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Relación entre el índice de masa corporal y la frecuencia de exacerbaciones en pacientes con enfermedad pulmonar obstructiva crónica en Santa Marta, Colombia / Association between body mass index and exacerbation frequency in patients with chronic obstructive pulmonary disease from Santa Marta, Colombia

Pedrozo-Pupo, John Carlos; Celemín-Güete, Gabriel Jesús; Campo-Arias, Adalberto.
Univ. salud; 21(2): 127-131, mayo-ago. 2019.
Artigo em Espanhol | LILACS - Literatura Latino-Americana e do Caribe em Ciências da Saúde, COLNAL | ID: biblio-1004850
Abstract Introduction: Body mass index (BMI) is inversely related to the exacerbation frequency in patients with chronic obstructive pulmonary disease (COPD). However, this relationship may vary depending on the context. Objective: To quantify the association of BMI with exacerbation frequency in patients from Santa Marta-Colombia. Materials and methods: A cross-sectional study of adults with COPD. We calculated the BMIs, and the exacerbation frequencies were estimated using the Global initiative for Chronic Obstructive Lung Disease (GOLD) classification. Results: 292 patients aged between 49-95 years were included. From those, 180 (61.6%) were male, 153 (52.4%) were healthy, 21 (7.2%) showed malnutrition, and 118 (40.4%) were overweight/obese patients. The observed IMCs were between 12.8 and 40.2 (median=24.2; SD=4.5). Whereas 156 patients (53,4%) were classified as GOLD A or B (infrequent exacerbations), 136 of them (46.6%) were GOLD C of D (frequent exacerbations). 85,7% of the patients with malnutrition showed frequent exacerbations, compared to both patients with healthy weight (51,6%) and overweight/obese patients (33.1%) (OR=0.18; CI95% 0.05-0.66 for healthy weight and OR=0.08; CI95% 0.02-0.29 for overweight/obesity, both compared to patients with malnutrition). Conclusions: BMI is inversely correlated with exacerbation frequency in patients with COPD from Santa Marta-Colombia.