The Evaluation of Nutrition in Male COPD Patients Using Subjective Global Assesment and Mini Nutritional Assesment

摘要

Malnutrition in Chronic Obstructive Lung Diseases (COPD) leads to increased hospital admissions. We aimed to investigate the nutritional status of COPD patients with Body Mass Index (BMI), Subjective Global Assesment (SGA) and Mini Nutritional Assesment (MNA) and compare the correlation of SGA and MNA values with air flow limitation, BMI, anthropometric values and hospital admission (HA) for the last 6 months. 60 outpatient COPD patients without comorbidity and infection were enrolled to this cross-sectional study. Malnutrition rate (according to BMI) was related with the COPD severity: %10 in mild ,%13 moderate, %35 severe and 23.3 % in very severe COPD. MNA identified more patients as malnutrioned than SGA (65% versus 41.7 %). BMI, number of HA, triseps skin fold were less in the MNA-malnutritioned group. Adding to those parameters, spirometric values (FEV1, FVC, PEF) were less in the SGA-malnutritioned group . SGA and MNA can be used for the evaluation of the nutritional status in COPD and in addition to that SGA can be a useful method to assess the relation between the nutritional depletion and air flow limitation in COPD noninvasively. Cohort studies can clarify whether MNA enables to earlier diagnosis of malnutrition in COPD then SGA or not.