ESPEN 2013 - Late breaking abstract submission

Late Breaking Abstract

ESPEN13-1843

NUTRITIONAL STATUS AND BODY COMPOSITION IN CHRONIC CARDIOPULMONARY DISEASE

N. Cebron Lipovec ^1,*K. Cvan Trobec ¹T. Kosten ¹M. Lainscak ²

¹University Clinic Golnik, ²Division of Cardiology, University Clinic Golnik, Golnik, Slovenia

Rationale: Poor nutritional status and body wasting is frequent in chronic disease. We aimed to assess the difference in body mass index (BMI), body composition and nutritional status in patients with chronic obstructive pulmonary disease (COPD) and patients with chronic heart failure (CHF).

Methods: We included 36 COPD patients (66 ± 8 years, 72% men) and 48 CHF patients (72 ± 9 years, 58% men). Nutritional status was assessed with the Mini Nutritional Assessment (MNA®) test and body composition was evaluated with dual-energy X-ray absorptiometry (DEXA).

Results: The MNA score was comparable between the COPD and CHF group (25.3±3.0 vs. 25.1±2.3) and showed no difference by gender. Malnutrition or risk of malnutrition was detected in 22 and 20% of patients, respectively. No difference was observed in nutritional status or body composition between groups. When stratified by gender, female CHF patients had non-significantly higher BMI (29.8 vs. 25.9; p=0.182), fat mass index (FMI, 12.9 vs. 9.48, p = 0.146) and fat free mass index (FFMI, 17.8 vs. 16.3; p= 0,145). There was no difference in the percentage of fat mass (37.4 vs 34.4, p=0.42) or percentage of lean mass (59.4 vs. 63.0; p=0.33). In male population, CHF patients showed significantly higher BMI (29.4 vs. 24.6; p= p<0.001), FMI (8.8 vs. 6.9; p= 0.036) and FFMI (20.1 vs. 17.7; p<0.001) compared to COPD patients. The percentage of fat mass (29.6 vs. 26.9, p=0.165) and percentage of lean mass (67.3 vs. 70.0; p=0.138) was non-significantly higher.

MNA scores showed no significant correlation with BMI, FFMI and lean body mass irrespective of patient's nutritional status. Also no correlation was found with indices of body fat.

Conclusion: Patients with COPD and patients with CHF have comparable nutritional status and body composition. No significant correlation or difference in MNA and indices of body composition was observed in malnourished patients or patients at risk of malnutrition.

Disclosure of Interest: None Declared

Keywords: Nutritional status, body composition, chronic disease