Pakistan journal of medical sciences · 2025
Nutritional risk screening and analysis of factors influencing nutritional risk in patients with stable chronic obstructive pulmonary disease.
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Cui Najuan, Cui Yongliang, Wu Qinghua, Wang Shaohua, Wang Wei
Аннотация
OBJECTIVE: To assess nutritional status and influencing factors in stable chronic obstructive pulmonary disease (COPD) patients.
METHODOLOGY: This retrospective study of 280 stable COPD patients from Beijing Hospital of Integrated Traditional Chinese and Western Medicine and the First Affiliated Hospital of Tsinghua University (June 2022 to June 2024). Collected data included demographics, body mass index (BMI), smoking history, lung function, nutritional risk, six-minute walk distance (6MWD) test, COPD Assessment Test (CAT) scores, and traditional Chinese medicine (TCM) syndrome patterns. Statistical analysis compared nutritionally normal (NN) and at-risk (NAR) groups.
RESULTS: Significant differences (p< 0.05) between NN and NAR groups included age, BMI, smoking history (active/passive), CAT scores, lung function, 6MWD, and TCM syndromes (spleen/kidney deficiency, qi/yin deficiency). Logistic regression identified key factors: sex, age, BMI, smoking (history/index), CAT/6MWD/lung function classifications, and TCM patterns (spleen/kidney involvement, qi/blood stasis).
CONCLUSION: Nutritional risk in stable COPD is significantly influenced by age, BMI, smoking, disease severity (CAT/lung function), physical capacity (6MWD), and TCM syndromes (deficiency/stasis patterns). These factors should guide nutritional interventions.
METHODOLOGY: This retrospective study of 280 stable COPD patients from Beijing Hospital of Integrated Traditional Chinese and Western Medicine and the First Affiliated Hospital of Tsinghua University (June 2022 to June 2024). Collected data included demographics, body mass index (BMI), smoking history, lung function, nutritional risk, six-minute walk distance (6MWD) test, COPD Assessment Test (CAT) scores, and traditional Chinese medicine (TCM) syndrome patterns. Statistical analysis compared nutritionally normal (NN) and at-risk (NAR) groups.
RESULTS: Significant differences (p< 0.05) between NN and NAR groups included age, BMI, smoking history (active/passive), CAT scores, lung function, 6MWD, and TCM syndromes (spleen/kidney deficiency, qi/yin deficiency). Logistic regression identified key factors: sex, age, BMI, smoking (history/index), CAT/6MWD/lung function classifications, and TCM patterns (spleen/kidney involvement, qi/blood stasis).
CONCLUSION: Nutritional risk in stable COPD is significantly influenced by age, BMI, smoking, disease severity (CAT/lung function), physical capacity (6MWD), and TCM syndromes (deficiency/stasis patterns). These factors should guide nutritional interventions.