Hypercapnic-hypoxemic chronic obstructive pulmonary disease (COPD): influence of severity of COPD on nutritional status

1988 ◽  
Vol 48 (3) ◽  
pp. 680-685 ◽  
Author(s):  
E Fiaccadori ◽  
S Del Canale ◽  
E Coffrini ◽  
P Vitali ◽  
C Antonucci ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Nutritional Status ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

Enteral Nutrition in the Chronic Obstructive Pulmonary Disease (COPD) Patient

2012 ◽  
Vol 25 (6) ◽  
pp. 583-585 ◽  
Author(s):  
Heather F. DeBellis ◽  
James W. Fetterman
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Enteral Nutrition ◽  
Nutritional Status ◽  
Pulmonary Disease ◽  
Dietary Habits ◽  
Physiological Stress ◽  
Nutritional Intervention ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Chronic obstructive pulmonary disease (COPD) is a progressive, chronic disease, in which malnutrition can have an undesirable effect. Therefore, the patient’s nutritional status is critical for optimizing outcomes in COPD. The initial nutrition assessment is focused on identifying calorically compromised COPD patients in order to provide them with appropriate nutrition. Nutritional intervention consists of oral supplementation and enteral nutrition to prevent weight loss and muscle mass depletion. Evaluation of nutritional status should include past medical history (medications, lung function, and exercise tolerance) and dietary history (patient’s dietary habits, food choices, meal patterns, food allergy information, and malabsorption issues), in addition to physiological stress, visceral proteins, weight, fat-free mass, and body mass index. The current medical literature conflicts regarding the appropriate type of formulation to select for nutritional intervention, especially regarding the amount of calories from fat to provide COPD patients. This review article focuses on the enteral product formulations currently available, and how they are most appropriately utilized in patients with COPD.

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