Korean J Adult Nurs.  2019 Dec;31(6):585-594. 10.7475/kjan.2019.31.6.585.

Risk Factors for Nutritional Status in Patients with Chronic Obstructive Pulmonary Disease

  • 1Part-Time Lecturer, Department of Nursing, Dong-A University, Busan, Korea.
  • 2Professor, Department of Nursing, Dong-A University, Busan, Korea. hsmin@dau.ac.kr
  • 3Assistant Professor, Department of Pulmonology, Inje University Haeundae Paik Hospital, Busan, Korea.


The purpose of this study was to identify the characteristics of nutritional status and its risk factors in patients with Chronic Obstructive Pulmonary Disease (COPD).
Participants included 136 patients with COPD in Donga University hospital and Haeundae paik hospital in Busan city. The data, collected by a trained research assistant from January 10 to July 18, 2017, were analyzed using Fisher's exact test, the Mann-Whitney U test, and logistic regression analysis with SPSS/WIN 21.0.
Among the 136 patients with COPD, 31 (22.8%) had abnormal nutritional status. According to the results of the logistic regression analysis, gender (Odds Ratio [OR]=5.27, 95% Confidence Interval [CI]=1.18~23.49, p=.029), percent predicted forced expiratory volume in one second [FEV1%] (OR=1.04, 95% CI=0.92~0.99, p=.012), symptom experience (OR=16.19, 95% CI=3.08~85.00, p=.001), carbohydrate intake (OR=1.01, 95% CI=1.00~1.02, p=.037), protein intake (OR=1.06, 95% CI=0.90~0.99, p=.012), and fat intake (OR=1.04, 95% CI=1.01-1.08, p=.015) were associated with nutritional status in patients with COPD.
In order to improve the nutrutional status of COPD patients, nursing education is needed with intensive screen on female patients and patients with low lung function, managing symptoms and increasing protein intake.

MeSH Terms

Education, Nursing
Forced Expiratory Volume
Logistic Models
Nutritional Status*
Pulmonary Disease, Chronic Obstructive*
Risk Factors*
Symptom Assessment


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