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Body compositions phenotypes of older adults with COPD

cris.lastimport.scopus2025-10-23T06:55:14Z
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dc.abstract.enPurpose: Changes in nutritional status are important extrapulmonary manifestations of the chronic obstructive pulmonary disease (COPD). The study aimed to assess the prevalence of different body composition phenotypes in older patients with COPD and to investigate the relationship between these phenotypes and the severity of the disease, as well as physical performance of the subjects. Patients and methods: The study included 124 subjects aged ≥60 with COPD. In all of them body composition analysis and muscle strength measurement were performed. Additionally, data from patients’ medical records were analyzed. Study sample was divided into four groups based on the phenotypic body composition: normal phenotype (N), sarcopenia, obesity and sarcopenic obesity (SO). Results: Incidence of sarcopenia was significantly higher in patients with severe or very severe COPD based on GOLD in comparison with subjects with mild or moderate obstruction (p = 0.043). Participants with sarcopenia, obesity and SO had lower results of the 6-min walk test than subjects with N (225.77 m, 275.33 m, 350.67 m, 403.56 m, respectively). Moreover, sarcopenia and SO had lower results than obesity (p = 0.001, p = 0.041, respectively). Conclusion: Sarcopenia is common in patients with advanced COPD. Sarcopenia and SO are associated with poorer physical performance. All older people with COPD should routinely have their body composition assessed, instead of simply measuring of body weight or body mass index (BMI).
dc.affiliationWydział Nauk o Żywności i Żywieniu
dc.affiliation.instituteKatedra Żywienia Człowieka i Dietetyki
dc.contributor.authorKaluźniak-Szymanowska, Aleksandra
dc.contributor.authorTalarska, Dorota
dc.contributor.authorTobis, Sławomir
dc.contributor.authorStyszyński, Arkadiusz
dc.contributor.authorCofta, Szczepan
dc.contributor.authorWieczorowska-Tobis, Katarzyna
dc.contributor.authorDeskur-Śmielecka, Ewa
dc.date.access2025-04-30
dc.date.accessioned2025-08-12T11:43:14Z
dc.date.available2025-08-12T11:43:14Z
dc.date.copyright2024-10-07
dc.date.issued2024
dc.description.abstract<jats:sec><jats:title>Purpose</jats:title><jats:p>Changes in nutritional status are important extrapulmonary manifestations of the chronic obstructive pulmonary disease (COPD). The study aimed to assess the prevalence of different body composition phenotypes in older patients with COPD and to investigate the relationship between these phenotypes and the severity of the disease, as well as physical performance of the subjects.</jats:p></jats:sec><jats:sec><jats:title>Patients and methods</jats:title><jats:p>The study included 124 subjects aged ≥60 with COPD. In all of them body composition analysis and muscle strength measurement were performed. Additionally, data from patients’ medical records were analyzed. Study sample was divided into four groups based on the phenotypic body composition: normal phenotype (N), sarcopenia, obesity and sarcopenic obesity (SO).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Incidence of sarcopenia was significantly higher in patients with severe or very severe COPD based on GOLD in comparison with subjects with mild or moderate obstruction (<jats:italic>p</jats:italic> = 0.043). Participants with sarcopenia, obesity and SO had lower results of the 6-min walk test than subjects with <jats:italic>N</jats:italic> (225.77 m, 275.33 m, 350.67 m, 403.56 m, respectively). Moreover, sarcopenia and SO had lower results than obesity (<jats:italic>p</jats:italic> = 0.001, <jats:italic>p</jats:italic> = 0.041, respectively).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Sarcopenia is common in patients with advanced COPD. Sarcopenia and SO are associated with poorer physical performance. All older people with COPD should routinely have their body composition assessed, instead of simply measuring of body weight or body mass index (BMI).</jats:p></jats:sec>
dc.description.accesstimeat_publication
dc.description.bibliographyil., bibliogr.
dc.description.financepublication_nocost
dc.description.financecost0,00
dc.description.if5,1
dc.description.points70
dc.description.versionfinal_published
dc.description.volume11
dc.identifier.doi10.3389/fnut.2024.1449189
dc.identifier.issn2296-861X
dc.identifier.urihttps://sciencerep.up.poznan.pl/handle/item/4157
dc.identifier.weblinkhttps://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2024.1449189/full
dc.languageen
dc.relation.ispartofFrontiers in Nutrition
dc.relation.pagesart. 1449189
dc.rightsCC-BY
dc.sciencecloudsend
dc.share.typeOPEN_JOURNAL
dc.subject.enbody composition
dc.subject.enphenotypes
dc.subject.enCOPD
dc.subject.enolder adults
dc.subject.ensarcopenia
dc.subject.ensarcopenic obesity
dc.subject.enobesity
dc.titleBody compositions phenotypes of older adults with COPD
dc.typeJournalArticle
dspace.entity.typePublication
oaire.citation.volume11