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- Author or Editor: G. Fekete x
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Abstract
This study aims to predict drought periods affecting the Tokaj-Hegyalja wine region and the application of this in crop protection. The Tokaj-Hegyalja wine region is the only closed wine region in Hungary with a specific mesoclimate and a corresponding wine grape variety composition, in which climate change strongly threatens cultivation. The probability that a randomly selected day in the vegetation period will fall into a drought period in the future was estimated using the daily precipitation amount and daily maximum temperature data from the Hungarian Meteorological Service for the period 2002–2020. The Markov model, a relatively new mathematical method for the statistical investigation of weather phenomena, was used for this. Markov chains can, therefore, be a valuable tool for organizing integrated pest management. This can be used to plan irrigation, control fungal pathogens infecting the vines, and plan the success of a given vintage.
Abstract
Background
Pathological alterations in nutritional status may develop in Chronic Obstructive Pulmonary Disease (COPD) patients through production of inflammatory cytokines and inadequate diet.
Objective
The aim of our study was to determine the correlation between nutritional status and quality of life of COPD patients.
Methods
We evaluated the nutritional status of COPD patients of Hungarian National Koranyi Institute for Pulmonology using the Malnutrition Universal Screening Tool (MUST) and bioelectrical impedance analysis (BIA) between January 1 and June 1, 2019. Lung function, physical fitness, and respiratory muscle strength were included in the assessment.
Results
Fifty patients (mean age was 66.3 ± 9.6 years) participated in our study. Mean body mass index (BMI) was 26.2 ± 6.1 kg/m2 and mean fat-free mass index (FFMI) was 16.8 ± 2.4 kg/m2. Overweight patients had better lung function values (FEV1ref%: 46.3 ± 15.2) than normal (FEV1ref%: 45.1 ± 20.9) and underweight patients (FEV1ref%: 43.8 ± 16.0). The Modified Medical Research Council Dyspnea Scale (mMRC) was significantly associated with various parameters; strongest correlation was found with FFMI (r = −0.537, P < 0.001), skeletal muscle mass index (SMMI) (r = −0.530, P < 0.001), and 6-minute walking distance (6MWD) (r = −0.481, P < 0.001).
Conclusions
Our results indicate that malnourished COPD patients may have reduced lung function and lower quality of life compared to normal weight patients. Thus, our findings suggest that nutritional therapy be included in the treatment of COPD patients combined with nutritional risk screening and BIA during the follow-up.
