{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T05:44:23Z","timestamp":1793166263000,"version":"4.5.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010335","name":"Hanzehogeschool Groningen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010335","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.clnu.2019.11.016","type":"journal-article","created":{"date-parts":[[2019,11,16]],"date-time":"2019-11-16T02:17:32Z","timestamp":1573870652000},"page":"2557-2563","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Coexistence of malnutrition, frailty, physical frailty and disability in patients with COPD starting a pulmonary rehabilitation program"],"prefix":"10.1016","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5058-920X","authenticated-orcid":false,"given":"L.","family":"ter Beek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"van der Vaart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.B.","family":"Wempe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.P.","family":"Krijnen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.L.N.","family":"Roodenburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.P.","family":"van der Schans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Jager-Wittenaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clnu.2019.11.016_bib1","first-page":"5107","article-title":"Prevalence and effects of malnutrition in COPD patients referred for pulmonary rehabilitation","volume":"42","author":"Ng","year":"2013","journal-title":"Eur Respir J"},{"key":"10.1016\/j.clnu.2019.11.016_bib2","doi-asserted-by":"crossref","first-page":"680","DOI":"10.4187\/respcare.04358","article-title":"Fat-free mass index for evaluating the nutritional status and disease severity in COPD","volume":"61","author":"Luo","year":"2016","journal-title":"Respir Care"},{"key":"10.1016\/j.clnu.2019.11.016_bib3","article-title":"Frailty and patient-reported outcomes in subjects with chronic obstructive pulmonary disease: are they independent entities?","volume":"4","author":"Kusunose","year":"2017","journal-title":"BMJ Open Respir Res"},{"key":"10.1016\/j.clnu.2019.11.016_bib4","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.hrtlng.2012.07.004","article-title":"Frailty in people with COPD, using the national health and nutrition evaluation survey dataset (2003-2006)","volume":"42","author":"Park","year":"2013","journal-title":"Heart Lung"},{"key":"10.1016\/j.clnu.2019.11.016_bib5","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.2147\/COPD.S134233","article-title":"Frailty syndrome in ambulatory patients with COPD","volume":"12","author":"Limpawattana","year":"2017","journal-title":"Int J Chronic Obstr Pulm Dis"},{"key":"10.1016\/j.clnu.2019.11.016_bib6","doi-asserted-by":"crossref","first-page":"212","DOI":"10.4187\/respcare.04118","article-title":"Physical activity as a predictor of absence of frailty in subjects with stable COPD and COPD exacerbation","volume":"61","author":"Valenza","year":"2016","journal-title":"Respir Care"},{"key":"10.1016\/j.clnu.2019.11.016_bib7","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1513\/AnnalsATS.201405-187OC","article-title":"Chronic obstructive pulmonary disease, cognitive impairment, and development of disability: the health and retirement study","volume":"11","author":"Martinez","year":"2014","journal-title":"Ann Am Thorac Soc"},{"issue":"Suppl 2","key":"10.1016\/j.clnu.2019.11.016_bib8","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.gaceta.2011.08.005","article-title":"ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain","volume":"25","author":"de Pedro-Cuesta","year":"2011","journal-title":"Gac Sanit"},{"key":"10.1016\/j.clnu.2019.11.016_bib9","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.clnu.2016.09.004","article-title":"ESPEN guidelines on definitions and terminology of clinical nutrition","volume":"36","author":"Cederholm","year":"2017","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2019.11.016_bib10","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.jamda.2013.03.022","article-title":"Frailty consensus: a call to action","volume":"14","author":"Morley","year":"2013","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.clnu.2019.11.016_bib11","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.arr.2010.09.001","article-title":"Outcome instruments to measure frailty: a systematic review","volume":"10","author":"de Vries","year":"2011","journal-title":"Ageing Res Rev"},{"key":"10.1016\/j.clnu.2019.11.016_bib12","doi-asserted-by":"crossref","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","article-title":"Frailty in older adults: evidence for a phenotype","volume":"56","author":"Fried","year":"2001","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.clnu.2019.11.016_bib13","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1016\/S0140-6736(06)69498-1","article-title":"The definition of disability: what is in a name?","volume":"368","author":"Leonardi","year":"2006","journal-title":"Lancet"},{"key":"10.1016\/j.clnu.2019.11.016_bib14","doi-asserted-by":"crossref","first-page":"M123","DOI":"10.1093\/gerona\/51A.3.M123","article-title":"Progressive versus catastrophic disability: a longitudinal view of the disablement process","volume":"51","author":"Ferrucci","year":"1996","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.clnu.2019.11.016_bib15","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.clnu.2015.01.008","article-title":"Malnutrition and frailty in community dwelling older adults living in a rural setting","volume":"35","author":"Boulos","year":"2016","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2019.11.016_bib16","first-page":"213","article-title":"Malnutrition, fatigue, frailty, vulnerability, sarcopenia and cachexia: overlap of clinical features","volume":"15","author":"Jeejeebhoy","year":"2012","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"10.1016\/j.clnu.2019.11.016_bib17","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/j.jamda.2017.06.017","article-title":"Related and distinct syndrome prevalence and association among community-dwelling older adults: Singapore longitudinal ageing studies","volume":"18","author":"Wei","year":"2017","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.clnu.2019.11.016_bib18","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.clnesp.2017.11.006","article-title":"The association between nutritional status and frailty characteristics among geriatric outpatients","volume":"23","author":"Kurkcu","year":"2018","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnu.2019.11.016_bib19","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1111\/resp.12133","article-title":"Effect of nutritional status in individuals with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation","volume":"18","author":"G\u00fcnay","year":"2013","journal-title":"Respirology"},{"key":"10.1016\/j.clnu.2019.11.016_bib20","doi-asserted-by":"crossref","first-page":"2180","DOI":"10.1016\/j.clnu.2018.09.014","article-title":"Malnutrition according to ESPEN consensus predicts hospitalizations and long-term mortality in rehabilitation patients with stable chronic obstructive pulmonary disease","volume":"38","author":"Marco","year":"2019","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2019.11.016_bib21","doi-asserted-by":"crossref","DOI":"10.1164\/rccm.201309-1634ST","article-title":"An official American Thoracic Society\/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation","volume":"188","author":"Spruit","year":"2013","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.clnu.2019.11.016_bib22","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.rmed.2009.07.004","article-title":"Critical view on diagnosing muscle wasting by single-frequency bio-electrical impedance in COPD","volume":"104","author":"Rutten","year":"2010","journal-title":"Respir Med"},{"key":"10.1016\/j.clnu.2019.11.016_bib23","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/NCC.0000000000000505","article-title":"Translation and cultural adaptation of the scored patient-generated subjective global assessment (PG-SGA): an interdisciplinary nutritional instrument appropriate for Dutch cancer patients","volume":"41","author":"Sealy","year":"2018","journal-title":"Cancer Nurs"},{"key":"10.1016\/j.clnu.2019.11.016_bib24","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jclinepi.2016.02.020","article-title":"Content validity across methods of malnutrition assessment in patients with cancer is limited","volume":"76","author":"Sealy","year":"2016","journal-title":"J\u00a0Clin Epidemiol"},{"key":"10.1016\/j.clnu.2019.11.016_bib25","article-title":"The scored patient-generated subjective global assessment is an effective nutrition assessment tool in subjects with chronic obstructive pulmonary disease","volume":"6","author":"Bauer","year":"2011","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnu.2019.11.016_bib26","first-page":"322","article-title":"Assessing nutritional status in cancer: role of the patient-generated subjective global assessment","volume":"20","author":"Jager-Wittenaar","year":"2017","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"10.1016\/j.clnu.2019.11.016_bib27","doi-asserted-by":"crossref","first-page":"551","DOI":"10.2522\/ptj.20120127","article-title":"Evaluative frailty index for physical activity (EFIP): a reliable and valid instrument to measure changes in level of frailty","volume":"93","author":"de Vries","year":"2013","journal-title":"Phys Ther"},{"key":"10.1016\/j.clnu.2019.11.016_bib28","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/1477-7525-8-51","article-title":"Validation of the \u201cWorld health organization disability assessment Schedule, WHODAS-2\u201d in patients with chronic diseases","volume":"8","author":"Garin","year":"2010","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.clnu.2019.11.016_bib29","series-title":"WHODAS 2.0 manual. Malta","author":"\u00dcst\u00fcn","year":"2010"},{"key":"10.1016\/j.clnu.2019.11.016_bib30","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.cger.2010.08.008","article-title":"Frailty defined by deficit accumulation and geriatric medicine defined by frailty","volume":"27","author":"Rockwood","year":"2011","journal-title":"Clin Geriatr Med"},{"key":"10.1016\/j.clnu.2019.11.016_bib31","doi-asserted-by":"crossref","first-page":"247","DOI":"10.2147\/COPD.S152955","article-title":"Independent determinants of disease-related quality of life in COPD - scope for nonpharmacologic interventions?","volume":"13","author":"Brien","year":"2018","journal-title":"Int J Chronic Obstr Pulm Dis"},{"key":"10.1016\/j.clnu.2019.11.016_bib32","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jpainsymman.2008.07.006","article-title":"Symptom distress and quality of life in patients with advanced chronic obstructive pulmonary disease","volume":"38","author":"Blinderman","year":"2009","journal-title":"J\u00a0Pain Symptom Manag"},{"key":"10.1016\/j.clnu.2019.11.016_bib33","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.rmed.2003.11.004","article-title":"Cognitive performance in patients with COPD","volume":"98","author":"Liesker","year":"2004","journal-title":"Respir Med"},{"key":"10.1016\/j.clnu.2019.11.016_bib34","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1093\/ageing\/afx136","article-title":"Does current smoking predict future frailty? The English longitudinal study of ageing","volume":"47","author":"Kojima","year":"2018","journal-title":"Age Ageing"},{"key":"10.1016\/j.clnu.2019.11.016_bib35","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ssresearch.2014.05.007","article-title":"Understanding the links between education and smoking","volume":"48","author":"Maralani","year":"2014","journal-title":"Soc Sci Res"},{"key":"10.1016\/j.clnu.2019.11.016_bib36","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/BF03351076","article-title":"Role of clinical frailty on long-term mortality of elderly subjects with and without chronic obstructive pulmonary disease","volume":"23","author":"Galizia","year":"2011","journal-title":"Aging Clin Exp Res"},{"key":"10.1016\/j.clnu.2019.11.016_bib37","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1177\/1753465817726314","article-title":"Frailty is a predictive factor of readmission within 90 days of hospitalization for acute exacerbations of chronic obstructive pulmonary disease: a longitudinal study","volume":"11","author":"Bernabeu-Mora","year":"2017","journal-title":"Ther Adv Respir Dis"},{"key":"10.1016\/j.clnu.2019.11.016_bib38","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1007\/s11255-017-1547-5","article-title":"Prevalence of frailty in end-stage renal disease: a systematic review and meta-analysis","volume":"49","author":"Kojima","year":"2017","journal-title":"Int Urol Nephrol"},{"key":"10.1016\/j.clnu.2019.11.016_bib39","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1136\/thoraxjnl-2016-208460","article-title":"Physical frailty and pulmonary rehabilitation in COPD: a prospective cohort study","volume":"71","author":"Maddocks","year":"2016","journal-title":"Thorax"},{"key":"10.1016\/j.clnu.2019.11.016_bib40","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.jamda.2016.12.074","article-title":"High prevalence of physical frailty among community-dwelling malnourished older adults-A systematic review and meta-analysis","volume":"18","author":"Verlaan","year":"2017","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.clnu.2019.11.016_bib41","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1139\/apnm-2016-0652","article-title":"Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition","volume":"42","author":"Laur","year":"2017","journal-title":"Appl Physiol Nutr Metabol"},{"key":"10.1016\/j.clnu.2019.11.016_bib42","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1513\/AnnalsATS.201706-420ED","article-title":"Measures of frailty in chronic lung diseases","volume":"14","author":"Luckhardt","year":"2017","journal-title":"Ann Am Thorac Soc"},{"key":"10.1016\/j.clnu.2019.11.016_bib43","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.3945\/ajcn.111.023499","article-title":"Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis","volume":"95","author":"Collins","year":"2012","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.clnu.2019.11.016_bib44","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1002\/jcsm.12219","article-title":"A randomized clinical trial investigating the efficacy of targeted nutrition as adjunct to exercise training in COPD","volume":"8","author":"van de Bool","year":"2017","journal-title":"J\u00a0Cachexia Sarcopenia Muscle"}],"container-title":["Clinical Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0261561419331437?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0261561419331437?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:55:51Z","timestamp":1759366551000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0261561419331437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":44,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S0261561419331437"],"URL":"https:\/\/doi.org\/10.1016\/j.clnu.2019.11.016","relation":{},"ISSN":["0261-5614"],"issn-type":[{"value":"0261-5614","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Coexistence of malnutrition, frailty, physical frailty and disability in patients with COPD starting a pulmonary rehabilitation program","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnu.2019.11.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.","name":"copyright","label":"Copyright"}]}}