Individual dietary intervention in patients with COPD during multidisciplinary rehabilitation

• Published in: Respiratory medicine Vol. 96; no. 5; pp. 330 - 336
• Main Authors: SLINDE, F., GRÖNBERG, A.M., ENGSTRÖM, C.-P., ROSSANDER-HULTHÉN, L., LARSSON, S.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.05.2002; Elsevier
• Subjects: Aged; Biological and medical sciences; Body Composition; Body Weight; chronic obstructive pulmonary disease; Chronic obstructive pulmonary disease, asthma; Combined Modality Therapy; COPD; Dietary intervention; Energy Intake; Humans; malnutrition; Medical sciences; Micronutrients - administration & dosage; Middle Aged; Miscellaneous; multidisciplinary rehabilitation; Nutrition Assessment; Pneumology; Prospective Studies; Pulmonary Disease, Chronic Obstructive - diet therapy; Pulmonary Disease, Chronic Obstructive - physiopathology; Pulmonary Disease, Chronic Obstructive - rehabilitation; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); malnutrition; multidisciplinary rehabilitation; Dietary intervention; chronic obstructive pulmonary disease; COPD; Dietetics; Performance evaluation; Human; Lung disease; Chronic; Treatment; Respiratory disease; Treatment efficiency; Bronchus disease; Obstructive pulmonary disease; Therapeutic schedule; Comparative study
• ISSN: 0954-6111; 1532-3064
• DOI: 10.1053/rmed.2001.1278

Dietary intervention studies in COPD patients often are short-term inpatient studies where a certain amount of extra energy is guaranteed. The aim of this study was to evaluate the effect of an 1 year individual multifaceted dietary intervention during multidisciplinary rehabilitation. Eighty-seven patients with severe COPD, not demanding oxygen therapy were included, 24 of them served as controls. A dietary history interview was performed at baseline and at study end. Dietary advice given were based on results from the dietary history and socio-economic status. The intervention group was divided into three parts; NW: normal weight (dietary advice given aiming to weight maintenance), OW: overweight (weight-reducing advice) and UW: underweight (dietary advise based on an energy- and protein-rich diet). Results: UW-group: Eighty-one per cent of the patients gained weight or kept a stable weight. OW-group: Fifty-seven per cent lost more than 2 kg. NW-group: Seventy-six per cent kept a stable weight or gained weight. Increased dietary intake from baseline was seen for energy, protein, carbohydrates and certain micronutrients (P<0.05) in the UW group. Six minutes walking distance increased by approximately 20 m in both NW (P<0.05) and UW patients. To conclude, slight, but uniform, indications of positive effects of dietary intervention during multidisciplinary rehabilitation was seen. Dietary intervention in underweight COPD patients might be a prerequisite for physical training.