Abstract

NTRODUCTION: The aim of this study was to investigate the utility of the Mini Nutritional Assessment Questionnaire-Short Form (MNA-SF) in nutritional assessment of COPD patients and its association with pulmonary function parameters. METHODS: Fifty-eight patients with COPD were included in the study. Patients with malignancy, malabsorption, diabetes mellitus (DM), neurological disease, renal insufficiency and decompensated cardiac disease that would affect nutritional status and body weight were excluded from the study. The age, gender, height, weight, body mass index, respiratory function parameters of the cases were recorded and MNA-SF questionnaire consisting of six questions was filled. According to BMI, they were divided into 2 groups; malnutrition (BMI ≤ 20 kg / m2) and non-malnutrition (BMI> 20 kg / m2) groups. According to the results of the MNA-SF questionnaire, 12-14 points were "no risk of malnutrition", 8-11 points were "under malnutrition" and 0-7 points were "malnourished". RESULTS: 54 patients(93.1%) were males of 58 patients with a mean age of 64.6 years. When classified according to respiratory functions; 8 (13,8%) mild COPD, 21 (36,2%) moderate COPD, 23 (39,7%) severe COPD and 6 (10,3%) very severe COPD. When the body mass index is evaluated; The score of 36.7% (n = 15) was below 20. According to MNA-SF scores; 44.8% were normal, 27.6% were at risk for malnutrition and 27.6% were malnourished. The MNA-SF scores and the BMI correlations were statistically significant (p = 0.001). No statistically significant difference was found between MNA-SF scores and COPD stages (p = 0.919), but positive correlations between FEV1 and FEV1 / FVC and MNA-SF and BMI were found in the PFT parameters. DISCUSSION AND CONCLUSION: We think that MNA-SF is a practical scoring system that can have positive results in the early detection and intervention of malnutrition, which can be easily applied even in the outpatient setting for every patient who gets COPD diagnosis.

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