2008, Volume 14 No. 2

ARTICLE 3

Changes in Nutritional, Functional Status and Quality of Life of COPD Out-patients after a Pulmonary Rehabilitation Programme in HUKM: a Pilot Study

Suzana S¹, Hanis MY¹, Tang SY¹, Ayiesah R² & Roslina AM^3
1 Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, 50300, Kuala Lumpur, Malaysia
² Department of Physiotherapy, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, 50300, Kuala Lumpur, Malaysia
³ Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, 56300 Cheras, Kuala Lumpur, Malaysia

ABSTRACT
This study sought to examine the reliability of two measurements; Calf Circumference (CC) and Mid-half Arm Span (MHAS). A sample of 130 elderly persons aged 60 years and above seen consecutively in the Kuala Lumpur Hospital outpatient clinic during the period of December 2005 to January 2006, upon consent, were recruited to the study. There was a high degree of reliability for both inter- and intra-examiner (r close to 1). For inter-examiner, on average the CC measurements taken by the first examiner were 0.3 cm lower than that of the second examiner. The upper and lower limit of the differences were +0.4 to –0.9 cm respectively. Inter-examiner MHAS measurements on average by the first examiner were 0.2 cm lower than that of the second examiner. The limits were +1.7 to –2.1 cm. By comparison, the inter-examiner CC measurements were more reliable than the MHAS measurements. For intra-examiner, on average the CC measurements at Time 1 were consistent with Time 2 (mean difference=0) with limits of the difference at + 0.5 cm. MHAS measurements at Time 1 were on average 0.1 cm less than at Time 2 with limits at +1.7 and –1.8 cm. The technical error of measurement (TEM) and coefficient of variation of CC and MHAS for both interexaminer and intra-examiner measurements were within acceptable limits with the exception of MHAS TEM. This study suggests that CC and MHAS measured in elderly persons 60 years and above, using Seca Circumference Tape® 206, Germany (0.05 cm) are reliable and can be used in a community survey.


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