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Updated: May 26, 2026

Design and Development of a Model to Study the Effect of Supplemental Oxygen on the Cystic Fibrosis Airway Microbiome
Published on: August 3, 2021
[Growth and pulmonary function in Chilean children and adolescents with cystic fibrosis]
Salesa Barja1, Tatiana Espinosa, Jaime Cerda
1Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. sbarja@puc.cl
Insights
Malnutrition is common in cystic fibrosis (CF) patients, with undernutrition linked to poorer lung function (FEV1). Nutritional status declines before adolescence, highlighting the need for early intervention in CF care.
Area of Science:
- Pediatric Pulmonology
- Nutritional Science
- Cystic Fibrosis Research
Context:
- Nutrition significantly impacts morbidity and mortality in cystic fibrosis (CF) patients.
- Maintaining optimal nutritional status is crucial for managing CF and its associated complications, particularly lung function decline.
Purpose:
- To assess the nutritional status of pediatric CF patients.
- To analyze the longitudinal changes in nutritional markers.
- To investigate the relationship between nutritional status and lung function (FEV1).
Summary:
- A 15-year retrospective analysis of 33 CF patients revealed a high prevalence of malnutrition.
- Undernutrition, particularly when assessed by BMI z-score, correlated with reduced FEV1.
- Nutritional status and lung function showed a gradual decline after age 10-12.
Impact:
- Findings underscore the high prevalence of malnutrition in CF and its detrimental effect on lung health.
- Early nutritional deterioration suggests the need for proactive nutritional support before adolescence.
- This study provides valuable insights for optimizing CF patient management strategies.
Background:
Nutrition influences morbidity and mortality in patients with cystic fibrosis (CF), affecting their lung function.
Aim:
To characterize the nutritional status of a group of CF patients and to analyze its evolution and relationship to lung function.
Patients And Methods:
A retrospective cohort of CF children and adolescents attended in our institution for 15 years, was analyzed. Age and form of presentation, mutation, weight and stature (measured annually at least), microbial colonization and forced expiratory volume in the first second (FEV(1)) were registered.
Results:
We gathered information about 33 patients, 64% males, diagnosed at 23.8 ± 45.6 months old (range 1-216), 85% had a genetic study (10 children had one or more Df508 alleles) and 94% had pancreatic insufficiency. In their last visit they were 13.0 ± 5.8 years old, their body mass index z-score (BMIz) was -0.25 ± 1.2 and their FEV(1) was 80.4 ± 28.6%. According to BMI: 73% were eutrophic, 18% undernourished and 9% were overweight. According to weight/ for height index (WH), the figures for eutrophy, undernutrition and overweight were 70, 6 and 24%, respectively. Only 12% had short stature. Those with P. aeruginosa infection had lower BMI. There was a positive correlation between FEV(1) and BMIz (+0.46, p = 0.02), but not with WH. During follow-up, there was a gradual deterioration of weight, height, and BMIz after 10-12 years of age and an overall gradual FEV(1) decrease.
Conclusions:
The prevalence of malnutrition in these patients with CF is high; undernutrition is higher if defined by BMIz and unlike WH, correlates to lung function. Nutritional deterioration starts before adolescence.
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