prikaz prve stranice dokumenta Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease
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doctoral thesis
Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease
Zagreb: University of Zagreb, School of Medicine, 2018. urn:nbn:hr:105:353356
Matković, Zinka
University of Zagreb
School of Medicine

Cite this document

Matković, Z. (2018). Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease (Doctoral thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:353356

Matković, Zinka. "Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease ." Doctoral thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:353356

Matković, Zinka. "Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease ." Doctoral thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:353356

Matković, Z. (2018). 'Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease ', Doctoral thesis, University of Zagreb, School of Medicine, accessed 10 June 2023, https://urn.nsk.hr/urn:nbn:hr:105:353356

Matković Z. Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease [Doctoral thesis]. Zagreb: University of Zagreb, School of Medicine; 2018 [cited 2023 June 10] Available at: https://urn.nsk.hr/urn:nbn:hr:105:353356

Z. Matković, "Evaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease ", Doctoral thesis, University of Zagreb, School of Medicine, Zagreb, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:105:353356

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Metadata
TitleEvaluation of nutritional status and physical performance in patients with chronic obstructive pulmonary disease
Title (croatian)Procjena nutritivnog statusa i fizičke sposobnosti bolesnika s kroničnom opstrukcijskom bolešću pluća
AuthorZinka Matković
MentorNeven Tudorić (mentor)
MentorMarc Miravitlles (komentor)
Committee membernije dostupno (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
Zagreb
Defense date and country2018-03-13, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Universal decimal classification
(UDC)		61 - Medical sciences
Abstract
Tjelesna neaktivnost i gubitak skeletne mišićne mase su česti u bolesnika s kroničnom opstrukcijskom bolešću pluća (KOPB). Cilj istraživanja je bio usporediti nutritivni status i tjelesni sastav u KOPB bolesnika sa smanjenom i normalnom fizičkom sposobnošću koja je procijenjena na tri različita načina – tjelesnom kondicijom na temelju 6-minutnog testa hoda, brzinom hoda mjerenom testom brzine hoda na 4 metra i tjelesnom aktivnošću izraženom prosječnim dnevnim brojem koraka. U populaciji od 111 bolesnika s umjereno teškim do vrlo teškim KOPB-om, bolesnici sa smanjenom fizičkom sposobnošću su bili stariji, imali lošiju plućnu funkciju, izraženije simptome, češće egzacerbacije, slabiju kvalitetu života i lošiji nutritivni status što se u prvom redu manifestiralo nižim vrijednostima parametara mišićno-koštane mase i nižim vrijednostima serumskih proteina. Nije bilo značajne razlike u indeksu tjelesne mase niti u parametrima koji se odnose na masno tkivo. Multivarijantnom analizom je utvrđeno da su starija dob, prethodne egzacerbacije, hiperinflacija pluća, smanjen difuzijski kapacitet pluća i viši stupanj zaduhe nezavisno i statistički značajno povezani sa smanjenom tjelesnom kondicijom. Jednako tako su starija dob, smanjen difuzijski kapacitet pluća i viši stupanj zaduhe bili nezavisno povezani sa smanjenom tjelesnom aktivnošću. Nijedan nutritivni parametar nije pokazao nezavisnu povezanost sa smanjenom fizičkom sposobnošću.
Abstract (croatian)
Physical inactivity and skeletal muscle mass wasting are frequent findings in patients with chronic obstructive pulmonary disease (COPD). The aim of the study was to compare nutritional status and body composition in COPD patients with poor and normal physical performance, which was assessed in three different ways – exercise capacity evaluated by the 6-minute walk test, gait speed measured by the 4-metre gait speed test and physical activity expressed as average daily step count. In the population of 111 patients with moderate to very severe COPD, those with poor physical performance were older, had worse lung function, higher symptom burden, more frequent exacerbations, worse health-related quality of life, and deficient nutritional status, which manifested dominantly with lower parameters of muscle/bone tissue and serum protein levels. There were no significant differences in the body-mass index and parameters related to fat tissue. In the multivariate analysis the variables that were independently and significantly associated with poor exercise capacity were older age, previous exacerbations, lung hyperinflation, reduced lung diffusion capacity and higher dyspnoea level. Likewise, older age, reduced lung diffusion capacity and dyspnoea level were independently associated with poor physical activity. However, none of the nutritional parameters were independently related to poor physical performance.
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:105:353356
Study programmeTitle: Biomedicine and Health Sciences
Study programme type: university
Study level: postgraduate
Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstva (doktor/doktorica znanosti, područje biomedicine i zdravstva)
Type of resourceText
Extent110 str.
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
RepositoryDr Med - University of Zagreb School of Medicine Digital Repository
Created on2023-05-05 08:11:24

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