Chronic obstructive pulmonary disease and malnutrition: why are we not winning this battle?

Ferreira, Ivone

doi:10.1590/s0102-35862003000200011

Cited by 7 publications

(8 citation statements)

References 69 publications

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“…It found that nutritional support leads to improvements in nutritional intake, body weight, muscle mass (MAMC), fat mass (skinfold thickness), and an improvement in peripheral muscle strength (handgrip strength). These findings are completely in contrast with those of previous reviews and meta-analyses (6,7,42,63,64), which reported no significant differences between intervention and control groups. The previous meta-analyses (6,7,42) did not examine changes in dietary intake.…”

Section: Discussioncontrasting

confidence: 99%

Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis

Collins

Stratton

Elia

2012

The American Journal of Clinical Nutrition

148

107

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Section: Discussioncontrasting

confidence: 99%

Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis

Collins

Stratton

Elia

2012

The American Journal of Clinical Nutrition

148

107

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“…Swallowing disorders can also lead to other complications, including dehydration, aspiration pneumonia, or airway obstruction. 34 …”

Section: Literature Reviewmentioning

confidence: 99%

Relationship between Dysphagia and Exacerbations in Chronic Obstructive Pulmonary Disease: A Literature Review

Steidl

Ribeiro

Gonçalves

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction The literature presents studies correlating chronic obstructive pulmonary disease to dysphagia and suggesting that the aspiration laryngeal phenomenon related to changes in the pharyngeal phase contributes significantly to the exacerbation of symptoms of lung disease. Objectives This study aimed to conduct a literature review to identify the relation between dysphagia and exacerbations of chronic obstructive pulmonary disease. Data Synthesis We found 21 studies and included 19 in this review. The few studies that related to the subject agreed that the presence of dysphagia, due to lack of coordination between swallowing and breathing, may be one of the triggering factors of chronic obstructive pulmonary disease exacerbation. Conclusions The review noted that there is a relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, identified by studies demonstrating that the difficulties associated with swallowing may lead to exacerbation of the disease. There was difficulty in comparing studies by their methodological differences. More research is needed to clarify the relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, making it possible to develop multiprofessional treatment strategies for these patients, catered to specific needs due to the systemic manifestations of the disease.

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“…9 In addition to the uncertainty about the causal links between malnutrition and COPD, there are controversies about how effective nutritional support is in this patient group. Previous reviews and meta-analyses [10][11][12] suggested that malnutrition fails to respond to nutritional treatment in COPD finding no significant improvements in anthropometric or functional measures. These conclusions have been challenged by several randomized, controlled trials (RCT), [13][14][15][16] and a recently published meta-analysis concluded that nutritional support was able to significantly increase nutritional intake (energy and protein), which was associated with a significant improvement in a variety of anthropometric measures.…”

Section: Introductionmentioning

confidence: 99%

Nutritional support and functional capacity in chronic obstructive pulmonary disease: A systematic review and meta‐analysis

2013

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Currently, there is confusion about the value of using nutritional support to treat malnutrition and improve functional outcomes in chronic obstructive pulmonary disease (COPD). This systematic review and metaanalysis of randomized, controlled trials (RCT) aimed to clarify the effectiveness of nutritional support in improving functional outcomes in COPD. A systematic review identified 12 RCT (n = 448) in stable COPD patients investigating the effects of nutritional support (dietary advice (1 RCT), oral nutritional supplements (10 RCT), enteral tube feeding (1 RCT)) versus control on functional outcomes. Meta-analysis of the changes induced by intervention found that while respiratory function (forced expiratory volume in 1 s, lung capacity, blood gases) was unresponsive to nutritional support, both inspiratory and expiratory muscle strength (maximal inspiratory mouth pressure +3.86 standard error (SE) 1.89 cm H2O, P = 0.041; maximal expiratory mouth pressure +11.85 SE 5.54 cm H2O, P = 0.032) and handgrip strength (+1.35 SE 0.69 kg, P = 0.05) were significantly improved and associated with weight gains of Ն2 kg. Nutritional support produced significant improvements in quality of life in some trials, although meta-analysis was not possible. It also led to improved exercise performance and enhancement of exercise rehabilitation programmes. This systematic review and meta-analysis demonstrates that nutritional support in COPD results in significant improvements in a number of clinically relevant functional outcomes, complementing a previous review showing improvements in nutritional intake and weight.

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Chronic obstructive pulmonary disease and malnutrition: why are we not winning this battle?

Cited by 7 publications

References 69 publications

Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis

Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis

Relationship between Dysphagia and Exacerbations in Chronic Obstructive Pulmonary Disease: A Literature Review

Nutritional support and functional capacity in chronic obstructive pulmonary disease: A systematic review and meta‐analysis

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