Managing malnutrition in COPD: A review

Emma Keogh; E. Mark Williams

doi:10.1016/j.rmed.2020.106248

Managing malnutrition in COPD: A review

Emma Keogh, E. Mark Williams

Research output: Contribution to journal › Article › peer-review

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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.

Original language	English
Article number	106248
Journal	Respiratory Medicine
Volume	176
Early online date	21 Nov 2020
DOIs	https://doi.org/10.1016/j.rmed.2020.106248
Publication status	E-pub ahead of print - 21 Nov 2020

Keywords

BMI
Chronic obstructive pulmonary disease
Cost
Exacerbation
FFMI
Malnutrition
Management
Mortality
Nutritional support

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.rmed.2020.106248Licence: CC BY-NC-ND

Accepted ManuscriptAccepted author manuscript, 494 KBLicence: CC BY-NC-ND

Cite this

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title = "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.",

keywords = "BMI, Chronic obstructive pulmonary disease, Cost, Exacerbation, FFMI, Malnutrition, Management, Mortality, Nutritional support",

author = "Emma Keogh and {Mark Williams}, E.",

note = "Funding Information: No funding was received by the authors and the Review was submitted towards an MSc in Respiratory Medicine, University of South Wales. Publisher Copyright: {\textcopyright} 2020 Elsevier Ltd Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

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AU - Keogh, Emma

AU - Mark Williams, E.

N1 - Funding Information: No funding was received by the authors and the Review was submitted towards an MSc in Respiratory Medicine, University of South Wales. Publisher Copyright: © 2020 Elsevier Ltd Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/11/21

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N2 - 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.

AB - 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.

KW - BMI

KW - Chronic obstructive pulmonary disease

KW - Cost

KW - Exacerbation

KW - FFMI

KW - Malnutrition

KW - Management

KW - Mortality

KW - Nutritional support

U2 - 10.1016/j.rmed.2020.106248

DO - 10.1016/j.rmed.2020.106248

M3 - Article

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SN - 0954-6111

VL - 176

JO - Respiratory Medicine

JF - Respiratory Medicine

M1 - 106248

ER -

Managing malnutrition in COPD: A review

Abstract

Keywords

UN SDGs

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