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Resumo(s)
This study explored the relationship of dietary patterns with body composition and symptoms in patients with COPD. Data collection included: dietary pattern – n. meals/day; period of the day of highest food intake (morning [6 AM–12 PM], afternoon [12–18 PM], and evening [18 PM–6 AM]); the time interval between meals (3-4h, 5-6h, 9-10h), and daily energy and nutrient intake using a semiquantitative food frequency questionnaire (last 12 months); body composition – body mass index (BMI), % fat mass (%FM), % fat-free mass (%FFM), % total muscle mass (%MM), fat-free mass index (FFMI) and visceral fat index (VAT) (SECA mBCA 525); symptoms – dyspnoea (modified Medical Research Council Dyspnea Scale, mMRC), fatigue (Checklist of Individual Strength, CIS20-P total score), impact of COPD (COPD Assessment Test, CAT). Pearson’s (r) or Spearman’s (ρ) correlations were conducted. 18 patients participated (16 males, 68±7 years old, FEV1 43±20% predicted, BMI 25±5kg/m2, FFMI 18±3kg/m2). Most participants reported having 3-4 meals/day (n=14, 78%) with a 3-4-hour interval (n=15, 83%). Moderate correlations were found between %FM and carbohydrates (ρ=-.501) and between FFMI and monosaturated fat (r=.476) (p<.05). Moderate correlations were also found between: mMRC, CAT, and CIS20-P with proteins, saturated fat, zinc, and phosphorus (.469≤ρ≤.634, p<.05); CAT and CIS20-P with calories and carbohydrates (.497≤ρ≤.551, p<.05); and CIS20-P and mMRC with sodium and calcium (.517≤ρ≤.551, p<.05). mMRC was also correlated with vitamin B12 (ρ=.506, p<.05). No other significant correlations were observed (p>.05). Energy and nutrient intake are related to COPD symptoms and body composition. The nature of these relationships should be explored.
Descrição
Palavras-chave
COPD Disease management Systemic effect Personalized medicine
Contexto Educativo
Citação
Novo T, Flora S, Lages M, Hipólito N, Cebola M, Guarino MP, et al. Relationship of dietary pattern with body composition and symptoms in patients with COPD. In: ERS International Congress 2022, Barcelona (Spain), September 4-6, 2022. Eur Respir J. 2022;60(Suppl):2103.
Editora
European Respiratory Society