About this Journal Submit a Manuscript Table of Contents
ISRN Nursing
Volume 2012 (2012), Article ID 782626, 7 pages
http://dx.doi.org/10.5402/2012/782626
Clinical Study

Predictors' Factors of Nutritional Status of Male Chronic Obstructive Pulmonary Disease Patients

1Dietetic Programme, Department of Nursing and Midwifery, Abadan Faculty of Medical Health Sciences, Ahwaz Jundishapur University of Medical Sciences, Ahwaz 6135715794, Iran
2Dietetic Programme, Center for Health Care Sciences, Faculty of Health Sciences, National University of Malaysia, 50300 Kuala Lumpur, Malaysia
3Department of Obstetrics & Gynecology Medical School, Ahwaz Jundishapur University of Medical Sciences, Ahwaz 6135715794, Iran
4Department of Public Health, Faculty of Health Sciences, Ahwaz Jundishapur University of Medical Sciences, Ahwaz 6135715794, Iran
5Biomedical Programme, Faculty of Health Sciences, National University of Malaysia, 50300 Kuala Lumpur, Malaysia
6Department of Medicine, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Malaysia

Received 29 August 2012; Accepted 8 October 2012

Academic Editors: K. Clark, A. Green, and K. Murphy

Copyright © 2012 Elham Pirabbasi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chronic obstructive pulmonary disease (COPD) is a systemic disease that leads to weight loss and muscle dysfunction resulting in an increase in mortality. This study aimed to determine the prevalence rate of malnutrition and nutritional status and also factors associated with nutritional status. A total of 149 subjects were involved in the cross-sectional study. The study was conducted at two medical centers in Kuala Lumpur, Malaysia. The results of the study showed that malnutrition was more prevalent (52.4%) in the subjects with severe stages of COPD as compared to mild and moderate COPD stages (26.2%) ( ). Fat-free mass depletion as assessed using fat-free mass index (FFMI) affected 41.9% of the subjects. Plasma vitamin A, peak expiratory flow (PEF), and handgrip were the predictors for body mass index (BMI) ( , ). Plasma vitamin A and force expiratory volume in one second (FEV1) were the predictors of FFMI ( , ). BMI was the predictor of respiratory factors, that is, FEV1% predicted ( , ). It can be concluded that there is a need to identify malnourished COPD patients for an appropriate nutrition intervention.