Chronic Obstructive Pulmonary Disease Nutrition Management

Publication Date: February 18, 2020

Introduction

Introduction

  • Chronic obstructive pulmonary disease (COPD) is a leading cause of death in both the United States and world-wide. COPD is described by the American Thoracic Society as a slowly progressive lung disease that is characterized by airflow limitation and obstruction.
  • Although COPD affects the lungs, it also produces significant systemic consequences. Adults who are diagnosed with COPD often have other comorbidities and especially in the elderly are particularly vulnerable to the effects of smoking, poor diet and inactivity. COPD may be accompanied by weight loss, nutritional abnormalities and loss of skeletal muscle and/or function.
  • The primary goals of medical nutrition therapy (MNT) for people with COPD are to achieve and maintain appropriate body weight and composition, maximize pulmonary status, reduce mortality, and improve quality of life (QOL).

Nutrition Assessment

...tion Assessment

...ssment of Energy Intake The registered...


...t of Body Weight StatusThe RDN should assess body...


...ing Resting Metabolic Rate (RMR)To calculate...


...g Total Energy Expenditure (TEE)To calculate TE...


...t of Serum 25(OH)D StatusThe RDN should assess...


...D: Assessment of ExacerbationsIf an adul...


Nutrition Intervention

...tion Intervention...

...edical Nutrition Therapy (MNT)The RDN should pro...


...: Energy PrescriptionFor adults with CO...


...acronutrient Composition (Percentage Distribut...


...amin D Supplementation for Baseline Serum 25(OH)D...


COPD: Vitamin D Supplementation for B...


...OPD: Monitor and Evaluate Effect of Vitami...


Nutrition Monitoring and Evaluation 

...n Monitoring and Evaluatio...

...r and Evaluate Energy Intake and Body Weig...


...itor and Evaluate Serum (25(OH)D Leve...