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Enfermería Global

On-line version ISSN 1695-6141

Abstract

FABRELLAS, Núria et al. Nutritional status in people with chronic heart failure and / or chronic obstructive pulmonary disease. Impact on quality of life and on exacerbations. Enferm. glob. [online]. 2019, vol.18, n.53, pp.66-85.  Epub Oct 14, 2019. ISSN 1695-6141.  http://dx.doi.org/10.6018/eglobal.18.1.304351.

Targets:

To know the nutritional status in patients with heart failure (HF) and with chronic obstructive pulmonary disease (COPD), cared in a Barcelona’s primary health center and to describe the clinical and socio-demographic characteristics which may be related with the nutritional status.

Method:

A transversal descriptive study was performed during de year 2014. In nursing visits the following variables were collected: in HF patients, levels of functionality based in NYHA scale, in COPD patients, dyspnea grade based in BMRC scale. In both cases the body mass index (BMI) was determined; MNA scale is used, and also the physical activity and quality of life is evaluated by the EQ-5D scale.

Results:

Of the 192 participants, 59, 4% were men and had a mean age of 77, 64 years (ds10, 12. Of the studied diseases, 40, 1% were HF, 45, 8% COPD and 14, 1% both diseases). The risk of malnutrition was 11, 4% in COPD patients, 16, and 9% in people with HF and 33, 3% in both HF and COPD patients. (P 0,028)

With the logistic regression with the other variables, the only associated factor was gender, having men an OR 3 (1,008-8, 95)

Conclusions:

The nutritional status gets worse in people with both pathologies in concomitantly way.

Gender plays a crucial role in malnutrition or risk of the disease.

Keywords : pulmonary disease; Chronic Obstructive; Heart Failure; Nutritional Status; Quality of life; Recurrence.

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