Of the total study sample, 26.5% of patients are at risk for malnutrition according to the NRS-2002. There are no differences in diaphragm thickness at the end of inspiration (p = 0.448) or at the end of expiration (p = 0.708) between groups of patients with different risks of malnutrition. Neither forced vital capacity (FVC) (p = 0.731) nor forced expiratory volume in one second (FEV1) (p = 0.058) differed between groups. However, patients with a high risk of malnutrition (NRS-2002 score ≥ 3) had the lowest (p = 0.012) maximum inspiratory pressure (MIP). A quarter of patients with COPD are at risk of severe malnutrition, which can lead to further deterioration in respiratory function. These findings emphasize the importance of using screening tools for malnutrition and initiate nutritional support to improve patient outcomes.
Ključne riječi
COPD; diaphragm thickness; maximal inspiratory pressure; NRS-2002; spirometry results
Hrčak ID:
350854
URI
Datum izdavanja:
1.6.2026.
Posjeta: 0 *