Clin Nutr Res.  2014 Jul;3(2):150-156. 10.7762/cnr.2014.3.2.150.

Medical Nutrition Therapy based on Nutrition Intervention for a Patient with Chronic Obstructive Pulmonary Disease

Affiliations
  • 1Department of Dietetics and Nutrition Services Team, Asan Medical Center, Seoul 138-736, Korea. prupt@amc.seoul.kr

Abstract

Chronic obstructive pulmonary disease (COPD) is a major cause of disability, and according to statistics from the World Health Organization, COPD is the fourth leading cause of death overall in the face of decades, and expected to be increased. In 2005, the reported prevalence of COPD in Korea was 17.2% of adults over the age of 45. Malnutrition is a common problem in papatients with COPD. And several nutritional intervention studies showed a significant improvement in physical and functional outcomes. According to the results of previous studies, the nutritional support is important. This is a case report of a patient with COPD who was introduced to a proper diet through nutrition education based on the medical nutrition therapy protocol for COPD.

Keyword

Chronic obstructive pulmonary disease; Medical nutrition therapy; Nutrition intervention

MeSH Terms

Adult
Cause of Death
Diet
Education
Humans
Clinical Trial
Korea
Malnutrition
Nutrition Therapy*
Nutritional Support
Prevalence
Pulmonary Disease, Chronic Obstructive*
World Health Organization

Figure

  • Figure 1 Nutritional support process. ONS: oral nutrition supplement, ER: emergency room, GW: general ward, MICU: medical intensive care unit, NPO: nothing by mouth, DNR: do not resuscitate, NUT: nutrition services team, SFS: synchronous fluorescence spectrophotometry, d/t: due to, F/U: flollow up.


Reference

1. Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Wallingford: CABI Publishing;2003.
2. Schols AM, Slangen J, Volovics L, Wouters EF. Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1998; 157:1791–1797.
Article
3. Hallin R, Koivisto-Hursti UK, Lindberg E, Janson C. Nutritional status, dietary energy intake and the risk of exacerbations in patients with chronic obstructive pulmonary disease (COPD). Respir Med. 2006; 100:561–567.
Article
4. Grönberg AM, Slinde F, Engström CP, Hulthén L, Larsson S. Dietary problems in patients with severe chronic obstructive pulmonary disease. J Hum Nutr Diet. 2005; 18:445–452.
Article
5. Schols AM, Fredrix EW, Soeters PB, Westerterp KR, Wouters EF. Resting energy expenditure in patients with chronic obstructive pulmonary disease. Am J Clin Nutr. 1991; 54:983–987.
Article
6. Gan WQ, Man SF, Senthilselvan A, Sin DD. Association between chronic obstructive pulmonary disease and systemic inflammation: a systematic review and a meta-analysis. Thorax. 2004; 59:574–580.
Article
7. Collins PF, Stratton RJ, Elia M. Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Am J Clin Nutr. 2012; 95:1385–1395.
Article
8. Ferreira IM, Brooks D, White J, Goldstein R. Nutritional supplementation for stable chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2012; 12:CD000998.
Article
9. Collins PF, Elia M, Stratton RJ. Nutritional support and functional capacity in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Respirology. 2013; 18:616–629.
Article
10. Academy of Nutrition and Dietetics (US). Chronic Obstructive Pulmonary Disease Tookit. Chicago (IL): Academy of Nutrition and Dietetics;2012.
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