5th International Conference on
Public Health and Nutrition
Scientific Program
Ha T Nguyen
Medical doctor, Vietnam
Biography:
Ha Nguyen has her expertise in evaluation and passion in improving healthy life style, especially in promoting healthy eating habits. Her open and contextual intervention model based on “4A principles” – Available, Accessible, Affordable, and Acceptable - which creates effective pathways for improving healthcare. She has studied and applied this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions. Currently she acts as the Director of the Department of Nutrition and Dietetics, National Lung Hospital, Vietnam and a senior lecturer of the Nutrition and Food Safety Department of the Hanoi Medical University, Vietnam. She is a member of the Nutrition for Lung Transplant Technical Advisor Groups of Australia, New Zealand, Canada and Vietnam. She is also an active member of the Vietnam Nutrition and Dietetics Association. Her research is focused on nutrition for people with lung diseases in both hospitals and communities.
Abstract
Statement of the Problem:
Malnutrition is common in patients with chronic obstructive pulmonary disease (COPD), however little is known about its impacts on health-related quality of life among patients with COPD. This study aimed to explore the nutritional status and dietary intake among outpatients with COPD in Vietnam and its possible associations with quality of life (QoL).
Methodology:
A cross-sectional study was carried out in COPD outpatients visiting the COPD management unit at the National Lung Hospital, Hanoi, Vietnam between May 2017 and July 2017. Consecutive outpatients with a confirmed diagnosis of COPD were recruited with written inform consent. The nutritional status of participants was assessed using Subjective Global Assessment (SGA), and dietary intake via a 24-hour recall interview. The St George Respiratory Questionnaire for COPD was used to investigate the participants’ QoL. Socio-demographic and clinical data was extracted from hospital records. Findings: Of 168 COPD outpatients involved in the study, three-quarters (74.4%) were diagnosed as malnourished (SGA B/C) and 81.5% reported unintentional weight loss. Most did not meet their estimated energy and protein requirements (85.7% and 89.9%, accordingly). Malnutrition was significantly associated with disease severity (p=0.039), and ratio of protein intake to estimated requirement (%EPR) (p=0.005). QoL was low for all levels of malnutrition or disease severity, with well-nourished participants and those with less disease severity having better QoL (p=0.006 and p<0.001, accordingly). With an extra meal per day, the odds of having malnutrition decreased 5.6 times (p<0.05) and the total SGRQ reduced 3.61 scores (p<0.05) indicating a better QoL.
Conclusion & Significance:
Malnutrition and weight loss is prevalent among COPD outpatients. Most had inadequate dietary intake and low QoL. Nutrition counselling on increasing the number of meals per day with a focus on energy- and protein-rich foods may help improving nutritional status and QoL of patients with COPD in Vietnam
- Clinical Nutrition
- Mental Health and Mental Disorder
- Oral Health
- Non-Communicable Diseases
- Public Health and Disability
- Hygiene and Tropical Medicine
- Food and Nutrition in Public Health
- Nutritional Metabolism and Disorder and Prevention
- Pediatric Nutrition
- Probiotics
- Nutrition in Disease Prevention
- Obesity, Weight Management and Bariatric surgery
