Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

Heart Lung. 2015 Nov-Dec;44(6):534-8. doi: 10.1016/j.hrtlng.2015.08.004. Epub 2015 Sep 26.

Abstract

Objectives: The Geriatric Nutritional Risk Index (GNRI) is a new prognostic indicator for nutritional status-related complications and mortality among the elderly. Here we aimed to compare 6-min walk distance (6MWD) between high and low GNRI groups for patients with COPD.

Methods: We enrolled 63 elderly men with COPD. These subjects were divided into two groups based on their GNRI scores: high GNRI group (≥92 points; n = 44) and low GNRI group (n = 19); we compared 6MWD between these groups.

Results: The subjects' characteristics between the high and the low GNRI groups were similar, except for BMI and serum albumin levels. 6MWD were significantly lower in the low GNRI group (279.5 ± 112.3 m versus 211.1 ± 125.3 m; p = 0.03).

Conclusions: The GNRI has a more close relation with exercise tolerance and may be a useful nutritional assessment scale for elderly patients with COPD.

Keywords: 6-min walk distance (6MWD); Chronic obstructive pulmonary disease (COPD); Exercise tolerance; Geriatric Nutritional Risk Index (GNRI); Nutrition status; Physical performance.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment*
  • Humans
  • Male
  • Motor Activity / physiology*
  • Nutrition Assessment*
  • Nutritional Status / physiology*
  • Prognosis
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Disease, Chronic Obstructive / rehabilitation*