Prevalence of, and risk factors for underweight or excess weight in patients with chronic obstructive emphysema from a multiethnic region of Xinjiang, China

Expert Rev Respir Med. 2020 Aug;14(8):851-858. doi: 10.1080/17476348.2020.1762491. Epub 2020 May 13.

Abstract

Background: The purpose of this study is to assess the basic nutritional status (body metabolic index, BMI) and its risk factors in the patients suffering from chronic obstructive emphysema.

Methods: We described their demographic characteristics and comorbidity distribution of 2812 obstructive emphysema participants. Comparative analyzes were conducted on BMI with different demographic characteristics and comorbidities status, and comprehensive analysis on risk factors of excess weight and underweight in patients with different characters.

Results: The prevalence of underweight and excess weight was 17.57% and 31.54% respectively. There were differences in the distribution of three types of body mass index among patients with different demographic characteristics and different comorbidities. The study found that age of 50 ~ 64 (odds ratio, OR: 2.99), tuberculosis (OR: 2.41), and low TG (OR: 2.32) were the risk factors about underweight. Low HDL-C (OR: 4.15), nonalcoholic fatter liver (NAFLD) (OR: 3.96), and age of 50 ~ 64 (OR: 2.72) were closely related to the excess weight of participants.

Conclusions: This study highlighted the prevalence of underweight and excess weight in patients among emphysema. Comorbidities were important risk factors of underweight or excess weight among chronic emphysema patients. These findings were important for the prevention and treatment of chronic obstructive emphysema in the future.

Keywords: BMI; Underweight; comorbidities; emphysema; excess weight.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • China / epidemiology
  • Comorbidity
  • Female
  • Humans
  • Lung Diseases, Obstructive / complications
  • Male
  • Middle Aged
  • Overweight / epidemiology*
  • Overweight / etiology
  • Prevalence
  • Pulmonary Emphysema / complications*
  • Risk Factors
  • Thinness / epidemiology*
  • Thinness / etiology