PREVALENCE OF MALNUTRITION AND SARCOPENIA AMONG PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN OUTPATIENT DEPARTMENT AT BINH THANH DISTRICT HOSPITAL

Quốc Cường Trần1,, Ngọc Quỳnh Thư Lê , Phan Yến Ngọc Trần, Thị Kim Thoa Đoàn, Mỹ Duyên Lý, Ngọc Mai Anh Đỗ
1 Trường Đại học Y khoa Phạm Ngọc Thạch

Main Article Content

Abstract

Aims: This study aimed to determine the prevalence of malnutrition and sarcopenia in chronic obstructive pulmonary disease (COPD) patients receiving outpatient treatment at Binh Thanh District Hospital.


Methods: A cross-sectional study was conducted on 168 COPD patients aged 60 years and older. The subjects were measured their weight, height, hand grip strength, and skeletal muscle mass index, gait speed over a distance of 4 meters. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia 2014 criteria in which the patient had at least 1 of 2 criteria for decreased muscle strength (reduced hand grip strength or decreased gait speed) combined with decreased muscle mass.


Results: The prevalence of malnutrition (BMI<18.5kg/m2 and sarcopenia was 23.8 and 35.7%, respectively. The prevalence was not significantly different  between two genders.


Conclusion: The malnutrition and sarcopenia are common problems in COPD patients and require strategies for prevention in COPD outpatients.

Article Details

References

1. Christenson SA, Smith BM, Bafadhel M, Putcha N. Chronic obstructive pulmonary disease. Lancet. 2022;399(10342):2227-2242.
2. World Health Organization (2023)Bệnh phổi tắc nghẽn mạn tính ở Việt Nam, https://www.who.int/vietnam/vi/health-topics/chronic-obstructive-pulmonary-disease-copd, Access on 10 Febuary 2023.
3. Chatila WM, Thomashow BM, Minai OA, Criner GJ, Make BJ. Comorbidities in chronic obstructive pulmonary disease. Proc Am Thorac Soc. 2008;5(4):549-55.
4. Benz E, Trajanoska K, Lahousse L, Schoufour JD, Terzikhan N, De Roos E, de Jonge GB, Williams R, Franco OH, Brusselle G, Rivadeneira F. Sarcopenia in COPD: a systematic review and meta-analysis. Eur Respir Rev. 2019;28(154):190049.
5. Yuan S, Larsson SC. Epidemiology of sarcopenia: Prevalence, risk factors, and consequences. Metabolism. 2023;144:155533.
6. Munhoz da Rocha Lemos Costa T, Costa FM, Jonasson TH, Moreira CA, Boguszewski CL, Borba VZC. Body composition and sarcopenia in patients with chronic obstructive pulmonary disease. Endocrine. 2018;60(1):95-102.
7. Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, Chou MY, Chen LY, Hsu PS, Krairit O, Lee JS, Lee WJ, Lee Y, Liang CK, Limpawattana P, Lin CS, Peng LN, Satake S, Suzuki T, Won CW, Wu CH, Wu SN, Zhang T, Zeng P, Akishita M, Arai H. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc. 2014;15(2):95-101.
8. Van Minh H, Giang KB, Ngoc NB, Hai PT, Huyen DT, Khue LN, Lam NT, Nga PT, Quan NT, Xuyen NT. Prevalence of tobacco smoking in Vietnam: findings from the Global Adult Tobacco Survey 2015. Int J Public Health. 2017;62(Suppl 1):121-129.
9. Limpawattana P, Inthasuwan P, Putraveephong S, Boonsawat W, Theerakulpisut D, Sawanyawisuth K. Sarcopenia in chronic obstructive pulmonary disease: A study of prevalence and associated factors in the Southeast Asian population. Chron Respir Dis. 2018;15(3):250-257.
10. Byun MK, Cho EN, Chang J, Ahn CM, Kim HJ. Sarcopenia correlates with systemic inflammation in COPD. Int J Chron Obstruct Pulmon Dis. 2017 ;12:669-675.
11. Vietnam Ministry of Health. Vietnam National Survey on the Risk Factors of NCDs (STEPS) 2015 Report. Hanoi, Vietnam: Vietnam Ministry of Health; 2016. http://www.who.int/ncds/surveillance/steps/VietNam_2015_STEPS_Report.pdf. Accessed November 1, 2018.
12. Lê Thị Ngọc Trân, Hoàng Hà. Thực trạng dinh dưỡng và một số yếu tố liên quan của người cao tuổi đến khám bệnh tại Bệnh viện Đa khoa tỉnh Bình Dương năm 2019. Sở Khoa học Công nghệ Tỉnh Bình Dương. 2019.
13. Lian J, Pan DZ, An XQ, et al. Changes in body composition and associated factors for sarcopenia in patients with chronic obstructive pulmonary disease. Chinese General Practice 2017; 20: 3504–3508.
14. Tasar PT, Sahin S, Karaman E, et al. Prevalence and risk factors of sarcopenia in elderly nursing home residents. Eur Geriatr Med 2015; 6: 214–219.