Body composition in patients with chronic obstructive pulmonary disease
https://doi.org/10.18093/0869-0189-2018-28-4-453-459
Abstract
The aim of this study was to investigate body composition in patients with COPD using two methods, Quételet index and bioelectrical impedance analysis (BIA), and to compare their diagnostic values.
Methods. The study included 198 patients with COPD admitted to the Territorial Teaching hospital No.2, and 28 healthy volunteers. According to COPD severity, patients were divided into 4 groups; healthy volunteers (n = 28) were included in the control group. All groups were matched for sex and age. Anthropometry with body mass index (BMI) calculation and BIA were done in all participants.
Results. The lowest average BMI was found in patients with severe and very severe COPD. Patients with infrequent exacerbations without decreased BMI had reduction in fat-free mass (FFM) in 12.3% (n = 25); 14.1% patients (n = 28) had increased body fat mass and decreased FFM. According to BIA results, reduction of FFM was seen significantly more often than reduction of BMI (57.6% vs 30%; χ2= 58.71; p = 0.03). BIA parameters describing muscle tissue were significantly related to the severity of bronchial obstruction (FEV1).
Conclusion. Investigation of body composition using BIA method should be used as a tool for comprehensive examination of COPD patients, for personalized choice of treatment and in rehabilitation programs.
About the Authors
E. V. Bolotova
Kuban State Medical University, Healthcare Ministry of Russia
Russian Federation
Russian Federation
Doctor of Medicine, Professor, Department of Therapy No.1, Faculty of Postgraduate Physician Training
tel.: (961) 509-79-33
ul. Sedina 4, Krasnodar, 350063, Russia
A. V. Dudnikova
Kuban State Medical University, Healthcare Ministry of Russia
Krasnodar Territorial Teaching Hospital No.2, Healthcare Ministry of Krasnodar krai
Russian Federation
Russian Federation
Postgraduate Student, Department of Therapy No.1, Faculty of Postgraduate Physician Training, Kuban State Medical University, Healthcare Mini stry of Russia; a therapeutist at Krasnodar Territorial Teaching Hospital No.2, Healthcare Ministry of Krasnodar krai
tel.: (918) 673-32-23
ul. Sedina 4, Krasnodar, 350063, Russia
ul. Krasnykh partizan 6/2, Krasnodar, 350012, Russia
V. V. Yavlyanskaya
Kuban State Medical University, Healthcare Ministry of Russia
Krasnodar Territorial Teaching Hospital No.2, Healthcare Ministry of Krasnodar krai
Russian Federation
Russian Federation
Postgraduate Student, Department of Therapy No.1, Faculty of Postgraduate Physician Training, Kuban State Medical University, Healthcare Ministry of Russia; an endocrinologist and a therapeutist at Krasnodar Territorial Teaching Hospital No.2, Healthcare Ministry of Krasnodar krai
tel.: (918) 471-21-22
ul. Sedina 4, Krasnodar, 350063, Russia
ul. Krasnykh partizan 6/2, Krasnodar, 350012, Russia
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Review
For citations:
Bolotova E.V., Dudnikova A.V., Yavlyanskaya V.V. Body composition in patients with chronic obstructive pulmonary disease. PULMONOLOGIYA. 2018;28(4):453-459. (In Russ.) https://doi.org/10.18093/0869-0189-2018-28-4-453-459
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