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

...Nutrition Assessment...

...sment of Energy Intake The registered dietit...


...of Body Weight StatusThe RDN should assess bod...


...ting Resting Metabolic Rate (RMR)To calculate RM...


...imating Total Energy Expenditure (TEE...


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


...: Assessment of ExacerbationsIf an adult wit...


Nutrition Intervention

...Nutrition In...

...utrition Therapy (MNT)The RDN should pro...


...PrescriptionFor adults with COPD, th...


...nutrient Composition (Percentage Distribution)The...


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


...: Vitamin D Supplementation for Baseline...


...nitor and Evaluate Effect of Vitamin D Su...


Nutrition Monitoring and Evaluation 

...Nutrition Monitori...

...OPD: Monitor and Evaluate Energy Intake and...


...PD: Monitor and Evaluate Serum (25(OH...