Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

Olveira, Gabriel; Olveira, Casilda; Doña, Esperanza; Palenque, Francisco Javier; Porras, Nuria; Dorado, Antonio; Godoy, Ana; Rubio-Martínez, Elehazara; Rojo-Martínez, Gemma; Martín-Valero, Rocío

doi:10.1016/j.clnu.2015.10.001

Cited by 48 publications

(45 citation statements)

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“…213 There are four randomised controlled trials (RCTs) which investigate the effects of pulmonary rehabilitation (PR) in bronchiectasis. 150 214–216 Mandal et al (2012) conducted a pilot RCT (n=30) comparing an 8 week PR programme plus respiratory physiotherapy with respiratory physiotherapy alone. 215 Respiratory physiotherapy was carried out twice daily using the oscillatory positive expiratory pressure (PEP) device the Acapella Choice.…”

Section: Sectionmentioning

confidence: 99%

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British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

355

348

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Section: Sectionmentioning

confidence: 99%

“…216 Exercise capacity was not a reported outcome measure. Muscle strength measured using mean handgrip dynamometry was significantly improved in both groups at 12 and 24 weeks.…”

Section: Sectionmentioning

confidence: 99%

British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

355

348

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“…However, there are several unanswered issues regarding intensity, frequency and duration of training, as well as the optimal strategy for maintenance of benefit for patients with BC [18]. There is still scarce literature regarding the benefits of physical training and long-term effects in BC [12,[19][20][21]. Therefore, it is necessary to establish the most effective management strategies at the earliest stage possible.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Therapeutic Respiratory Muscle Training Interventions in People with Bronchiectasis: A Systematic Review and Meta-Analysis

Martín-Valero

Jiménez-Cebrián

Moral-Muñoz

et al. 2020

JCM

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Background: Respiratory muscle dysfunction is an important health problem with high morbidity and mortality and associated costs in patients with bronchiectasis (BC). The aim of this study was to analyse the effects of therapeutic respiratory muscle training (RMT) interventions on improving sputum clearance, ventilator function, muscle strength and functional capacity in BC. Methods: Systematic review and meta-analysis were conducted following PRISMA guidelines. Two independent investigators searched using several electronic databases. The methodological quality of nine studies was assessed using the PEDro scale. Study selection/eligibility criteria: The following were included: randomised controlled trials, randomised crossover trials and pilot studies of patients with BC that used the intervention as RMT (inspiratory/expiratory) and evaluations of respiratory muscle strength (maximal expiratory pressure/maximal inspiratory pressure). This systematic review was registered in PROSPERO (CRD42017075101). Nine studies were included, five of which obtained an A recommendation grade, three with B, and one with C. Study quality was poor to good (mean PEDro Score of 6.375 out of 10). Studies had small sample sizes (8–98). Results show improvements on PImax in favour of therapeutic respiratory muscle training intervention (MD = 6.08; 95% CI = 1.38, 10.77; p < 0.01; I2 = 92%). However, high heterogeneity was identified on meta-analysis.

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“…Nasuprot podatku o najnižoj smrtnosti u bolesnika s ITM-om 20 -25 kg/m 2 , neovisno o primarnoj bolesti, u KOPB-u je ITM < 25 kg/m 2 prediktor povišenog mortaliteta. 15,16,17 Zbog toga je nužno pratiti gubitak težine kod…”

Section: Procjena Nutritivnog Statusaunclassified

Recommendations for Prevention and Treatment of Malnutrition in Patients With Chronic Obstructive Pulmonary Disease

2018

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Sažetak. Kronična opstruktivna plućna bolest (KOPB) velik je javnozdravstveni problem s prevalencijom od 10 do 15% u Hrvatskoj. Osim oštećenja plućne funkcije, kod bolesnika nalazimo i znatne sustavne poremećaje koji mogu dovesti do povišenja morbiditeta i mortaliteta, kao i smanjenja kvalitete života. Proteinsko-energetska pothranjenost nalazi se kod 25 -40% bolesnika oboljelih od KOPB-a, s višom prevalencijom u težim stupnjevima bolesti. Time se KOPB defi nira kao multikomponentna bolest te se i kvalitetno liječenje treba zasnivati na korekciji svih sustavnih poremećaja. Gubitak mišićne mase i snage respiratorne i skeletne muskulature svojstven je bolesnicima s KOPB-om te je neovisan prediktor mortaliteta koji povećava učestalost i težinu egzacerbacija. Hrvatsko torakalno društvo ovim preporukama želi naglasiti važnost pravodobnog utvrđivanja nutritivnog statusa bolesnika s KOPB-om uporabom validiranog alata te defi niranjem specifi čnog fenotipa bolesnika. Pothranjenim bolesnicima i onima u riziku od razvoja pothranjenosti potrebno je pružiti odgovarajuću nutritivnu skrb.Summary. Chronic obstructive pulmonary disease (COPD) represents a signifi cant public health problem with estimated prevalence of 10-15% in adult population in Croatia. COPD is a chronic infl ammatory disease characterized by signifi cant systemic disorders that can lead to poorer quality of life and increased morbidity and mortality. Protein--energy malnutrition can be found in 25-40% of patients with COPD, with higher prevalence as disease progresses. Thus, COPD is defi ned as a multicomponent disease and treatment should be based on correction of all systemic disorders. Cachexia and muscle wasting is a frequent complication in COPD patients, an independent predictor of morbidity and mortality, and can accelerate frequency and severity of exacerbation. The aim of the Croatian Thoracic Society with these recommendations is to emphasize the importance of timely determination of the nutritional status of COPD patients by using a validated tool and defi ning a specifi c phenotype of patients. Adequate nutritional care needs to be provided in malnourished patients and those at risk of developing malnutrition. Liječ Vjesn 2018;140:183-189 1 Odjel za pulmologiju i imunologiju, Opća bolnica Dubrovnik (prim. mr. sc. Žarko Vrbica, dr. med.), 2 Klinika za plućne bolesti "Jordanovac", Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb (prim. dr. sc. Andrea Vukić Dugac, dr. med.; prof. dr. sc. Sanja Popović Grle, dr. med.; prim. Tajana Jalušić Glunčić, dr. med.; izv. prof. dr. sc. Marko Jakopović, dr. med., akademik Miroslav Samaržija, dr. med.), 3 Služba za prehranu i dijetetiku, KBC Zagreb (Sandra Bival, magistra nutricionizma), 4 Zavod za gastroenterologiju i hepatologiju, Klinika za unutarnje bolesti, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb (prof. dr. sc. Željko Krznarić, dr. med.) Adresa za dopisivanje: Prim. mr. sc. Ž. Vrbica,

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Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

Cited by 48 publications

References 23 publications

British Thoracic Society Guideline for bronchiectasis in adults

British Thoracic Society Guideline for bronchiectasis in adults

The Efficacy of Therapeutic Respiratory Muscle Training Interventions in People with Bronchiectasis: A Systematic Review and Meta-Analysis

Recommendations for Prevention and Treatment of Malnutrition in Patients With Chronic Obstructive Pulmonary Disease

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