title: Nutritional status of Vietnamese outpatients with chronic obstructive pulmonary disease.
abstract: Nutritional screening and assessment is not currently part of routine clinical practice in Vietnam. Therefore, the present study aimed to investigate the utility of the commonly used methods for identifying malnutrition in outpatients with chronic obstructive pulmonary disease (COPD).
  
  
  
  A cross-sectional pilot study and a larger retrospective study were carried out in outpatients with COPD who were attending a respiratory clinic in Ho Chi Minh City, Vietnam. Routine clinical data were collected [body mass index (BMI), forced expiratory volume in 1 s (FEV1)]. Nutritional screening and assessment were performed using the Malnutrition Screening Tool (MST) and Subjective Global Assessment (SGA) as the gold standard to diagnose malnutrition.
  
  
  
  In total, 393 outpatients had documented BMI and 29 were prospectively assessed using SGA: males, n = 25; females, n = 4; mean (SD) age 69.7 (9.6) years; mean (SD) BMI 21.0 (3.4) kg m-2; mean (SD) FEV1percentage predicted 57.0% (19.7%). Malnutrition risk was identified in 20.7% (n = 6) of patients using the MST (38% sensitivity; 94% specificity). However, 45% (n = 13) were diagnosed as malnourished using the SGA (31% mild/moderate; 14% severe). All malnourished patients not identified by the MST had evidence of muscle wasting. BMI had a strong negative correlation with muscle wasting as assessed using the SGA (r = -0.857, n = 28; P < 0.001) and all malnourished patients had a BMI <21 kg m-2(range 14.6-20.8 kg m-2, nourished range 20.0-27.6 kg m-2).
  
  
  
  Malnutrition is common in Vietnamese outpatients with COPD. A BMI threshold of <21 kg m-2appears to represent a useful and pragmatic cut-off point for identifying outpatients requiring comprehensive nutritional assessment and support.
authors.affiliation: Nutrition and Dietetics, School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Hogan
authors.affiliation: Respiratory Care Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
authors.forename: L T T
authors.initials: LT
authors.lastname: Lan
authors.affiliation: Nutrition Center, Ho Chi Minh City, Vietnam.
authors.forename: D T N
authors.initials: DT
authors.lastname: Diep
authors.affiliation: Nutrition and Dietetics, School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Gallegos
authors.affiliation: Nutrition and Dietetics, School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia.|Department of Nutrition and Dietetics, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
authors.forename: P F
authors.initials: PF
authors.lastname: Collins
mesh_terms: D000368:Aged; D044466:Asian People; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000453:epidemiology*; D008403:Mass Screening; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D010045:Outpatients; D010865:Pilot Projects; D015995:Prevalence; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014744:Vietnam; D019282:Wasting Syndrome / Q000175:diagnosis / Q000453:epidemiology
keywords: Vietnam; body mass index; chronic obstructive pulmonary disease; malnutrition; subjective global assessment