ABSTRACT Background: Incidence of chronic obstructive pulmonaly disease (COPD)acute exacerbation of increases in pilgrims during hay period. Early diagnosis and grading of COPD before hajj is important to start treatment and reduce risk of acuteexacerbation. Body Mass, Obstruction, Dyspnea, Exercise (BODE)index is a multidimensional grading system to predict risk of COPD acute exacerbation. …