Predicting factors of dietary behaviors among patients with chronic obstructive pulmonary disease
Keywords:
Chronic obstructive pulmonary disease, dietary behavior, predictorAbstract
Background: Inappropriate dietary habits in chronic obstructive pulmonary disease (COPD) patients accelerate the symptoms of the disease. Modifying dietary habits to be appropriate reduces the risk factors, and thereby decreases the chance of relapse.
Objective: To analyze the factors that influence dietary behaviors among patients with COPD.
Methods: The sample comprised a total of 132 patients, both male and female with COPD, who were out-patients at the Respiratory Clinic and Out-patient Department (OPD) Medicine, Rajavithi Hospital, and King Chulalongkorn Memorial Hospital. Descriptive and stepwise multiple regression was used for the statistical analysis.
Results: The factors that could predict dietary behaviors with the highest statistical significance included food intake knowledge ( = 0.407, P < 0.05), social support (
= 0.366, P < 0.05), and malnutrition (
= - 0.140, P < 0.05), respectively. These factors accounted for 47.5% of the variance in dietary behaviors among patients with COPD (r = 0.689, P < 0.05).
Conclusion: The factors that can predict the dietary behaviors of COPD patients are food intake knowledge, social support, and malnutrition. Therefore, nurses should focus on food education regarding appropriate food for the disease, provide nutrition care to patients with malnutrition, and promote social support to enhance the dietary behaviors of COPD patients.
Downloads
References
Thai Health Promotion Foundation. "World COPD DAY". Thailand: ThaiHealth; 2019.
World Health Organization. Chronic Obstructive Pulmonary Disease (COPD). Geneva: WHO; 2017.
Thuprioa P. Handbook disease. N P Press Limited Partnership: Bangkok; 2015. p. 207.
Thongsuk T. Dietary behavior of the elderly on era 4.0. Journal of Humanities and Social Sciences, Rajapruk Uni 2019;5:232-44.
Suebsuk P. The role of nurses in chronic obstructive pulmonary disease. Nursing Science Journal of Thailand. 2011;29:18-26.
Warahut J. Nutrition status and food consumption behavior of chronic obstructive pulmonary disease patients [Master's thesis]. Bangkok: Mahidol University; 1999.
Jaiyen K. Selective factors related to health behaviors of Muslim patients with chronic obstructive pulmonary disease in the three southern border provinces. Songkla: Prince of Songkla University; 2013.
Thongsong P. Effects of nutritional promoting program on nutritional behaviors and nutritional status among elders with chronic obstructive pulmonary disease and malnutrition. Songkla: Prince of Songkla University;2017.
Thongvisat K, Aekwarangkoon S, Noonil N. Dietary behavior of chronic obstructive pulmonary disease patients with malnutrition. Royal Thai Navy Med J 2020;47:595-610.
Pirabbasi E, Najafiyan M, Cheraghi M, Shahar S, Abdul Manaf Z, Rajab N, et al. Predictors' factors of nutritional status of male chronic obstructive pulmonary disease patients. ISRN Nurs 2012;2012:17.
https://doi.org/10.5402/2012/782626
Ting H, Chan S, Luk E, To Q, Wong C, Choo K. Prevalence of malnutrition in COPD inpatients and its relationship with nutritional intakes and clinical outcomes. J Aging Sci 2020;8:1-5.
Nguyen HT, Pavey TG, Collins PF, Nguyen NV, PhamTD, Gallegos D. Effectiveness of tailored dietary counseling in treating malnourished outpatients with chronic obstructive pulmonary disease: A randomized controlled trial. J Acad Nutr Diet 2020;120:778-91. https://doi.org/10.1016/j.jand.2019.09.013
Phonthep N, Wongpiriyayothar A, Sittipakorn S. Effects of a rehabilitation program on functional capacity among chronic obstructive pulmonary disease patients with malnutrition. J Nurs Assoc Thai 2013;31:44-53.
Itoh M, Tsuji T, Nemoto K, Nakamura H, Aoshiba, K. Undernutrition in patients with COPD and its treatment. Nutrients 2013;5:1316-35. https://doi.org/10.3390/nu5041316
Battaglia S, Spatafora M, Paglino G, Pedone C, Corsonello A, Scichilone N, et al. Ageing and COPD affect different domains of nutritional status: the ECCE study. Eur Respir J 2011;37:1340-5.
https://doi.org/10.1183/09031936.00032310
Karabeleski E, Petrushevska-Tozi L, Janeku B, Atanasovikj S, Boshkoska D, Andreska M, et al. Nutrition in COPD patients-case study. Macedonian Pharmaceu Bull 2020; 66:35-6.
https://doi.org/10.33320/maced.pharm.bull.2020.66.03.017
Eckerblad J, Tödt K, Jakobsson P, Unosson M, Skargren E, Kentsson M, et al. Symptom burden in stable COPD patients with moderate or severe airflow limitation. Heart Lung 2014;43:351-7.
https://doi.org/10.1016/j.hrtlng.2014.04.004
Holst M, Beck AM, Rasmussen HH, Lange P. Insufficient intake of energy and protein is related to physical functional capacity among COPD patients referred to municipality based pulmonary rehabilitation. Clin Nutr ESPEN 2019;30:35-41. https://doi.org/10.1016/j.clnesp.2019.02.009
Pattarakantakul P, Donlao J. Effects of nutritional promotion program for chronic obstructive pulmonary disease patients with malnutrition. Nurs J The Ministry of Public Health 2017;27:69-79.
Jaikum P, Tamdee D, Aungwattana S. Factors related to self-management behaviors of highlanders with chronic obstructive pulmonary disease. Nursing J 2020;47:142-53.
Thoracic Society of Thailand. Thai COPD Guideline 2017. Thailand: TST; 2017.
Saijan N, Piphatvanitcha N, Jullamate P. Factors related to nutrition status in older adult with chronic obstructive pulmonary disease. Chonburi: Burapha University; 2018.
Trakulhoon V, Prammanasudh B. From BNT 2000 to NT 2013 The malnutrition identification in adult patients. Royal Thai Air Force Medical Gazette 2020;66:14-32.
de Batlle J, Romieu I, Antó JM, Mendez M, Rodríguez E, Balcells E, et al. Dietary habits of firstly admitted Spanish COPD patients. Respir Med 2009;103:1904-10.
https://doi.org/10.1016/j.rmed.2009.06.001
Cochrane W, Afolabi O. Investigation into the nutritional status, dietary intake and smoking habits of patients with chronic obstructive pulmonary disease. J Hum Nutr Diet 2004;17:3-11.
https://doi.org/10.1046/j.1365-277X.2003.00478.x
Rattanasiri M. Nutrition for elderly. J Southern Technol 2018;11:221-8.
Chuenchom C, Tuntong T, Chuenchom P, Somboon L, Thanakumma O. Factors predicting health promoting behaviors among persons with chronic obstructive pulmonary disease in wiang Chiang Rung Hospital Chiang Rai province. Nursing J 2015;42:86-97.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Chulalongkorn Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
