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Original Paper
Ann Nutr Metab 2013;63:239–247
DOI: 10.1159/000353211
Changes in Body Composition in Patients with
Chronic Obstructive Pulmonary Disease:
Do They Influence Patient-Related Outcomes?
Erica P.A. Rutten
a
Peter M.A. Calverley
b
Richard Casaburi
c
Alvar Agusti
d, e
Per Bakke
f
Bartolome Celli
g, h
Harvey O. Coxson
i
Courtney Crim
j
David A. Lomas
k
William MacNee
l
Bruce E. Miller
m
Stephan I. Rennard
n
Paul D. Scanlon
o
Edwin K. Silverman
g, h
Ruth Tal-Singer
m
Jørgen Vestbo
p–r
Michael L. Watkins
j
Emiel F.M. Wouters
s
on behalf of the ECLIPSE Investigators
(Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints)
a
Center of Expertise for Chronic Organ Failure (Ciro+), Horn, The Netherlands;
b
The University of Liverpool, Liverpool,
UK;
c
Rehabilitation Clinical Trail Center, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center,
Torrance, Calif., USA;
d
The Thorax Institute, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer,
University of Barcelona, Barcelona, and
e
CIBER Enfermedades Respiratorias, Palma, Spain;
f
The Institute of Medicine,
University of Bergen, Bergen, Norway;
g
Brigham and Women’s Hospital, and
h
Harvard Medical School, Boston, Mass.,
USA;
i
The University of British Columbia, Vancouver, B.C., Canada;
j
GlaxoSmithKline, Research Triangle Park, Durham,
N.C., USA;
k
Cambridge Institute for Medical Research, University of Cambridge, Cambridge, and
l
The University of
Edinburgh, Edinburgh, UK;
m
GlaxoSmithKline, King of Prussia, Pa.,
n
The University of Nebreska Medical Center, Omaha,
Nebr., and
o
Mayo Clinic, Rochester, Minn., USA;
p
The Respiratory Section, Hvidovre Hospital, Hvidovre, and
q
The
University of Copenhagen, Copenhagen, Denmark;
r
The Manchester Academic Health Science Center, University of
Manchester, Manchester, UK;
s
The University of Maastricht, Maastricht, The Netherlands
nonsmoking controls at baseline and 3 years, while mortality
was recorded in year 2 and 3 in the COPD patients. Associa-
tions between fat free mass index (FFMI) and fat mass index
(FMI) changes to deterioration in health status and mortality
were determined. Results: Change in FFMI and FMI over
3 years was small and comparable between the groups. Un-
derweight and obese patients had the worst health status.
Worsening health status was associated with FFMI decrease
in underweight patients and FMI increase in overweight/
obese patients. While overweight patients had the lowest
mortality, FFMI or FMI decrease was associated with a higher
mortality. Conclusion: Changes in body composition over
3 years were small and comparable in COPD patients and
control subjects. Nevertheless, muscle mass decline in un-
Key Words
Body composition · Chronic obstructive pulmonary
disease · Fat free mass index · Fat mass index · Health
status · Mortality
Abstract
Aims: The follow-up of the ECLIPSE study, a prospective lon-
gitudinal study to identify and define parameters that pre-
dict disease progression over 3 years in chronic obstructive
pulmonary disease (COPD), allows the examination of the
effect of body composition changes on COPD-related out-
comes. Methods: Body composition and health status were
established in 2,115 COPD patients, 327 smoking and 239
Received: January 24, 2013
Accepted after revision: May 22, 2013
Published online: November 7, 2013
Dr. Erica P.A. Rutten
Center of Expertise for Chronic Organ Failure (Ciro+)
Postbus 4080
6080 AB Haelen (The Netherlands)
E-Mail ericarutten @ ciro-horn.nl
© 2013 S. Karger AG, Basel
0250–6807/13/0633–0239$38.00/0
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