Hochkalorische Ernährung bei chronischer obstruktiver Lungenkrankheit [High-caloric nutrition in chronic obstructive lung disease]

Details

Serval ID
serval:BIB_83EEBF83EF2A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Hochkalorische Ernährung bei chronischer obstruktiver Lungenkrankheit [High-caloric nutrition in chronic obstructive lung disease]
Journal
Schweizerische Rundschau für Medizin Praxis
Author(s)
Ganzoni A., Heilig P., Schönenberger K., Hügli O., Fitting J.W., Brändli O.
ISSN
1013-2058
Publication state
Published
Issued date
1994
Volume
83
Number
1
Pages
13-16
Language
german
Notes
Publication types: Clinical Trial ; English Abstract ; Journal Article ; Randomized Controlled Trial - Publication Status: ppublish
Abstract
A body weight lower than 90% of the optional value has an unfavorable influence on the prognosis of chronic obstructive pulmonary disease (COPD). Short term studies of up to three months duration have shown improved function of respiratory muscle exercise tolerance and immunologic parameters by an increased caloric intake of 45 kcal/kg body weight. In a randomized trial of twelve months 14 of 30 patients with an average FEV1 of 0.8 l were instructed to take a high calorie diet. For simplicity a part of the calories were administered as Fresubin, a fluid nutrient formula. Although a weight gain of 7 kg (p = 0.003) was obtained the difference to the control group was statistically not significant (p = 0.08). The same was true for skin fold thickness (12.4 vs 5.7 mm), change of ventilatory parameters and the 6 minute walking distance (-33 vs -86 m). Subjective improvement was, however, impressive in all patients with dietary intervention, explainable probably by increased attention. Dietary counselling for increased intake of calories, vitamins and also calcium is thus very important in the treatment of patients with COPD.
Keywords
Aged, Body Weight, Energy Intake, Food, Formulated, Forced Expiratory Volume, Humans, Lung Diseases, Obstructive, Skinfold Thickness
Pubmed
Create date
29/01/2008 8:41
Last modification date
20/08/2019 14:43
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