Managing malnutrition in COPD: A review.

Abstract:

:In the UK approximately 1.2 million people have COPD with around 25-40% being underweight and 35% have a severely low fat-free mass index. Measuring their body mass index is recommended and Health care professionals should endeavour to ensure that COPD patients are achieving their nutritional requirements. A narrative review summarizes evidence from 28 original articles identified through a systematic searches of databases, grey literature and hand searches covering 15 years, focusing on two themes, on the impact of malnutrition on COPD, and the management of malnutrition in COPD. Malnutrition causes negative effects on exercise and muscle function and lung function as well as increasing exacerbations, mortality and cost. Management options include nutritional supplementation which may increase weight and muscle function. Nutritional education has short-term improvements. Malnutrition affects multiple aspects of COPD, but treatment is of benefit. Clinical practice should include nutrition management.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Keogh E,Mark Williams E

doi

10.1016/j.rmed.2020.106248

subject

Has Abstract

pub_date

2020-11-21 00:00:00

pages

106248

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(20)30388-7

journal_volume

176

pub_type

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