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Nutrition impact symptoms and body composition in patients with COPD

Nordén, J. (author)
Sahlgrenska Academy at University of Gothenburg
Grönberg, A. M. (author)
Sahlgrenska Academy at University of Gothenburg
Bosaeus, I. (author)
Sahlgrenska Academy at University of Gothenburg,Dept Internal Med & Clin Nutr, Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden
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Bertéus Forslund, H. (author)
Sahlgrenska Academy at University of Gothenburg
Hulthén, L. (author)
Sahlgrenska Academy at University of Gothenburg
Rothenberg, Elisabet (author)
Sahlgrenska Academy at University of Gothenburg
Karlsson, J. (author)
Örebro University Hospital
Wallengren, O. (author)
Sahlgrenska Academy at University of Gothenburg,Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Slinde, F. (author)
Sahlgrenska Academy at University of Gothenburg,Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Slinde, Frode, 1973 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Nordén, Johanna (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Grönberg, Anne Marie, 1951 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Rothenberg, Elisabeth, 1960 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Berteus Forslund, Helene, 1952 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Hulthén, Lena, 1947 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Karlsson, Jan, 1950 (author)
Region Örebro län,Centre for Health Care Sciences, Region Örebro County, Örebro, Sweden
Bosaeus, Ingvar, 1950 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Wallengren, Ola (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Norden, J. (author)
Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Rothenberg, E. (author)
Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Gronberg, A. M. (author)
Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Hulthen, L. (author)
Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
Forslund, H. Berteus (author)
Dept Internal Med & Clin Nutr, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden
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Nature Publishing Group, 2015
2015
English.
In: European Journal of Clinical Nutrition. - : Nature Publishing Group. - 0954-3007 .- 1476-5640. ; 69:2, s. 256-261
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Näringslära (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

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