Dietary counselling and food fortification in stable COPD: a randomised trial

Weekes, C. Elizabeth; Emery, Peter W.; Elia, Marinos

doi:10.1136/thx.2008.097352

Cited by 113 publications

(128 citation statements)

References 28 publications

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“…Almost 50% of all COPD patients become underweight and several studies have shown that a low body mass index (BMI) or body composition with low fat-free mass index (FFMI), is a major mortality risk factor (Gray-Donald et al 1996;Schols et al 1998;Slinde et al 2005;Hitzl et al 2010). Studies aiming at improving the nutritional situation in malnourished patients with COPD have shown variable results (Sridhar et al 1994;Slinde et al 2002;Creutzberg et al 2003;Weekes et al 2009). In addition to recurrent illness and loss of appetite, miscalculation of patients' energy requirements could be one possible reason for nutritional treatment to fail.…”

Section: Chronic Obstructive Pulmonary Disease (Copd) Is One Of the Lmentioning

confidence: 99%

Energy expenditure in chronic obstructive pulmonary disease—evaluation of simple measures

et al. 2011

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Section: Chronic Obstructive Pulmonary Disease (Copd) Is One Of the Lmentioning

confidence: 99%

Energy expenditure in chronic obstructive pulmonary disease—evaluation of simple measures

et al. 2011

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“…The studies showed that being undernourished in COPD is likely to be associated with longer in-patient hospital stays [107,108], a higher probability of being readmitted [62,109] and an increase in healthcare utilisation [110] in comparison with normally nourished patients. Three randomised controlled trials in COPD investigated the effects of nutritional supplementation on healthcare utilisation and/or costs [65,76,111]. Two studies did not find a difference in hospital admissions.…”

Section: Cost-effectiveness Issuesmentioning

confidence: 99%

“…It is generally recommended in current guidelines that protein should provide 20% of the total energy intake. Fortification products can be used to increase energy and protein content in different meals [65]. A dietician is able to tailor the energy-and protein-enriched diet taking into account each subject's eating habits, lifestyle, symptoms, likes and dislikes.…”

Section: Treatment Of Weight Loss In Copdmentioning

confidence: 99%

Nutritional assessment and therapy in COPD: a European Respiratory Society statement

et al. 2014

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Nutrition and metabolism have been the topic of extensive scientific research in chronic obstructive pulmonary disease (COPD) but clinical awareness of the impact dietary habits, nutritional status and nutritional interventions may have on COPD incidence, progression and outcome is limited. A multidisciplinary Task Force was created by the European Respiratory Society to deliver a summary of the evidence and description of current practice in nutritional assessment and therapy in COPD, and to provide directions for future research. Task Force members conducted focused reviews of the literature on relevant topics, advised by a methodologist. It is well established that nutritional status, and in particular abnormal body composition, is an important independent determinant of COPD outcome. The Task Force identified different metabolic phenotypes of COPD as a basis for nutritional risk profile assessment that is useful in clinical trial design and patient counselling. Nutritional intervention is probably effective in undernourished patients and probably most when combined with an exercise programme. Providing evidence of costeffectiveness of nutritional intervention is required to support reimbursement and thus increase access to nutritional intervention. Overall, the evidence indicates that a well-balanced diet is beneficial to all COPD patients, not only for its potential pulmonary benefits, but also for its proven benefits in metabolic and cardiovascular risk. @ERSpublications Metabolism and nutrition: shifting paradigms in COPD management

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“…Some simple tips, such as increasing the intake of protein-rich foods (especially those containing polyunsaturated fatty acids), fibre, and the vitamins where they are most deficient (A, B6, B9, B12, C, D, and E), seem to be sufficient to maintain and even regain weight in many COPD patients with nutritional deficiency 62 . In fact, a healthy diet and diet interventions can even delay the onset and progression of COPD [63][64][65] .…”

Section: Dietmentioning

confidence: 99%

Alterations in Nutritional Status and Body Composition in COPD Patients

Gea¹,

Estirado²,

Barreiro³

2017

BRN

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This review focuses on nutritional abnormalities, one of the most prominent extrapulmonary manifestations occurring in chronic obstructive pulmonary disease (COPD). Diagnosis is usually made by either anthropometry or determination of body composition. Deficiencies in nutritional status, such as body weight and muscle mass loss, are the result of an interaction of several factors, including the imbalance between energy supply and requirements, tobacco, low physical activity, and systemic inflammation. These factors essentially determine the predominance of protein breakdown over synthesis. The loss of body weight and lean mass leads to muscle dysfunction and exercise limitation, also having a negative impact on exacerbations and mortality. Therapies include changes in lifestyle and nutritional supplements. Anabolic drugs may be administered in some cases. Obesity is also very prevalent in COPD patients, being associated with cardiovascular and metabolic comorbidities. Although, paradoxically, moderate obesity appears to reduce mortality, healthy lifestyle habits are recommended to avoid morbid obesity. (BRN Rev. 2017;3:56-71)

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Dietary counselling and food fortification in stable COPD: a randomised trial

Cited by 113 publications

References 28 publications

Energy expenditure in chronic obstructive pulmonary disease—evaluation of simple measures

Energy expenditure in chronic obstructive pulmonary disease—evaluation of simple measures

Nutritional assessment and therapy in COPD: a European Respiratory Society statement

Alterations in Nutritional Status and Body Composition in COPD Patients

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