Dietary intake of elderly outpatients with chronic obstructive pulmonary disease

Alice Laudisio, Luisa Costanzo, Claudia Di Gioia, Anna Sofia Delussu, Marco Traballesi, Antonella Gemma, Raffaele Antonelli Incalzi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: Chronic obstructive pulmonary disease (COPD) is often associated with malnutrition, which is in turn associated with poor outcomes. Accordingly, in COPD patients adequate nutrition might improve several clinical and functional outcomes. Nevertheless, information about nutrient intake of older populations with COPD is still scanty. Materials and methods: We analysed data of 523 elderly attending a geriatric ambulatory. Of these, 165 had a diagnosis of COPD, while 358 were control participants, matched for demographic characteristics and free from respiratory diseases. COPD was diagnosed according to the global initiative for chronic obstructive lung disease (GOLD) criteria. The intake of micro and macronutrients was recorded using the European prospective investigation into cancer and nutrition (EPIC) questionnaire. Nutrient intake of COPD patients was compared with that of the control group and with recommended dietary allowances RDA. Results: COPD patients had a lower energy intake, as compared with control participants (29.4 vs 34.4 kcal/kg of ideal weight; P <.0001), due to reduced intake of carbohydrates and proteins. Accordingly, in the energy intake was lower than recommended in 52% of COPD patients, vs 30% of controls (P <.0001). The intake of calcium, potassium, folate, cholecalciferol, retinol, and thiamine was lower than RDA in over 75% of COPD patients. Conclusions: The diet of elderly COPD outpatients does not provide the recommended energy intake, nor does it meet the RDA for many micronutrients. Such deficits are more severe than in age matched non- respiratory subjects.

Original languageEnglish
Pages (from-to)75-81
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume64
DOIs
Publication statusPublished - May 1 2016

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Chronic Obstructive Pulmonary Disease
Outpatients
Disease
Energy Intake
energy
nutrition
Recommended Dietary Allowances
Food
Cholecalciferol
Micronutrients
Thiamine
Vitamin A
geriatrics
Folic Acid
Malnutrition
Geriatrics
Potassium
deficit
cancer
Carbohydrates

Keywords

  • Chronic obstructive pulmonary disease
  • Diet
  • Elderly
  • Epidemiology
  • Nutrition

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

Dietary intake of elderly outpatients with chronic obstructive pulmonary disease. / Laudisio, Alice; Costanzo, Luisa; Di Gioia, Claudia; Delussu, Anna Sofia; Traballesi, Marco; Gemma, Antonella; Antonelli Incalzi, Raffaele.

In: Archives of Gerontology and Geriatrics, Vol. 64, 01.05.2016, p. 75-81.

Research output: Contribution to journalArticle

Laudisio, Alice ; Costanzo, Luisa ; Di Gioia, Claudia ; Delussu, Anna Sofia ; Traballesi, Marco ; Gemma, Antonella ; Antonelli Incalzi, Raffaele. / Dietary intake of elderly outpatients with chronic obstructive pulmonary disease. In: Archives of Gerontology and Geriatrics. 2016 ; Vol. 64. pp. 75-81.
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N2 - Purpose: Chronic obstructive pulmonary disease (COPD) is often associated with malnutrition, which is in turn associated with poor outcomes. Accordingly, in COPD patients adequate nutrition might improve several clinical and functional outcomes. Nevertheless, information about nutrient intake of older populations with COPD is still scanty. Materials and methods: We analysed data of 523 elderly attending a geriatric ambulatory. Of these, 165 had a diagnosis of COPD, while 358 were control participants, matched for demographic characteristics and free from respiratory diseases. COPD was diagnosed according to the global initiative for chronic obstructive lung disease (GOLD) criteria. The intake of micro and macronutrients was recorded using the European prospective investigation into cancer and nutrition (EPIC) questionnaire. Nutrient intake of COPD patients was compared with that of the control group and with recommended dietary allowances RDA. Results: COPD patients had a lower energy intake, as compared with control participants (29.4 vs 34.4 kcal/kg of ideal weight; P <.0001), due to reduced intake of carbohydrates and proteins. Accordingly, in the energy intake was lower than recommended in 52% of COPD patients, vs 30% of controls (P <.0001). The intake of calcium, potassium, folate, cholecalciferol, retinol, and thiamine was lower than RDA in over 75% of COPD patients. Conclusions: The diet of elderly COPD outpatients does not provide the recommended energy intake, nor does it meet the RDA for many micronutrients. Such deficits are more severe than in age matched non- respiratory subjects.

AB - Purpose: Chronic obstructive pulmonary disease (COPD) is often associated with malnutrition, which is in turn associated with poor outcomes. Accordingly, in COPD patients adequate nutrition might improve several clinical and functional outcomes. Nevertheless, information about nutrient intake of older populations with COPD is still scanty. Materials and methods: We analysed data of 523 elderly attending a geriatric ambulatory. Of these, 165 had a diagnosis of COPD, while 358 were control participants, matched for demographic characteristics and free from respiratory diseases. COPD was diagnosed according to the global initiative for chronic obstructive lung disease (GOLD) criteria. The intake of micro and macronutrients was recorded using the European prospective investigation into cancer and nutrition (EPIC) questionnaire. Nutrient intake of COPD patients was compared with that of the control group and with recommended dietary allowances RDA. Results: COPD patients had a lower energy intake, as compared with control participants (29.4 vs 34.4 kcal/kg of ideal weight; P <.0001), due to reduced intake of carbohydrates and proteins. Accordingly, in the energy intake was lower than recommended in 52% of COPD patients, vs 30% of controls (P <.0001). The intake of calcium, potassium, folate, cholecalciferol, retinol, and thiamine was lower than RDA in over 75% of COPD patients. Conclusions: The diet of elderly COPD outpatients does not provide the recommended energy intake, nor does it meet the RDA for many micronutrients. Such deficits are more severe than in age matched non- respiratory subjects.

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