Association between Body Mass Index and Spirometric Measurements of Patients with Chronic Obstructive Pulmonary Disease

Authors

  • Md Jahangir Hossain MBBS, FCPS (Medicine), Assistant Professor, Department of Medicine, Jashore Medical College Hospital (JMCH), Jashore, Bangladesh.
  • Md Nazim Al Azad Associate Professor, Department of Medicine, Magda Medical College, Dhaka, Bangladesh.
  • Goutam Kumar Acherjya MBBS, FCPS, MRCP(UK), Associate Professor, Department of Medicine, Jashore Medical College, Jashore, Bangladesh.
  • Md Majadul Islam MBBS, FCPS (Medicine), Assistant Professor, Department of Medicine, Mugda Medical College Hospital, Dhaka, Bangladesh.
  • Md Asaduzzaman MBBS, BCS, DEM, Lecturer (Pathology Department), Jashore Medical College, Jessore, Bangladesh.
  • Md Siduzzaman Lecturer (Anatomy), Jashore Medical College, Jessore, Bangladesh.
  • Abu Hanif Student, Department of Pharmaceutical Sciences, North South University, Dhaka, Bangladesh.
  • Musfiqa Ashraf PhD, Associate Professor (Sociology), School of Social Sciences, Humanities and Languages (SSHL), Bangladesh Open University, Gazipur-1705, Bangladesh.
  • Lokiat Ullah MBBS, PGDPM, PGDMM, PGDCM, MBA, PhD (Hon.), Physician, Entrepreneur & Human Rights Worker, Dhaka, Bangladesh.
  • Nanziba Nawar Duti MBBS (DU), MSc Global Public Health (Ongoing), United Kindom.

DOI:

https://doi.org/10.3329/medtoday.v38i1.87832

Keywords:

Body Mass Index, Spirometric Measurements and Chronic Obstructive Pulmonary Disease.

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. It is a preventable and treatable disease with significant extra pulmonary effects that may contribute to the severity in individual patients. Body mass index (BMI) is an important indicator that can well reflect nutritional status of patients, and low BMI is an independent risk factor for mortality in patients with COPD. The decline in BMI in patients with COPD is a marker of advanced disease. This study is undertaken to investigate the relationship between BMI and pulmonary function of COPD patients. Objectives: To investigate the relationship between BMI and spirometric measurements of COPD patients. Methods: This was an observational descriptive cross-sectional study carried out in inpatient and outpatient Departments of Medicine of Rajshahi Medical College Hospital, Rajshahi, from Dec. 2010 to Dec. 2011. According to inclusion and exclusion criteria, a total of 82 patients diagnosed with COPD, based on history, physical examination and spirometric examination were selected for study. Results: Of the 82 patients, 20(24.39%) were of normal weight, 22(26.82%) were underweight, 25(30.48%) were overweight, 15(18.29%) were obese. FEV1/FVC and FEV1% predicted were lowest in the underweight patients and highest among the obese and overweight patients. A positive correlation between BMI and FEV1/FVC, FEV1% predicted was observed (correlation coefficient (r) was 0.788, 0.802 respectively, both P values were <0.05). Conclusion: BMI alterations are common in COPD patients. A high proportion of patients with COPD experience a significant weight loss which is associated with increased morbidity and mortality. Such patients should be alert to adhere to maintain nutritional status of the body so that they can avoid weight loss for better survival.

Medicine Today 2026, Vol.38 (1): 41-45

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Published

2026-02-25

How to Cite

Hossain, M. J., Al Azad, M. N., Acherjya, G. K., Islam, M. M., Asaduzzaman, M., Siduzzaman, M., … Nawar Duti, N. (2026). Association between Body Mass Index and Spirometric Measurements of Patients with Chronic Obstructive Pulmonary Disease. Medicine Today, 38(1), 41–45. https://doi.org/10.3329/medtoday.v38i1.87832

Issue

Vol. 38 No. 1 (2026)

Section

Original Articles