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Aging and extrapulmonary effects of chronic obstructive pulmonary disease
Emanuela Tudorache1, Ariadna Petronela Fildan2, Mirela Frandes3
1Department of Pulmonology, University of Medicine and Pharmacy "Victor Babeş", Timişoara.
Elderly patients with Chronic Obstructive Pulmonary Disease (COPD) experience reduced exercise capacity, muscle strength, and cognitive function. Increased inflammation markers correlate with these impairments, highlighting a significant decline in health status.
Area of Science:
- Pulmonology
- Geriatrics
- Neurology
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is associated with functional status decline, particularly cognitive and physical performance.
- This decline can lead to reduced health status, sedentary lifestyles, and premature frailty.
Purpose of the Study:
- To compare functional performance and cognitive status in COPD patients of different age groups.
- To examine changes in extrapulmonary effects related to age in COPD.
Main Methods:
- 62 COPD patients (Risk Class D) were divided into two groups: <70 years (N=30) and >70 years (N=32).
- Assessments included the Montreal Cognitive Assessment (MoCA), isometric knee extension (IKE), and 6-minute walking distance (6MWD) test.
Main Results:
- Older COPD patients (>70 years) showed significantly lower BMI, reduced 6MWD and IKE, and higher C-reactive protein levels.
- Cognitive function, assessed by MoCA, was significantly lower in older patients.
- While FVC and FEV1 showed some variations, older patients demonstrated reduced physical activity capacity and increased inflammatory markers.
Conclusions:
- Elderly COPD patients exhibit diminished exercise capacity, muscle strength, and cognitive function.
- Increased inflammatory markers in older COPD patients correlate significantly with reduced muscle strength, walking distance, and cognitive impairment.
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