Incidence of Malnutrion Based On Body Mass Index And Subjective Global Assesment In Patients With Stable Chronic Obstructive Pulmonary Disease
DOI:
https://doi.org/10.51601/ijhp.v5i4.467Abstract
Background: Malnutrition is a serious problem in patients with COPD, it interferes with normal skeletal muscle function, with reduced muscle mass and decreased respiratory muscle strength and endurance. The purpose of the study was to determine the incidence of malnutrition based on BMI and SGA in patients with stable chronic obstructive pulmonary disease at the Prof. Dr. Chairuddin P. Lubis Medan Teaching Hospital. Method: The research design is an observational analytic, from November 2023 to March 2024. The study population was COPD patients who sought treatment at the Pulmonary Polyclinic at RSCPL with a total sample using the consecutive sampling method of 91 people Assessment of BMI by measuring TB and BW of patients when they came and assessment of SGA with a questionnaire Data processing using SPSS using descriptive statistics by displaying the IMT and SGA frequency distribution tables. Result: The results of this study found that most patients were categorized as underweight, namely 28 patients (30.8%). The majority of SGA classification as underweight/moderate nutrition "SGA B", namely 50 patients or (54.9%). Conclusion: We found that the Subjective Global Assessment (SGA) questionnaire is very influential in detecting patients with COPD who are malnourished to reduce respiratory muscle decline, and relapse of exacerbations.
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Agarwal AK, Raja A, Brown BD. Chronic Obstructive Pulmonary Disease. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Agustí A, Celli BR, Criner GJ, Halpin D, Anzueto A, Barnes P, Bourbeau J, Han MK, Martinez FJ, Montes de Oca M, & Mortimer K. (2023). Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. American Journal of Respiratory and Critical Care Medicine, 207(7), 819–837. DOI: 10.1164/rccm.202301-0106PP
Baker JP, Detsky AS, Wesson DE, et al: Nutritional assessment: a comparison of clinical judgement and objective measurements. N Engl J Med 1982,306(16):969-972.
Barnes PJ. Inflammatory mechanisms in patients with chronic obstructive pulmonary disease. J Allergy Clin Immunol. 2016;138(1):16-27. doi:10.1016/j.jaci.2016.05.011
Chen, R., Xing, L., You, C., & Ou, X. (2018). Prediction of prognosis in chronic obstructive pulmonary disease patients with respiratory failure: A comparison of three nutritional assessment methods. Eur J Intern Med, 57, 70–75. DOI: 10.1016/j.ejim.2018.06.006
Djais, J., Garna, H., & Meilyana, F. (2010). Status Gizi Berdasarkan Subjective Global Assessment Sebagai Faktor yang Mempengaruhi Lama Perawatan penderita Rawat Inap Anak. Sari Pediatri , 12(3).
Duerksen, D., Laporte, M., & Jeejeebhoy, K. (2021). Evaluation of Nutrition Status Using the Subjective Global Assessment: Malnutrition, Cachexia, and Sarcopenia. Nutrition in Clinical Practice, 36(5), 942–956. DOI: 10.1002/ncp.10613
Fajrinur. 2017. Buku Ajar Respirasi. Departemen Ilmu Pulmonologi dan Kedokteran Fakultas Kedokteran Universitas Sumatera Utara: Medan. P. 551-562
Gupta, B., Kant, S., & Mishra, R. (2010). Subjective global assessment of nutritional status of chronic obstructive pulmonary disease patients on admission. Int J Tuberc Lung Dis, 14(4), 500–555.
Hancu, A. (2019). Nutritional Status as a Risk Factor in COPD. Maedica (Buchar), 14(2), 140–143. DOI: 10.26574/maedica.2019.14.2.140
Ikatan Dokter Indonesia. 2017. Panduan Praktik Klinis Bagi Dokter di Fasilitas Pelayanan Kesehatan Primer. Edisi ke 1. Jakarta: Pengurus Besar Ikatan Dokter Indonesia.
Mete, B., Pehlivan, E., Gülbaş, G., & Günen H. (2018). Prevalence of malnutrition in COPD and its relationship with the parameters related to disease severity. Int J COPD, 13, 3307. DOI: 10.2147/COPD.S179609
Mosenifar Z. Chronic Obstructive Pulmonary Disease (COPD). Medscape. 2020. https://emedicine.medscape.com/article/297664-overview
Norman K, Kirchner H, Freudenreich M, Ockenga J, Lochs H, Pirlich M: Three month intervention with protein and energy rich supplements improve muscle function and quality of life in malnourished patients with non-neoplastic gastrointestinal disease—a randomized controlled trial. Clin Nutr 2008,27(1): 48-56.
Perhimpunan Dokter Paru Indonesia. (2016). Pedoman dan Penatalaksanaan Penyakit Paru Obstruktif Kronik di Indonesia.
Perhimpunan Dokter Paru Indonesia. (2021). Panduan Umum Praktik Klinis Penyakit Paru dan Pernafasan.
Permatasari, N., Saad, A., & Christianto, E. (2016). Gambaran Status Gizi Pada penderita Penyakit Paru Obstruktif Kronis (PPOK) yang Menjalani Rawat Jalan di RSUD Arifin Achmad Pekanbaru. 3(2), 1–23.
Putman RK, Hatabu H, Araki T, et al. Association Between Interstitial Lung Abnormalities and All-Cause Mortality. JAMA. 2016;315(7):672-681. doi:10.1001/jama.2016.0518
Rani, A., Simadibrata, M., & Syam, A. (2011). Buku Ajar Gastroenterologi. Interna Publishing.
Sehgal, I., Dhooria, S., & Agarwal, R. (2017). Chronic obstructive pulmonary disease and malnutrition in developing countries. Curr Opin Pulm Med. Curr Opin Pulm Med, 23(2), 139–148. DOI: 10.1097/MCP.0000000000000356
Theresia DKB et al. 2011. Studi Komparasi Metode Penilaian Status Gizi Indeks Massa Tubuh (IMT) dengan Subjective Global Assessment (SGA) penderita Rawat Inap di Rumah Sakit Wahidin Sudirohusodo Makassar. Media Gizi Pangan Vol.XI Edisi 1: 7 – 9.
Tramontano, A., & Palange, P. (2023). Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance. Nutrients, 15(7), 1786. DOI: 10.3390/nu15071786
Rani A, Simadibrata M, Syam AF, 2011. Buku Ajar Gastroenterologi. Edisi 1, Jakarta : Interna Publishing. Hal 179 – 182.
Ulubay, G., Gorek, A., & Ulasli, S. (2006). Relationship Among Subjective Global Assessment, Pulmonary Function, And Gas Exchange In Patients With COPD. Turkish Thoracic Journal, 8(1).
World health organization. (2016). Chronic respiratory disease. Http:// Www.Who.Int/Respiratory/Copd/Burden/En.
Wu, Z., Yang, D., Ge, Z., Yan, M., Wu, N., & Liu, Y. (2018). Body mass index of patients with chronic obstructive pulmonary disease is associated with pulmonary function and exacerbations: a retrospective real world research. J Thorac Dis, 10(8), 5086–5099. DOI: 10.21037/jtd.2018.08.67
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Copyright (c) 2025 Muhammad Bayhaqi Dalimunthe, Andika Pradana, Amira Permatasari Tarigan, Rina Amelia
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