Associations of chronic obstructive pulmonary disease with sarcopenia and related factors: Nutritional status, body composition, antioxidant capacity, and inflammatory profile.
Chen S, Hsu J, Wu Y, Lin P • Nutrition (Burbank, Los Angeles County, Calif.) • 2026
Patients with COPD were at risk for malnutrition and sarcopenia, and nutritional status was significantly associated with muscle function, antioxidant capacity, inflammatory status, adipomyokines levels, and the risk of developing COPD and sarcopenia.
Key Findings
Results
COPD patients had a greater risk of developing sarcopenia compared with non-COPD patients.
A total of 112 participants were included: COPD (n = 51) and non-COPD (n = 61).
Thirty-seven percent of COPD patients suffered from sarcopenia.
COPD patients had lower levels of muscle function compared to non-COPD patients (P < 0.05).
The study used a case-control design to compare sarcopenia risk between groups.
Results
COPD patients had lower nutritional status compared with non-COPD patients.
Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and Nutritional Risk Index (NRI).
Differences in nutritional status between COPD and non-COPD patients were statistically significant (P < 0.05).
COPD patients were identified as being at risk for malnutrition.
Results
Most participants had low coenzyme Q10 status regardless of COPD diagnosis.
The threshold for low coenzyme Q10 status was defined as less than 0.5 μM.
There was no significant difference in antioxidant capacity between COPD and non-COPD groups.
Antioxidant capacity measures included coenzyme Q10, antioxidant enzyme activity, and total antioxidant capacity.
Results
COPD patients had significantly different adipomyokine levels compared with non-COPD patients.
COPD patients had greater levels of adiponectin compared to non-COPD patients (P < 0.05).
COPD patients had lower levels of leptin compared to non-COPD patients (P < 0.05).
Adipomyokines measured included adiponectin, leptin, and irisin.
Results
Nutritional status was significantly associated with muscle function, antioxidant capacity, inflammatory status, adipomyokine levels, and the risk of developing COPD and sarcopenia.
Both MNA and NRI measures of nutritional status showed significant associations (P < 0.05).
Nutritional status was inversely associated with the risk of developing sarcopenia.
Inflammatory markers measured included high-sensitivity C-reactive protein and interleukin-6.
Nutritional status was found to affect antioxidant and anti-inflammatory status.
Chen S, Hsu J, Wu Y, Lin P. (2026). Associations of chronic obstructive pulmonary disease with sarcopenia and related factors: Nutritional status, body composition, antioxidant capacity, and inflammatory profile.. Nutrition (Burbank, Los Angeles County, Calif.). https://doi.org/10.1016/j.nut.2025.113016