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Status: Bibliographieeintrag

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Verfasst von:Rott, Christina [VerfasserIn]   i
 Limen, Eldridge [VerfasserIn]   i
 Kriegsmann, Katharina [VerfasserIn]   i
 Herth, Felix [VerfasserIn]   i
 Brock, Judith [VerfasserIn]   i
Titel:Analysis of body composition with bioelectrical impedance analysis in patients with severe COPD and pulmonary emphysema
Verf.angabe:Christina Rott, Eldridge Limen, Katharina Kriegsmann, Felix Herth, Judith Maria Brock
E-Jahr:2024
Jahr:March 2024
Umfang:8 S.
Illustrationen:Illustrationen
Fussnoten:Online verfügbar: 11. Februar 2024, Artikelversion: 15. Februar 2024 ; Gesehen am 08.01.2024
Titel Quelle:Enthalten in: Respiratory medicine
Ort Quelle:Burlington, Mass. : Harcourt, 1999
Jahr Quelle:2024
Band/Heft Quelle:223(2024), Artikel-ID 107559, Seite 1-8
ISSN Quelle:1532-3064
Abstract:Background - Patients with chronic obstructive pulmonary disease (COPD) often suffer from cachexia and malnutrition. Less is known about body composition and nutritional behaviour in patients with advanced COPD and pulmonary emphysema. - Methods - We performed a single-center prospective analysis of patients with COPD GOLD III/IV. Metabolic parameters, dietary and exercise behavior, lung function, exercise capacity and body composition by bioelectrical impedance analysis (BIA) were analyzed. Patients with severe emphysema (emphysema index [EI] >20%) were compared to patients with mild emphysema (EI ≤ 20%). - Results - A total of 121 patients (45.5% female, mean age 64.8 ± 8.1 years, mean FEV1 31.0 ± 8.6%, mean RV 234.7 ± 50.6%) were analyzed, of whom 14.1% were underweight. Only 5% of the patients substituted protein and only about 1/3 performed regular exercise training. BIA showed an unfavourable body composition: body fat ↑, ECM/BCM-index ↑, phase angle ↓ (5.0 ± 0.9°), cell percentage ↓, FFMI (fat-free mass index) ↓. The 94 patients with severe emphysema (mean EI 36.6 ± 8.5%) had lower body-mass-index (22.8 ± 4.3 vs. 31.1 ± 5.8 kg/m2, p < 0.001), FFMI, body weight and body fat, but did not differ significantly in the quality of body composition (e.g. phase angle). Their lipid and glucose metabolism were even better than in mild emphysema patients. - Conclusion - The finding of significantly lower BMI but similar body composition and better metabolic status in severe emphysema patients needs further investigation. However, it should not distract from the necessity to implement dietary and exercise recommendations for advanced COPD patients.
DOI:doi:10.1016/j.rmed.2024.107559
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1016/j.rmed.2024.107559
 kostenfrei: Volltext: https://www.sciencedirect.com/science/article/pii/S0954611124000337
 DOI: https://doi.org/10.1016/j.rmed.2024.107559
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Bioelectrical impedance analysis
 Body composition
 Cachexia
 COPD
 Endoscopic lung volume reduction
 Malnutrition
 Pulmonary emphysema
K10plus-PPN:1913767779
Verknüpfungen:→ Zeitschrift

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