2026-04-13T05:05:39Zhttps://recercat.cat/oai/request
oai:recercat.cat:10230/256002025-12-13T21:26:03Zcom_2072_6col_2072_452952
RECERCAT author Vilaró, Jordi author Ramírez Sarmiento, Alba author Martínez-Llorens, Juana Mª author Mendoza, Teresa author Álvarez, Miguel author Sánchez Cayado, Natalia author Vega, Ángeles author Gimeno Santos, Elena, 1980- author Coronell Coronell, Carlos Gustavo author Gea Guiral, Joaquim author Roca, Josep author Orozco Levi, Mauricio 2016-01-18T19:42:33Z2016-01-18T19:42:33Z2010 Exacerbations of chronic obstructive pulmonary disease (COPD) are associated with several modifiable (sedentary life-style, smoking, malnutrition, hypoxemia) and non-modifiable (age, co-morbidities, severity of pulmonary function, respiratory infections) risk factors. We hypothesise that most of these risk factors may have a converging and deleterious effects on both respiratory and peripheral muscle function in COPD patients. METHODS: A multicentre study was carried out in 121 COPD patients (92% males, 63 ± 11 yr, FEV(1), 49 ± 17%pred). Assessments included anthropometrics, lung function, body composition using bioelectrical impedance analysis (BIA), and global muscle function (peripheral muscle (dominant and non-dominant hand grip strength, HGS), inspiratory (PI(max)), and expiratory (PE(max)) muscle strength). GOLD stage, clinical status (stable vs. non-stable) and both current and past hospital admissions due to COPD exacerbations were included as covariates in the analyses. RESULTS: Respiratory and peripheral muscle weakness were observed in all subsets of patients. Muscle weakness, was significantly associated with both current and past hospitalisations. Patients with history of multiple admissions showed increased global muscle weakness after adjusting by FEV(1) (PE(max), OR = 6.8, p < 0.01; PI(max), OR = 2.9, p < 0.05; HGSd, OR = 2.4, and HGSnd, OR = 2.6, p = 0.05). Moreover, a significant increase in both respiratory and peripheral muscle weakness, after adjusting by FEV(1), was associated with current acute exacerbations. CONCLUSIONS: Muscle dysfunction, adjusted by GOLD stage, is associated with an increased risk of hospital admissions due to acute episodes of exacerbation of the disease. Current exacerbations further deteriorate muscle dysfunction.Sources of support: Supported in part by grants from “SEPAR-Area de Enfermeri´a y Fisioterapia” and BAE06/90061. CIBERES (Instituto de Salud Carlos III, Ministerio de Sanidad, Spain). © Elsevier http://dx.doi.org/10.1016/j.rmed.2010.05.001 Article published under an Elsevier user license, protected by copyright and may be used for non-commercial purposes. Users may access, download, copy, translate, text mine and data mine the article. info:eu-repo/semantics/openAccess Pulmons -- Malalties obstructives -- Epidemiologia Pulmons -- Malalties obstructives -- Fisiologia patològica Global muscle dysfunction as a risk factor of readmission to hospital due to COPD exacerbations info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion