Anthropometry and lifestyle in outpatients with Chronic Obstructive Pulmonary Disease: a descriptive study

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40311

Keywords:

Nutritional status; Anthropometry; Pulmonary Disease; Chronic Obstructive; Life Style.

Abstract

Objective: evaluate anthropometric variables and lifestyle in outpatients with Chronic Obstructive Pulmonary Disease. Methods: a descriptive case series study, with a sample of 30 patients (age: ≥ 40 years) with a diagnosis of Chronic Obstructive Pulmonary Disease selected from the Pulmonology Clinic of a university hospital. Socio-demographic variables, behavioral aspects, weight, height, body mass index, weight change, arm circumference, calf circumference, waist circumference, hip circumference, waist-to-height ratio, waist-to-hip ratio and conicity index were analyzed. Results: 70% were older adults; 70% were male; 63.3% had < eight years of schooling; 76.7% were economically inactive; 66.7% had a household income ≤ the minimum salary; 83.3% were residents of the state of Pernambuco. The sample was made up predominantly of ex-smokers (83.3%) and smoked ≥ 20 years. A total of 66.7% had a sedentary lifestyle and 83.3% did not abuse alcohol. Excess weight was found in 50% of the sample and post-diagnosis weight loss was found in 50% of the sample. Abdominal fat was high in 56.7% based on waist circumference and 83.3% based on waist-to-height ratio; 53.3% had altered waist-to-hip ratio and arm circumference, ranging from malnutrition (40%) to ideal nutritional status (40%); 93% had a conicity index above the cutoff point. Based on the calf circumference, 84% of the older adults were classified as having ideal nutritional status. Conclusion: abnormal anthropometric measures and a sedentary lifestyle were found in the patients.

References

Akpinar, E. E., Akpinar, S., Ertek, S., Sayin, E., & Gulhan M. (2012). Systemic inflammation and metabolic syndrome in stable COPD patients. Tuberk Toraks. 60(3), 230-237.

American Academy of Family Physicians, American Dietetic Association. (2002). A physician's guide to nutrition in chronic disease management for older adults. Washington, DC: Nutrition Screening Initiative.

Benedik, B., Farkas, J., Kosnik, M., Kadivec, S., & Lainscak, M. (2011). Mini nutritional assessment, body composition, and hospitalisations in patients with chronic obstructive pulmonary disease. Respiratory medicine, 105 Suppl 1, S38–S43.

Costa, A. P. C., Monteiro, C. F. S., Santos, A. G., & Silva Júnior, F. J. G. Association between smoking and health conditions in women. (2018). Revista de Enfermagem UFPI. 7(4), 5-21.

Cruz, M. M., & Pereira, M. (2020). Epidemiology of Chronic Obstructive Pulmonary Disease in Brazil: a systematic review and meta-analysis. Ciências e Saúde Coletiva. 25(11).

Fernandes, A. C., & Bezerra, O. M. P. A. (2006). A Terapia nutricional na doença pulmonar crônica e suas complicações nutricionais. Jornal Brasileiro de Pneumologia. 32(5), 461-71.

Fernandes, F. L. A., Cukier, A., & Camelier, A. A. (2017). Recomendações para o tratamento farmacológico da DPOC: perguntas e respostas. Jornal Brasileiro de Pneumologia. 43(4):290-301

Frisancho, A. R. (1990). Anthropometric Standards for the assessment of growth and nutritional status. University of Michigan, 189.

Global Initiative for Chronic Obstructive Lung Disease (GOLD) (2020). Global Strategy for The Diagnosis, Management, And Prevention of Chronic ObstructiveLung Disease Report. Fontana: GOLD.

Godoy, I., Paiva, S. A. R., & Campana, A. O. (1991). Estado nutricional de pacientes com doença pulmonar obstrutiva crônica: estudo longitudinal de um ano. Jornal de Pneumologia. 17(4), 159-165.

Han, M. K. (2020). Chronic obstructive pulmonary disease in women: a biologically focused review with a systematic search strategy. International Journal of Chronic Obstructive Pulmonary Disease. 15, 711-721.

Hanson, C., Rutten, E. P., Wouters, E. F. M., & Rennard, S. (2014). Influence of diet and obesity on COPD development and outcomes. International Journal of the Chronic Obstructive Pulmonary Disease. 9, 723-733.

Hanson, C., Bowser, E. K., Frankenfield, D. C. & Piemonte, T. A. (2021). Chronic Obstructive Pulmonary Disease: A 2019 Evidence Analysis Center Evidence-Based Practice Guideline. 121(1), 139-165.

Harmon-Weiss,S. (2002). Chronic obstructive pulmonary disease:nutrition management for older adults. Washington, DC: Nutrition Screening Initiative.

Kaluza, J., Larsson, S. C., Linden, A., & Wolk, A. (2016). Consumption of Unprocessed and Processed Red Meat and the Risk of Chronic Obstructive Pulmonary Disease: A Prospective Cohort Study of Men. American Journal of Epidemiology. 184(11), 829-836.

Labaki, W. W. & Rosenberg, S. R. (2020). Chronic Obstructive Pulmonary Disease. Annals of Internal Medicine. 173(3), ITC17–ITC32.

Lambert, A. A., Putcha, N., Drummond, M. B., Boriek, A. M., Hanania, N. A., Kim, V., Kinney, G. L., McDonald, M. N., Brigham, E. P., Wise, R. A., McCormack, M. C., & Hansel, N. N. (2017). COPD Gene Investigators. Obesity is associated with increased morbidity in moderate to severe COPD. Chest. 151(1), 68-77.

Langer D., Probst. V. S, Pitta, F., Burtin. C., Hendriks, E., Schans, C. P. V. D & Gosselink, R. (2009). Guia para prática clínica: Fisioterapia em pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC). Revista Brasileira de Fisioterapia. 13(3), 183-209.

Li, C., Ford, E., & Cook, S. (2006). Recent trends in waist circumference and waist- height ratio among US children and adolescents. Pediatrics. 118, 1390-1398.

Lohman, T. G., Roche, A. F., & Martoell, R. (1991). Anthropometric standardization reference manual. Abridged. 90p.

Marchioro, J., Gazzotti, M. R., Moreira, G. L., Manzano, B. M., Menezes, A. M. B., Perez-Padilla, R., Jardim, J. R., & Nascimento, O. A. (2019). Análise evolutiva antropométrica em indivíduos com DPOC na cidade de São Paulo - estudo de base populacional. Jornal Brasileiro de Pneumologia, 45(6):e20170157.

Marquis, K., Maltais, F., Duguay, V., Bezeau, A. M., LeBlanc, P., & Jobin, J. (2005). The metabolic syndrome in patients with chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation. 25(4), 226–232.

Ministério da Saúde - MS (2021). Protocolo Clínico e Diretrizes Terapêuticas da Doença Pulmonar Obstrutiva Crônica. Brasília.

O'donnell, D. E., O'donnell, C. D., Webb, K. A., & Guenette, J. A. (2012). Respiratory Consequences of Mild-to-Moderate Obesity: Impact on Exercise Performance in Health and in Chronic Obstructive Pulmonary Disease. Pulmonary medicine, 2012, 818925.

Pacheco, R. L., Martimbianco, A.L. C., Garcia, C. M., Logullo, P., & Riera, R. (2017). Guidelines para publicação de estudos científicos. Parte 2: Como publicar estudos observacionais (coorte, caso-controle e transversal). Diagnóstico & Tratamento. 22(3):121-6.

Pitanga, F. J. G., & Lessa, I. (2004). Sensibilidade e especificidade do índice de conicidade como discriminador do risco coronariano de adultos em Salvador, Brasil. Revista Brasileira de Epidemiologia. 7(3), 259-269.

Ribeiro, M. C., Barata, R. B., Almeida, M. F., & Silva, Z. P. (2006). Perfil sociodemográfico e padrão de utilização de serviços de saúde para usuários e não-usuários do SUS – PNAD. Revista de Ciência e Saúde Coletiva. 11(4), 1011-1022.

Ruvuna, L. & Sood, A. (2020). Epidemiology of Chronic Obstructive Pulmonary Disease. Clinics in Chest Medicine. 41(3), 315-327.

Sandelowsky, H., Weinreich, U. M., Aarli, B. B., Sundh, J., Høines, K., Stratelis, G. & Larsson, K. (2021). COPD - do the right thing. BMC Family Practice. 22(1), 244

Sabino, P. G., Silva, B. M., & Brunetto, A. F. (2010). Nutrition status is relatad to fat-free mass, exercise capacityand inspiratory strength in severe chronic obstructive pulmonary disease patients. Clinics. 65(6), 599-605.

Sociedade Brasileira de Pneumologia e Tisiologia. (2004). II Consenso Brasileiro sobre Doença Pulmonar Obstrutiva Crônica - DPOC. Jornal Brasileiro de Pneumologia. 30(5), 1-42.

Vestbo, J., Prescott, E., & Almda, L. T. (2006). Body mass, fatfree body mass, and prognosis in patients with chronic obstructive pulmonary disease from a random population sample: findings from the Copenhagen City Heart Study. American Journal of Respiratory and Critical Care Medicine. 173(1), 79-83.

WHO – Physical status: These and interpretation of anthropometry. Report of an expert committee. Geneva: World Health Organization 1995.

World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva: WHO 1998

Published

04/03/2023

How to Cite

NASCIMENTO, A. C. B. S. do .; TAVARES, M. G. B. .; CALADO, C. K. M. .; BURGOS, M. G. P. de A. .; CABRAL, P. C. . Anthropometry and lifestyle in outpatients with Chronic Obstructive Pulmonary Disease: a descriptive study. Research, Society and Development, [S. l.], v. 12, n. 3, p. e15212340311, 2023. DOI: 10.33448/rsd-v12i3.40311. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40311. Acesso em: 9 oct. 2024.

Issue

Section

Health Sciences