“…In patients with COPD, malnutrition contributes to respiratory muscle weakness [7][8][9] and is associated with an increased frequency of hospitalizations, cor pulmonale, heart failure, and increased mortality. 4,6,10,11 It is therefore important to identify patients with COPD who lose weight and who might benefit from nutritional intervention. It has not been demonstrated, however, that weight gain decreases morbidity and mortality.…”