Kentaro Wakamatsu, Nobuhiko Nagata, Sanae Maki, Hisamitsu Omori, Hiroyuki Kumazoe, Kayoko Ueno, Yuko Matsunaga, Makiko Hara, Koji Takakura, Nagisa Fukumoto, Nobuhisa Ando, Mami Morishige, Takashi Akasaki, Ichiro Inoshima, Shinji Ise, Miiru Izumi, Masayuki Kawasaki, "Patients with MAC Lung Disease Have a Low Visceral Fat Area and Low Nutrient Intake", Pulmonary Medicine, vol. Review articles are excluded from this waiver policy. Bronchiectasis News Today is strictly a news and information website about the disease. Some people have bronchiecstatis as well as sarcoidosis (as I do). Please ask your sarcoidosis consultant or look on line before you take Vitamin D supplements. In the present study, BMI, waist circumference, and particularly visceral fat area were significantly lower in both men and women compared with general healthy adults. Water. Dozens of Mayo Clinic doctors specialize in interstitial lung diseases. We are committed to sharing findings related to COVID-19 as quickly as possible. Choose varieties that are high in vitamins E and A such as olive oil, coconut oil and canola oil. Water Your wife might also consult with a practitioner of traditional Chinese medicine to help address her immunity and MAC. was considered statistically significant. Creating a Healthy Diet to Meet Your Goals. Water is essential for lung health. MAC Lung Disease is acquired from the environment (soil, air, natural waters, tap water, etc.) The MAC Lung Disease site from University of Texas Health Science Center at Tyler has good information; the Q&A Excerpts below are written by a registered nurse who was diagnosed with MAC in 2001, and understands the real daily problems we face. Oil used sparingly is very good for you. This study was conducted with the approval from the Ethics Board of the National Hospital Organization Omuta National Hospital. Diet, Food & Fitness. Protein Baseline characteristics of patients with MAC lung disease (, Visceral fat, body mass index, and waist circumference of patients with MAC lung disease according to age (. Correlation analyses between visceral fat area and each parameter in patients with MAC lung disease. Kim et al. Untreated patients with significant lung disease may develop respiratory insufficiency or weight loss. Moreover, in this study, visceral fat area was strongly correlated with BMI and waist circumference, but not with patient characteristics or disease duration. Keeping hydrated helps to thin mucus in the lungs and prevent infection. Eat a high-calorie, high-protein diet. Intake (%) of energy and each nutrient in patients with MAC lung disease. No votes so far! Six tips for managing bronchiectasis on a day-to-day basis. It is known that omega 3 foods help reduce inflammation in the body and boost cognitive power. Previous studies used general population as control [1, 2]. The comparison with general healthy adults according to age revealed a markedly reduced visceral fat area among patients with MAC lung disease. In conclusion, this study revealed that patients with MAC lung disease have a low visceral fat area and low nutrient intake, although no significant correlation was found between them. Non-dairy forms of calcium include leafy greens, oranges, almonds, and beans. These germs are very common in food, water, and soil. Results. BMI: body mass index, WBC: white blood cell, Ch-E: cholinesterase, T-chol: total cholesterol, and CRP: C-reactive protein. Abbreviated MAC. BMI was significantly correlated with protein adequacy () and lipid adequacy () ratios, while no association was found between visceral fat area and nutrient intake. Be the first to rate this post. It does not provide medical advice, diagnosis or treatment. Tasaka et al. The present study provides some insight in this regard, as it clearly showed that patients with MAC lung disease have low energy, protein, fat, and carbohydrate intake, which could partially explain why these patients are slim. However, some lung conditions may force doctors to restrict the amount of fluid you can drink to prevent water retention, so please ensure you don’t drink more than the recommended amount for your lung condition. Patients with MAC Lung Disease Have a Low Visceral Fat Area and Low Nutrient Intake, Department of Respiratory Medicine, National Hospital Organization, Omuta Hospital, 1044-1 Tachibana, Omuta 837-0911, Japan, Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Japan, Faculty of Life Sciences, Kumamoto University, Japan, Department of Nutrition, National Hospital Organization Omuta National Hospital, Japan. Choose varieties that are high in vitamins E and A such as olive oil, coconut oil and canola oil. The clinical course of pulmonary MAC infection in patients without HIV infection is usually indolent. Though we have compared visceral fat and nutritional status between patients with MAC lung disease and healthy controls, comparison between MAC lung and nonpathogen related inflammatory lung diseases would make the argument more compelling. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. However visceral fat area was not significantly correlated with intake of each nutrient (Table 6). In persons with suppressed immune systems, such as people with AIDS, MAC can spread through the bloodstream to infect lymph nodes, bone marrow, the liver, the … Although the present study had a cross-sectional design and thus did not examine prognoses, a number of previous studies have shown that low BMI is a prognostic factor for MAC lung disease [4, 5]. Although it is unclear how weight loss is involved with the etiology and pathology of MAC lung disease, the abnormal production of inflammatory cytokines due to fluctuations in adipocyte-derived adipokines, which is caused by a decrease in fat cells (particularly visceral fat cells) due to weight loss, has been suggested as one of the contributory factors [6]. Nutrient intake might be related to subcutaneous fat and muscle mass. Finding a new physician that manages MAC lung disease In: Living with Lung Disease I have been diagnosed with MAC since 10/2018 and have been on the "Big 3" since 11/2018. Patients with underlying lung disease or immunosuppression may develop progressive MAC lung disease. This suggests that factors other than nutrient intake may underlie the reduced visceral fat area. Assessment of nutritional status included body mass index (BMI), lymphocyte count, serum albumin, serum prealbumin, serum cholinesterase, serum transferrin, total cholesterol, visceral fat area assessed by abdominal CT, and waist circumference. All patients met the diagnostic criteria of “An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases” [7] based on imaging and bacteriological examination findings, agreed with the study content, and provided written consent to participate in this study. Conclusion. In particular, visceral fat area was markedly lower than that of health checkup participants (Table 2). However, no significant correlation was found between visceral fat area and intake of each nutrient. High Frequency Chest Wall Oscillation (HFCWO), Hypertonic Saline Solution for Bronchiectasis. First, this was a single-facility study with a small number of male patients. Accordingly, this study aimed to examine the nutritional status and nutrient intake of patients with MAC lung disease with a focus on visceral fat area. Moreover, while it is predicted that weight loss in patients with MAC lung disease is attributable to emaciation from the illness itself as well as low nutrient intake, no published reports pertaining to nutrient intake exist. As for associations between visceral fat area and patient characteristics and laboratory findings, BMI, waist circumference, white blood cell count, and lymphocyte count were significantly correlated in men, but only BMI and waist circumference were significantly correlated in women (Table 3). and found no differences between them. Many people are deficient in vitamin D and many living with chronic lung diseases have been found to be deficient in the vitamin. In your daily … Kartalija et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Untreated patients with a nodular bronchiectatic form of Mycobacterium avium complex (MAC) suffer long deterioration in the long run despite their lack of symptoms, a new Korean study shows.. What to expect when living with bronchiectasis. You should aim for at least five different fruits and vegetables each day to aid lung health. Our patients were predominantly female (24 men and 79 women), with an age range of 46–91 years and mean age of years at the time of registration. reported that, in 273 patients with MAC lung disease, two-thirds were female and had a BMI lower than the standard BMI, irrespective of disease type (i.e., FC or NB) [3]. None of the authors have a financial relationship with a commercial entity that has an interest in the subject of this paper. With respect to nutrient intake, energy adequacy (%), protein adequacy (%), lipid adequacy (%), and carbohydrate adequacy (%) ratios were all low at the time of registration. M intracellulare is responsible for 40% of such infections in immunocompetent patients. According to the British Lung Foundation, there are certain foods you should be consuming as part of a healthy, balanced diet that can help improve lung health. reported that a strong association exists between adiponectin and visceral fat [10]. There was no significant difference in BMI between men and women, but women had a significantly lower visceral fat area. Patients were 23 men and 80 women (mean age, years). Visceral fat area (cm2) was significantly lower in women () than in men () (). BMI was significantly correlated with protein adequacy () and lipid adequacy () ratios (Table 5). In all patients, nutritional status and nutrient intake were prospectively examined. mycobacterium avium complex pulmonary disease (mac/mai) and/or bronchiectasis. -tests were used for comparisons with data of general adults regarding visceral fat area. In addition to preventing weight loss, proper nutrition helps prevent infection, facilitate breathing and maintain a healthy respiratory system. Mycobacterium avium complex (MAC) is the most common form of nontuberculous mycobacteria (NTM).NTM are bacteria commonly found in the environment.. MAC can get inside your lungs when you breathe them in, … Though we have compared nutritional intake of patients with MAC lung disease with average intake among Japanese people determined based on the 2010 National Nutrition Survey, comparison with healthy controls might be more appropriate. My Pulminologist prescribed calciferol , however I react badly with severe headaches. Rehabilitation programs help you and your family learn to optimally live with chronic interstitial lung disease. Eating foods containing omega-3 fatty acids can help cleanse your lungs and keep your pulmonary system working effectively. Depending on the type of ILD someone has, they can develop varying degrees of fibrosis, inflammation, and other symptoms. However, people with immune systems that do not work well (from HIV/AIDS or certain cancers for example) or people with lung disease (such as chronic obstructive pulmonary disease … MAC may, however, cause progressive parenchymal lung disease and bronchiectasis in patients without underlying lung disease, particularly in middle-aged and elderly women. Patients with MAC lung disease had a low visceral fat area and low nutrient intake. 2015, Article ID 218253, 5 pages, 2015. https://doi.org/10.1155/2015/218253, 1Department of Respiratory Medicine, National Hospital Organization, Omuta Hospital, 1044-1 Tachibana, Omuta 837-0911, Japan, 2Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Japan, 3Faculty of Life Sciences, Kumamoto University, Japan, 4Department of Nutrition, National Hospital Organization Omuta National Hospital, Japan. Data are presented as mean ± standard deviation. One of the clinical characteristics of MAC lung disease is its high prevalence among slim women. Bronchiectasis News Today is strictly a news and information website about the disease. Although it is unclear how weight loss is involved with the etiology and pathology of MAC lung disease, the abnormal production of inflammatory cytokines due to fluctuations in adipocyte-derived adipokines, which is caused by a decrease in fat cells (particularly visceral fat cells) due to weight loss, has been suggested as one of the contributory factors [6]. I have Bronchiectasis as a complication to my Chronic Asthma, Your email address will not be published. In this context, it will be meaningful to investigate the association between weight loss and visceral fat area in patients with MAC lung disease, but no report exists with regard to weight loss and visceral fat area in patients with MAC lung disease. Information regarding dietary content and intake was obtained through interviews by nutritionists. I take a supplement of Vit D 3 (1000iu)instead x one a day as recommended- is this sufficient? MAC is related to the tuberculosis germ, but is not contagious and the MAC microbes live in the environment. Furthermore, BMI, waist circumference, and visceral fat area were compared with data of general adult participants of health checkups in 2008 FY (649 patients; 418 men, 231 women) from the Japanese Red Cross Kumamoto Hospital. Water is essential for lung health. Sign up here as a reviewer to help fast-track new submissions. Eating a healthy, balanced diet is essential for everyone, but for those living with a chronic lung condition, it is even more important to eat well. I found only 1 thread on mycobacterium accidently under the catagory “Lungs”. Detected bacterial strains were M. intracellulare in 59 patients, M. avium in 35, and M. intracellulare + M. avium in 9. Decreased subcutaneous fat is considered to result in decrease of leptin, which may enhance the susceptibility to MAC. No study has examined serum prealbumin level in patients with MAC lung disease. Mayo Clinic's Pulmonary Function Laboratory offers comprehensive lung function testing. MAC may sometimes cause lung diseases, such as a chronic infection of the lungs, but it doesn’t cause TB. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. These results suggest that the presence of factors other than nutrient intake might be related to reduced visceral fat. Decreased serum prealbumin level might be associated with the pathological conditions of patients with MAC lung disease; however, the underlying mechanisms are unclear. showed a negative correlation between adiponectin and BMI and reported that, compared to healthy individuals, MAC patients had significantly higher levels of adiponectin according to weight [8]. Oil used sparingly is very good for you. Required fields are marked *. Mycobacterium avium complex: A serious opportunistic infection that is caused by two similar bacteria, Mycobacterium avium and Mycobacterium intercellulare, which are found in the soil and in dust particles. A. Brown-Elliott et al., “An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases,”, S. Tasaka, N. Hasegawa, T. Nishimura et al., “Elevated serum adiponectin level in patients with, G. Fantuzzi, “Adipose tissue, adipokines, and inflammation,”, H. Staiger, O. Tschritter, J. Machann et al., “Relationship of serum adiponectin and leptin concentrations with body fat distribution in humans,”. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The anti-inflammatory activities of adiponectin extend to inhibition of IL-6 production accompanied by induction of the anti-inflammatory cytokines IL-10 and IL-1 receptor antagonist and increased adiponectin leads to increased susceptibility to infections [9]. One of them is pneumonia which is caused by streptococcus pneumoniae bacteria. MORE: Nine questions to ask the doctor about your bronchiectasis. This study aimed to examine the nutritional status and nutrient intake of patients with MAC lung disease with a focus on visceral fat area. Patients currently under treatment were defined as those undergoing a combination therapy that included clarithromycin or new quinolone antibacterial agents. Whole grain bread, pasta, and rice are all great sources of fiber and the carbohydrate content will give you energy. This suggests that patients with MAC lung disease should be better monitored to avoid irreversible lung damage. In one study, approximately 50% of patients in one study were alive 5 years after diagnosis. A healthy diet and regular daily exercise, including walking, yoga, Pilates, and strength training, are highly recommended for people with … Protein can be found in meat, fish, eggs and dairy products. Correlation analyses between body mass index and intake (%) of energy and each nutrient in patients with MAC lung disease. It has been isolated from fresh water and salt water worldwide. MAC lung disease occurs rarely in immunocompetent hosts. Correlation analyses between visceral fat area and intake (%) of energy and each nutrient in patients with MAC lung disease. What is sarcoidosis? MAC lung disease is an infection caused a group of bacteria called Mycobacterium avium complex (MAC). performed a prospective examination of 63 patients with NTM lung disease and reported that, compared with the background-matched control group, BMI was significantly lower [1]. Patients and Methods. 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