Nutritional supplementation for stable chronic obstructive pulmonary disease

Ferreira, Ivone; Brooks, Dina; Lacasse, Yves; Goldstein, Roger; White, John

doi:10.1002/14651858.cd000998.pub2

Cited by 106 publications

(74 citation statements)

References 71 publications

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“…The Cochrane review by FERREIRA et al [66] was recently updated and now includes 17 trials (632 participants) of o2 weeks of nutritional support (figs 2 and 3). The post-treatment values were pooled for all outcomes and the changes from baseline scores (change scores) were pooled for primary outcomes.…”

Section: Treatment Of Weight Loss In Copdmentioning

confidence: 99%

“…Five out of 17 trials included in the updated meta-analysis [66], specifically the trials that had FFM as an outcome, had nutritional supplementation combined with exercise. It is likely that the benefits of supplementation will be maximised if combined with exercise, although based on the current literature, the effects of nutrition and exercise cannot clearly be distinguished, which is a subject for future research.…”

Section: Treatment Of Weight Loss In Copdmentioning

confidence: 99%

“…5) Nutritional intervention is likely to be effective in undernourished patients (based on the Cochrane review [66]) and is probably most effective if combined with an exercise programme.…”

Section: Nutritional Interventionmentioning

confidence: 99%

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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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Section: Treatment Of Weight Loss In Copdmentioning

confidence: 99%

Section: Treatment Of Weight Loss In Copdmentioning

confidence: 99%

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

et al. 2014

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“…Frequent small meals are preferable, in order to avoid post-prandial dyspnoea and satiety [129]. However, a meta-analysis provided no evidence that nutritional support had a significant effect on anthropometric measures, lung function or exercise capacity in patients with stable COPD [130].…”

Section: Nutritional Implementationmentioning

confidence: 99%

Nonpharmacological treatment and relief of symptoms in COPD

Clini

Ambrosino²

2008

European Respiratory Journal

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Evidence-based guidelines for chronic obstructive pulmonary disease (COPD) have recently been developed.Nonpharmacological treatments have evolved rapidly as an essential part of COPD therapy. They are especially important as complementary interventions in severe or very severe disease, when there is loss in function, a reduction in quality of life and when psychological impairments further complicate the disease.The present article discusses the most used nonpharmacological treatments for severe COPD patients (rehabilitation, long-term oxygen therapy, surgery, noninvasive positive pressure ventilation and supportive nutrition) and their evidence-based usefulness in promoting strategies that relieve symptoms.All of these interventions are used during end-stage disease, to promote self-efficacy, relieve symptoms and prevent further deterioration. These therapeutic options support physicians and allied professionals in improving symptom management for their patients.

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“…A recent Cochrane review, including 11 studies, concluded that nutritional support had no significant effects in anthropometric measures, lung function or exercise capacity in patients with stable COPD (Ferreira et al, 2005). One of the explanations for this lack of effect was described to be that the judgement of energy expenditure might have been incorrect.…”

Section: Introductionmentioning

confidence: 99%

Energy expenditure in underweight chronic obstructive pulmonary disease patients before and during a physiotherapy programme

et al. 2006

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Objective: To investigate how total daily energy expenditure (TEE) changes when underweight patients with chronic obstructive pulmonary disease (COPD) enters a physiotherapy programme. Design: Prospective intervention study. Setting: Sahlgrenska University Hospital, Göteborg, Sweden. Subjects: Fifteen patients with severe COPD and BMIo21 kg/m 2 were recruited consecutively at the outpatient COPD unit at the Department of Respiratory Medicine. Fourteen patients completed the whole study. Intervention: TEE was assessed by the doubly labelled water method in a 2-week control period and during 2 weeks of physiotherapy. Energy intake was assessed using 7-day dietary record during control and physiotherapy period. Results: Mean TEE during physiotherapy period was 500 kJ (6%) lower than during control period but the difference was not statistically significant. Ten of the 14 patients had lower and four had higher TEE. Mean energy intake during the physiotherapy period did not change from the control period (7700 vs 7600 kJ/day). Conclusions: Since underweight patients with COPD may show variable TEE during physiotherapy compared to a control period, an assessment of individual energy requirements is recommended.

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Nutritional supplementation for stable chronic obstructive pulmonary disease

Cited by 106 publications

References 71 publications

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

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

Nonpharmacological treatment and relief of symptoms in COPD

Energy expenditure in underweight chronic obstructive pulmonary disease patients before and during a physiotherapy programme

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