Pulmonary Rehabilitation Only Versus With Nutritional Supplementation in Patients With Bronchiectasis

Doña, Esperanza; Olveira, Casilda; Palenque, Francisco Javier; Porras, Nuria; Dorado, Antonio; Martín-Valero, Rocío; Godoy, Ana; Espíldora, Francisco; Olveira, Gabriel

doi:10.1097/hcr.0000000000000341

Cited by 7 publications

(4 citation statements)

References 35 publications

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“…With the exception of airway clearance, these topics are consistent with those offered to patients with COPD. Addition of oral nutritional supplementation to pulmonary rehabilitation in patients with bronchiectasis who are normally nourished does not appear to have additional benefits for exercise capacity or quality of life …”

Section: Pulmonary Rehabilitation In Specific Patient Groupssupporting

confidence: 69%

Practical approach to establishing pulmonary rehabilitation for people with non‐COPD diagnoses

2019

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Pulmonary rehabilitation is a core aspect in the management of patients with chronic respiratory diseases. This paper describes a practical approach to establishing pulmonary rehabilitation for patients with non-COPD diagnoses using examples from the interstitial lung disease (ILD), pulmonary hypertension (PH), bronchiectasis and lung cancer patient populations. Aspects of pulmonary rehabilitation, including the rationale, patient selection, setting of programmes, patient assessment and training components (both exercise and non-exercise aspects), are discussed for these patient groups. Whilst there are many similarities in the rationale and application of pulmonary rehabilitation across these non-COPD populations, there are also many subtle differences, which are discussed in detail in this paper. With consideration of these factors, pulmonary rehabilitation programmes can be adapted to facilitate the inclusion of respiratory patients with non-COPD diagnoses.

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Section: Pulmonary Rehabilitation In Specific Patient Groupssupporting

confidence: 69%

Practical approach to establishing pulmonary rehabilitation for people with non‐COPD diagnoses

2019

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“…The prevalence of low lean mass was assessed using the fat free mass index (FFMI: kg of lean mass/height 2 ) according to ESPEN (European Society of Parenteral and Enteral Nutrition) criteria (<15 women or <17 men kg/m 2 ) 34 . Muscle strength was assessed using Jamar handgrip dynamometry (Asimow Engineering Co ., Los Angeles , CA ), expressing the data in absolute figures and defining low strength values below the population 10th percentile 13,34,35 .…”

Section: Methodsmentioning

confidence: 99%

Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

Contreras-Bolívar

Olveira

Porras

et al. 2019

Sci Rep

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The prevalence of osteopenia/osteoporosis has not been sufficiently studied in people with bronchiectasis not due to cystic fibrosis (BC), nor has its relationship with other variables (clinical, body composition and bone turnover and inflammation markers) been sufficiently studied. Our aim was to determine the prevalence of osteopenia and osteoporosis and related factors in patients with BC. We did a cross-sectional study in people with BC in a clinically stable state. Spirometric parameters, annual exacerbations and analysis with bone turnover markers (BTM) and inflammation markers were evaluated. Densitometry (DXA) was performed for body composition, bone mineral density (BMD) and handgrip strength. 123 patients were studied (65% women, mean age 49.6 ± 18.8, Body Mass Index (BMI) 24.8 ± 4.7 kg/m2). 62.8% and 62.5% of men and women, respectively, had normal bone mineral density, 30.2% and 22.2% osteopenia and 7% and 15% osteoporosis. 52 patients (56.2%) had low fat-free mass: 68.9% women and 28.6% men. Patients with decreased bone mass had significantly lower muscle strength, maximum expiratory volume in the first second (FEV1%), vitamin D, higher levels of C-terminal telopeptide of type 1 collagen (CTX) and total osteocalcin and underarboxylated osteocalcin (ucOC). We observed significant and negative correlations between BMD and the number of serious exacerbations per year CTX and undercarboxylated osteocalcin. We observed significant positive correlations between BMD, fat free mass index (FFMI) and handgrip dynamometry. The study suggest that the prevalence of osteoporosis was high in relation to the demographic characteristics. Respiratory parameters, body composition, muscle strength and bone remodeling markers were associated with a lower bone mineral density.

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“…It contains 37 items on 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden). [ 164 ] 1 [ 165 ] QUALEFFO-41 Vertebral deformities Questionnaire for measuring QoL in patients with vertebral osteoporosis. It consists of questions and visual analogue scales in pain, activities of daily living, jobs around the house, mobility, leisure and social activities, general health perception and mood domains.…”

Section: Resultsmentioning

confidence: 99%

How quality of life is measured in studies of nutritional intervention: a systematic review

Pemau,

González-Palacios,

Kerr

2024

Health Qual Life Outcomes

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Background Nutrition care can positively affect multiple aspects of patient’s health; outcomes are commonly evaluated on the basis of their impact on a patient’s (i) illness-specific conditions and (ii) health-related quality of life (HRQoL). Our systematic review examined how HRQoL was measured in studies of nutritional interventions. To help future researchers select appropriate Quality of Life Questionnaires (QoLQ), we identified commonly-used instruments and their uses across populations in different regions, of different ages, and with different diseases. Methods We searched EMCare, EMBASE, and Medline databases for studies that had HRQoL and nutrition intervention terms in the title, the abstract, or the MeSH term classifications “quality of life” and any of “nutrition therapy”, “diet therapy”, or “dietary supplements” and identified 1,113 studies for possible inclusion.We then reviewed titles, abstracts, and full texts to identify studies for final inclusion. Results Our review of titles, abstracts, and full texts resulted in the inclusion of 116 relevant studies in our final analysis. Our review identified 14 general and 25 disease-specific QoLQ. The most-used general QoLQ were the Short-Form 36-Item Health Survey (SF-36) in 27 studies and EuroQol 5-Dimension, (EQ-5D) in 26 studies. The European Organization for Research and Treatment of Cancer Quality of life Questionnaire (EORTC-QLQ), a cancer-specific QoLQ, was the most frequently used disease-specific QoLQ (28 studies). Disease-specific QoLQ were also identified for nutrition-related diseases such as diabetes, obesity, and dysphagia. Sixteen studies used multiple QoLQ, of which eight studies included both general and disease-specific measures of HRQoL. The most studied diseases were cancer (36 studies) and malnutrition (24 studies). There were few studies focused on specific age-group populations, with only 38 studies (33%) focused on adults 65 years and older and only 4 studies focused on pediatric patients. Regional variation in QoLQ use was observed, with EQ-5D used more frequently in Europe and SF-36 more commonly used in North America. Conclusions Use of QoLQ to measure HRQoL is well established in the literature; both general and disease-specific instruments are now available for use. We advise further studies to examine potential benefits of using both general and disease-specific QoLQ to better understand the impact of nutritional interventions on HRQoL.

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Pulmonary Rehabilitation Only Versus With Nutritional Supplementation in Patients With Bronchiectasis

Abstract: PR improved exercise capacity, HRQOL, and respiratory parameters. The use of PRONS did not have a significant effect on the results.

Cited by 7 publications

References 35 publications

Practical approach to establishing pulmonary rehabilitation for people with non‐COPD diagnoses

Practical approach to establishing pulmonary rehabilitation for people with non‐COPD diagnoses

Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

How quality of life is measured in studies of nutritional intervention: a systematic review

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