Nutritional status and lung function in patients with emphysema and chronic bronchitis.

Abstract:

:This study compared the nutritional status of patients with emphysema and chronic bronchitis and examined the relationship between lung dysfunction and nutritional depletion in patients with emphysema. There was no evidence of nutritional depletion in patients with chronic bronchitis (n = 4). In contrast, patients with emphysema (n = 14) were somatically depleted. They exhibited lower values for percent ideal body weight (%IBW), arm muscle circumference (AMC), and triceps skin fold thickness (TSF) (p less than 0.05) than did patients with chronic bronchitis. The creatinine height index (CHI) was also lower in this group, but the difference was not significant (p = 0.08). In patients with emphysema, there was a good correlation between the degree of airflow obstruction and of somatic depletion (FEV1 vs %IBW, r = 0.699, p less than 0.001). The single-breath diffusing capacity (DCO) also correlated well with %IBW (r = 0.6052, p less than 0.019). These results confirm that patients with emphysema are frequently nutritionally depleted and suggest that nutritional depletion contributes to lung dysfunction in emphysema.

journal_name

Chest

journal_title

Chest

authors

Openbrier DR,Irwin MM,Rogers RM,Gottlieb GP,Dauber JH,Van Thiel DH,Pennock BE

doi

10.1378/chest.83.1.17

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

17-22

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)40778-6

journal_volume

83

pub_type

杂志文章

相关文献

CHEST文献大全
  • Short- and long-term hemodynamic effects of captopril in patients with pulmonary hypertension and selected connective tissue disease.

    abstract::To assess the pulmonary and systemic hemodynamic effects of oral captopril in patients with connective tissue disease and pulmonary hypertension, we performed right heart catheterization in eight patients with diffuse systemic sclerosis, the CREST syndrome, or mixed connective tissue diseases prior to and immediately ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.5.1407

    authors: Alpert MA,Pressly TA,Mukerji V,Lambert CR,Mukerji B

    更新日期:1992-11-01 00:00:00

  • Accuracy of Several Lung Ultrasound Methods for the Diagnosis of Acute Heart Failure in the ED: A Multicenter Prospective Study.

    abstract:BACKGROUND:Early appropriate diagnosis of acute heart failure (AHF) is recommended by international guidelines. This study assessed the value of several lung ultrasound (LUS) strategies for identifying AHF in the ED. METHODS:This prospective study, conducted in four EDs, included patients with diagnostic uncertainty b...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chest.2019.07.017

    authors: Buessler A,Chouihed T,Duarte K,Bassand A,Huot-Marchand M,Gottwalles Y,Pénine A,André E,Nace L,Jaeger D,Kobayashi M,Coiro S,Rossignol P,Girerd N

    更新日期:2020-01-01 00:00:00

  • Cost-benefit analysis of a simulated institution-based preoperative smoking cessation intervention in patients undergoing total hip and knee arthroplasties in France.

    abstract:BACKGROUND:The literature on preoperative smoking cessation indicates that smoking patients are more likely to have postoperative complications. However, the economic implications of such complications are unclear. In particular, the balance between the cost of a preoperative intervention for smoking cessation (PISC) a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0897

    authors: Hejblum G,Atsou K,Dautzenberg B,Chouaid C

    更新日期:2009-02-01 00:00:00

  • Noninvasive positive pressure ventilation: successful outcome in patients with acute lung injury/ARDS.

    abstract:BACKGROUND:There is increasing support for the use of noninvasive positive pressure ventilation (NPPV) in the treatment of patients with acute respiratory failure. Highest success rates are recorded in patients with exacerbation of COPD, particularly in patients presenting primarily with hypercarbic respiratory failure...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.1.173

    authors: Rocker GM,Mackenzie MG,Williams B,Logan PM

    更新日期:1999-01-01 00:00:00

  • Effect of filtration and concentration on the composition of bronchoalveolar lavage fluid.

    abstract::The effects of filtration and concentration on the cellular and protein composition of bronchoalveolar lavage fluids were examined in ten normal subjects and 11 patients with asthma. Filtration of lavage fluid preferentially removed bronchial epithelial cells, resulting in a relative increase in the proportion of alve...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.87.6.740

    authors: Lam S,LeRiche JC,Kijek K

    更新日期:1985-06-01 00:00:00

  • Effect of CPAP on Cognition, Brain Function, and Structure Among Elderly Patients With OSA: A Randomized Pilot Study.

    abstract:BACKGROUND:Despite the increasing aging population and the high prevalence of OSA in elderly adults, little is known about cognitive effects of OSA and the effectiveness of CPAP treatment. Therefore, this study investigated whether elderly patients with OSA present cognitive deficits and functional and structural alter...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.15-0171

    authors: Dalmases M,Solé-Padullés C,Torres M,Embid C,Nuñez MD,Martínez-Garcia MÁ,Farré R,Bargalló N,Bartrés-Faz D,Montserrat JM

    更新日期:2015-11-01 00:00:00

  • Gas exchange and pulmonary hemodynamics during lung resection in patients at increased risk: relationship with preoperative exercise testing.

    abstract:STUDY OBJECTIVES:To evaluate the intraoperative evolution of patients with COPD during lung resection and to test whether exercise testing could be helpful in the prediction of the intraoperative course. DESIGN:Prospective study. SETTING:University teaching hospital. PATIENTS:Forty patients (mean [+/- SD] age, 65 +/...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.3.852

    authors: Ribas J,Jiménez MJ,Barberà JA,Roca J,Gomar C,Canalís E,Rodriguez-Roisin R

    更新日期:2001-09-01 00:00:00

  • Endotoxemia in human septic shock.

    abstract::To evaluate the incidence, pattern and clinical importance of endotoxemia in septic shock, frequent, serial endotoxin determinations were made prospectively in patients with shock. Detectable endotoxin occurred in 43 of 100 patients with septic shock, but in only one of ten patients with shock due to nonseptic causes....

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.1.169

    authors: Danner RL,Elin RJ,Hosseini JM,Wesley RA,Reilly JM,Parillo JE

    更新日期:1991-01-01 00:00:00

  • Critical care rationing: international comparisons.

    abstract::Every country has finite resources that are expended to provide citizens with social "goods," including education, protection, infrastructure, and health care. Rationing-of any resource-refers to distribution of an allotted amount and may involve withholding some goods that would benefit some citizens. Health-care rat...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.11-0957

    authors: Evans TW,Nava S,Mata GV,Guidet B,Estenssoro E,Fowler R,Scheunemann LP,White D,Manthous CA

    更新日期:2011-12-01 00:00:00

  • Effects of the dual endothelin receptor antagonist bosentan in patients with pulmonary arterial hypertension: a 1-year follow-up study.

    abstract:STUDY OBJECTIVES:We report on the long-term safety and efficacy of bosentan treatment in patients with pulmonary arterial hypertension (PAH). BACKGROUND:In a preceding study, bosentan was well tolerated and significantly improved the exercise capacity and hemodynamics of patients with PAH after 12 weeks of treatment. ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.124.1.247

    authors: Sitbon O,Badesch DB,Channick RN,Frost A,Robbins IM,Simonneau G,Tapson VF,Rubin LJ

    更新日期:2003-07-01 00:00:00

  • Rapid diagnosis of primary influenza pneumonia.

    abstract::Primary influenza pneumonia is a disease of high mortality. Differentiation between a bacterial and viral etiology for the pulmonary infiltrates frequently presents a diagnostic dilemma. Rapid diagnosis is essential; and once established, the patient requires careful supportive therapy. This report describes two patie...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.68.4.513

    authors: Bogart DB,Liu C,Ruth WE,Kerby GR,Williams CH

    更新日期:1975-10-01 00:00:00

  • Serial studies of pulmonary function in continuous ambulatory peritoneal dialysis. A prospective study.

    abstract::Continuous ambulatory peritoneal dialysis (CAPD) produces a nearly continuous state of iatrogenic ascites which may interfere with respiratory excursions of the diaphragm and compromise ventilatory function. Sitting and supine studies of pulmonary function and arterial blood gas analyses done serially in 13 patients u...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.6.874

    authors: Singh S,Dale A,Morgan B,Sahebjami H

    更新日期:1984-12-01 00:00:00

  • Palliation of massive hemoptysis from unresectable carcinoma of the lung.

    abstract::Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.76.2.234

    authors: Hargrove WC 3rd,Harken AH

    更新日期:1979-08-01 00:00:00

  • Occult pulmonary abnormalities in asymptomatic asthmatic children.

    abstract::The pulmonary status of 178 asymptomatic asthmatic children with normal time-volume spirograms was further evaluated using flow-volume loops, body plethysmographic studies, and blood gas tensions in arterialized capillary blood. Residual volume (RV) was abnormal in 26%, total lung capacity (TLC) in 33%, RV/TLC% in 41%...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.3.361

    authors: Cooper DM,Cutz E,Levison H

    更新日期:1977-03-01 00:00:00

  • The clinical profile of unresolved pulmonary embolism.

    abstract::Nearly all patients with pulmonary embolism (PE) have complete clinical and hemodynamic and at least near complete roentgenographic and angiographic resolution within four to six weeks of the acute event. To classify the syndrome of unresolved pulmonary embolism we reviewed our experience and that of the English liter...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.84.6.669

    authors: Benotti JR,Ockene IS,Alpert JS,Dalen JE

    更新日期:1983-12-01 00:00:00

  • Diagnostic utility of ventilation/perfusion lung scans in acute pulmonary embolism is not diminished by pre-existing cardiac or pulmonary disease.

    abstract::The purpose of this study was to assess the impact of prior cardiac or pulmonary disease upon the utility of ventilation/perfusion (V/Q) scans in the diagnosis of acute pulmonary embolism (PE). Ventilation/perfusion scans were evaluated among 365 patients with no prior cardiac or pulmonary disease and compared to V/Q ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.3.604

    authors: Stein PD,Coleman RE,Gottschalk A,Saltzman HA,Terrin ML,Weg JG

    更新日期:1991-09-01 00:00:00

  • Perioperative risk factors for anastomotic leakage after esophagectomy: influence of thoracic epidural analgesia.

    abstract:STUDY OBJECTIVES:Anastomotic leakage after esophagectomy is associated with high postoperative morbidity and mortality. The most important predisposing factors for anastomotic leaks are ischemia of the gastric conduit and low blood oxygen content. The aim of this study was to evaluate the influence of thoracic epidural...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3461

    authors: Michelet P,D'Journo XB,Roch A,Papazian L,Ragni J,Thomas P,Auffray JP

    更新日期:2005-11-01 00:00:00

  • Mask proportional assist vs pressure support ventilation in patients in clinically stable condition with chronic ventilatory failure.

    abstract:OBJECTIVE:To compare the short-term physiologic effects of mask pressure support ventilation (PSV) and proportional assist ventilation (PAV) in patients in clinically stable condition with chronic ventilatory failure (CVF). DESIGN:Randomized, controlled physiologic study. SETTING:Lung function units of two pulmonary ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.122.2.479

    authors: Porta R,Appendini L,Vitacca M,Bianchi L,Donner CF,Poggi R,Ambrosino N

    更新日期:2002-08-01 00:00:00

  • Research bronchoscopies do not adversely affect HIV-infected individuals' future health-care decisions.

    abstract:STUDY OBJECTIVES:Asymptomatic HIV-infected individuals are increasingly recruited for studies involving invasive procedures such as bronchoscopy. We sought to determine the response to and outcome of a request for a research bronchoscopy in HIV-positive individuals with no respiratory disease, and whether this would ad...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.1.284

    authors: Lipman MC,Stobbs D,Madge S,Miller R,Johnson MA

    更新日期:1998-07-01 00:00:00

  • Safety and Costs of Endobronchial Ultrasound-Guided Nodal Aspiration and Mediastinoscopy.

    abstract:BACKGROUND:There remains debate over the best invasive diagnostic modality for mediastinal nodal evaluation. Prior studies have limited generalizability and insufficient power to detect differences in rare adverse events. We compared the risks and costs of endobronchial ultrasound (EBUS)-guided nodal aspiration and med...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.09.021

    authors: Verdial FC,Berfield KS,Wood DE,Mulligan MS,Roth JA,Francis DO,Farjah F

    更新日期:2020-03-01 00:00:00

  • Pleural effusion in Churg-Strauss syndrome.

    abstract::A 33-year-old man with a two-year history of asthma and sinusitis presented with wheezing, pleuritis, bilateral pleural effusions, and patchy basilar infiltrates on chest roentgenogram. Laboratory studies revealed peripheral blood eosinophilia, and pulmonary function studies showed an obstructive pattern which was bro...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.6.1357

    authors: Erzurum SC,Underwood GA,Hamilos DL,Waldron JA

    更新日期:1989-06-01 00:00:00

  • Pulmonary hyperinflation following Nd-YAG laser resection of an obstructing mainstem tumor.

    abstract::Nd-YAG laser resection of a completely obstructing right mainstem tumor in a 36-year-old man was complicated by right lung hyperinflation and left lung collapse and accompanying ventilatory failure. This was attributed to obstruction of the right mainstem bronchus during exhalation, but not inhalation, in a patent but...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1302

    authors: Fairfax WR,Rollins RJ

    更新日期:1988-06-01 00:00:00

  • Diaphragmatic excursion after pleural sclerosis.

    abstract::Chemical sclerosis of the pleural space is used to prevent recurrence of spontaneous pneumothorax. To test whether sclerosis restricts diaphragmatic excursion, we measured diaphragmatic excursion by ultrasonography in subjects with unilateral pleural sclerosis and compared it with diaphragmatic excursions in normal su...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.2.374

    authors: Loring SH,Kurachek SC,Wohl ME

    更新日期:1989-02-01 00:00:00

  • Role for interleukin-6 in COPD-related pulmonary hypertension.

    abstract:BACKGROUND:Pulmonary artery remodeling triggered by alveolar hypoxia is considered the main mechanism of pulmonary hypertension (PH) in COPD patients. We hypothesized that the risk for PH in COPD is increased by an elevation in the proinflammatory cytokines interleukin (IL)-6, monocyte chemoattractant protein-1 (MCP-1)...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2420

    authors: Chaouat A,Savale L,Chouaid C,Tu L,Sztrymf B,Canuet M,Maitre B,Housset B,Brandt C,Le Corvoisier P,Weitzenblum E,Eddahibi S,Adnot S

    更新日期:2009-09-01 00:00:00

  • Diagnostic value of interferon-gamma in tuberculous pleurisy: a metaanalysis.

    abstract:BACKGROUND:Conventional tests are not always helpful in making a diagnosis of tuberculous pleurisy. Many studies have investigated the usefulness of interferon (IFN)-gamma measurements in pleural fluid for the early diagnosis of tuberculous pleurisy. We conducted a metaanalysis to determine the accuracy of IFN-gamma me...

    journal_title:Chest

    pub_type: 杂志文章,meta分析,评审

    doi:10.1378/chest.06-2273

    authors: Jiang J,Shi HZ,Liang QL,Qin SM,Qin XJ

    更新日期:2007-04-01 00:00:00

  • Noninvasive evaluation of instantaneous total mechanical activity of the respiratory muscles during pressure support ventilation.

    abstract:OBJECTIVE:The measurement of esophageal pressure (Pes) is the conventional method for the evaluation of the forces applied to the respiratory system by the respiratory muscles. As an alternative to Pes measurement, we propose the calculation of the instantaneous net pressure applied by the respiratory muscles [Pmusc(t)...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.108.1.208

    authors: Iotti GA,Braschi A,Brunner JX,Palo A,Olivei MC

    更新日期:1995-07-01 00:00:00

  • Ultrasound accurately reflects the jugular venous examination but underestimates central venous pressure.

    abstract:BACKGROUND:Bedside ultrasound examination could be used to assess jugular venous pressure (JVP), and thus central venous pressure (CVP), more reliably than clinical examination. METHODS:The study was a prospective, blinded evaluation comparing physical examination of external jugular venous pressure (JVPEXT), internal...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.10-1301

    authors: Deol GR,Collett N,Ashby A,Schmidt GA

    更新日期:2011-01-01 00:00:00

  • A practical algorithmic approach to the diagnosis and management of solitary pulmonary nodules: part 1: radiologic characteristics and imaging modalities.

    abstract::The solitary pulmonary nodule (SPN) is frequently encountered on chest imaging and poses an important diagnostic challenge to clinicians. The differential diagnosis is broad, ranging from benign granulomata and infectious processes to malignancy. Important concepts in the evaluation of SPNs include the definition, mor...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.12-0960

    authors: Patel VK,Naik SK,Naidich DP,Travis WD,Weingarten JA,Lazzaro R,Gutterman DD,Wentowski C,Grosu HB,Raoof S

    更新日期:2013-03-01 00:00:00

  • Impact of rapid on-site cytologic evaluation during transbronchial needle aspiration.

    abstract:STUDY OBJECTIVE:To determine the extent to which rapid on-site cytologic evaluation (ROSE) of transbronchial needle aspiration (TBNA) samples can safely and cost-effectively reduce the need for additional biopsy during bronchoscopy. SETTING:University Hospital in Long Island, NY. PATIENT AND METHODS:Forty-four bronch...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.2.869

    authors: Baram D,Garcia RB,Richman PS

    更新日期:2005-08-01 00:00:00

  • Congenital arteriovenous malformations between brachiocephalic arteries and systemic veins.

    abstract::Three patients under two years of age are described with unusual fistulas involving the brachiocephalic arteries and the innominate vein or the superior vena cava. Two patients were asymptomatic, and one newborn was cyanotic and in congestive failure. This unusual presentation has only rarely been reported in thoracic...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.5.897

    authors: Gutierrez FR,Monaco MP,Hartmann AF Jr,McKnight RC

    更新日期:1987-11-01 00:00:00