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- Nordén, J., et al.
(författare)
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Nutrition impact symptoms and body composition in patients with COPD
- 2015
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Ingår i: European Journal of Clinical Nutrition. - : Nature Publishing Group. - 0954-3007 .- 1476-5640. ; 69:2, s. 256-261
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Tidskriftsartikel (refereegranskat)abstract
- Background/Objectives:Anorexia or lack of appetite is common in chronic obstructive pulmonary disease (COPD) and may be caused or augmented by several symptoms affecting appetite and eating. We aimed to investigate and quantify the extent of nutrition impact symptoms (NIS) in patients with COPD and to explore relationships between NIS and fat-free mass depletion.Subjects/Methods:The results in this cross-sectional study are based on 169 COPD patients (62% female subjects). Body composition was assessed using bioelectrical impedance spectroscopy and the patients reported NIS by two newly developed questionnaires: the Eating Symptoms Questionnaire (ESQ) and the Disease-Related Appetite Questionnaire (DRAQ).Results:Symptoms with the highest prevalence were dry mouth (71%), stomach ache (39%), pain or aches affecting appetite (36%) and constipation (35%). Problems with diarrhoea and feeling affected by smells were more severe among women compared with men (P<0.05). Thirty-six percent of the patients were depleted (fat-free mass index (FFMI) <15 kg/m(2) for women and FFMI<16 kg/m(2) for men). Depleted patients had more NIS (P<0.05) and also rated appetite and taste of food as worse compared with non-depleted patients (P<0.05).Conclusions:NIS are common in patients with COPD, and depleted patients have more severe symptoms. To investigate how these symptoms are best prevented and/or managed and whether NIS prevention/treatment can affect development of malnutrition in patients with COPD is a challenge for the future.
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| 3. |
- Andersson, Mikael, et al.
(författare)
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Physical activity level and its clinical correlates in chronic obstructive pulmonary disease : a cross-sectional study
- 2013
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Ingår i: Respiratory Research. - : Springer Science and Business Media LLC. - 1465-9921 .- 1465-993X. ; 14, s. 128-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Decreased physical activity is associated with higher mortality in subjects with COPD. The aim of this study was to assess clinical characteristics and physical activity levels (PALs) in subjects with COPD. Methods: Seventy-three subjects with COPD (67 +/- 7 yrs, 44 female) with one-second forced expiratory volume percentage (FEV1%) predicted values of 43 +/- 16 were included. The ratio of total energy expenditure (TEE) and resting metabolic rate (RMR) was used to define the physical activity level (PAL) (PAL = TEE/RMR). TEE was assessed with an activity monitor (ActiReg), and RMR was measured by indirect calorimetry. Walking speed (measured over 30-meters), maximal quadriceps muscle strength, fat-free mass and systemic inflammation were measured as clinical characteristics. Hierarchical linear regression was applied to investigate the explanatory values of the clinical correlates to PAL. Results: The mean PAL was 1.47 +/- 0.19, and 92% of subjects were classified as physically very inactive or sedentary. The walking speed was 1.02 +/- 0.23 m/s, the quadriceps strength was 31.3 +/- 11.2 kg, and the fat-free mass index (FFMI) was 15.7 +/- 2.3 kg/m(2), identifying 42% of subjects as slow walkers, 21% as muscle-weak and 49% as FFM-depleted. The regression model explained 45.5% (p < 0.001) of the variance in PAL. The FEV1% predicted explained the largest proportion (22.5%), with further improvements in the model from walking speed (10.1%), muscle strength (7.0%) and FFMI (3.0%). Neither age, gender nor systemic inflammation contributed to the model. Conclusions: Apart from lung function, walking speed and muscle strength are important correlates of physical activity. Further explorations of the longitudinal effects of the factors characterizing the most inactive subjects are warranted.
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| 4. |
- Grönberg, Anne Marie, 1951, et al.
(författare)
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Behandling av undernutritionstillstånd vid KOL
- 2014
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Ingår i: KOL - kroniskt obstruktiv lungdjukdom. - Lund : Studentlitteratur. - 9789144078175 ; , s. 641-648
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 5. |
- Grönberg, Anne Marie, 1951
(författare)
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Behandling av undernäringstillstånd vid KOL
- 2006
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Ingår i: In: KOL Kroniskt obstruktiv lungsjukdom. Larsson K, ed.. ; Kapitel 5.4, s. 319-325
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Tidskriftsartikel (refereegranskat)
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| 6. |
- Grönberg, Anne Marie, 1951, et al.
(författare)
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Dietary problems in patients with severe chronic obstructive pulmonary disease
- 2005
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Ingår i: J Hum Nutr Diet. ; 18:6, s. 445-52
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: Low body weight and low fat-free mass-index (FFMI) are common in patients with severe chronic obstructive pulmonary disease (COPD). Several factors seem to contribute. The aims of the present observational study were to investigate dietary problems in patients with severe COPD and to compare dietary problems to nutritional status, energy intake and smoking habits. METHODS: Nutritional status was assessed in 73 stable outpatients using body mass index and FFMI by single-frequency bioelectrical impedance. Lung function, smoking habits, energy intake and dietary problems were also assessed. RESULTS: The most frequently reported dietary problems were 'anorexia', 'dyspeptic symptoms other than diarrhoea', 'slimming', 'fear of gaining weight', 'dyspnoea', 'diarrhoea', 'depression, anxiety, solitude'. Smoking habits and gender had impact on the kind of dietary problems reported. Reporting two dietary problems correlated to low FFMI, whereas reporting one or more dietary problems correlated to decreased energy intake. CONCLUSION: Dietary problems are common in the group studied and related to smoking habits and gender. Dietary problems affect energy intake and FFMI negatively. It is important to recognize dietary problems and to offer intervention of the dietary problems as a part of the dietary intervention.
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| 7. |
- Grönberg, Anne Marie, 1951, et al.
(författare)
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Individually adapted nutritional intervention reduces dietary problems and improves physical function in chronic obstructive pulmonary disease patients.
- 2012
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Ingår i: Journal of Aging Research & Clinical Practice (JARCP). - 2258-8094. ; 1:1, s. 98-100
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Tidskriftsartikel (refereegranskat)abstract
- Dietary problems are common in patients with severe chronic obstructive pulmonary disease (COPD) and affect energy intake and nutritional status. The aim was to investigate effects of dietary counselling on dietary problems during a 12-month rehabilitation programme for patients with COPD. In 73 subjects with severe COPD, nutritional status was assessed by body mass index (BMI) and fat free mass index (FFMI) by single frequency bioelectrical impedance. Energy intake was calculated. The subjects were asked to describe any dietary problem they experienced. A six-minute walking test (6MWT) was performed to assess physical function. After 12 months of individually adapted nutritional intervention, 67 subjects were assessed by the same parameters. The number of dietary problems was reduced from 98 to 68. A significantly smaller group reported ” Fear of gaining weight” and ”Diarrhoea” (p<0.05). The patients succeeding in reducing their dietary problems also improved physical function indicated by significant improvements in 6MWT (mean 29.4 meters) after 12 months compared to baseline (p=0.023). Individually adapted dietary counselling can reduce the number of dietary problems. The results underline the importance of identifying dietary problems specific to the individuals as a means for improving nutritional status and physical function.
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| 10. |
- Måhlin, Carolina, et al.
(författare)
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Vitamin D status and dietary intake in a Swedish COPD population.
- 2014
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Ingår i: The clinical respiratory journal. - : Wiley. - 1752-699X .- 1752-6981. ; 8:1, s. 24-32
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Tidskriftsartikel (refereegranskat)abstract
- Emerging evidence indicates that patients with chronic obstructive pulmonary disease (COPD) have a poorer vitamin D status than the general population, possibly affecting several comorbidities. In northern latitudes, these problems could be even more accentuated wintertime because of the low ultraviolet B radiation.
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