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

...trition Assessment...

...Assessment of Energy Intake The registered dieti...


...OPD: Assessment of Body Weight StatusThe RDN sho...


...imating Resting Metabolic Rate (RMR)To cal...


...ating Total Energy Expenditure (TEE)To calculate...


...OPD: Assessment of Serum 25(OH)D Statu...


...nt of ExacerbationsIf an adult with COP...


Nutrition Intervention

...ition Intervention...

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


...Energy PrescriptionFor adults with...


...Macronutrient Composition (Percentage Distrib...


...: Vitamin D Supplementation for Bas...


...Vitamin D Supplementation for Baseline Serum 2...


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


Nutrition Monitoring and Evaluation 

...utrition Monitoring and Evaluatio...

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


...Monitor and Evaluate Serum (25(OH)D LevelsÂ...