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Energy expenditure in underweight chronic obstructive pulmonary disease patients before and during a physiotherapy

F Slinde1, K Kvarnhult, A M Grönberg

  • 1Department of Clinical Nutrition, Institute of Internal Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden. frode.slinde@nutrition.gu.se

European Journal of Clinical Nutrition
|February 3, 2006
PubMed

Insights

Total daily energy expenditure (TEE) in underweight patients with chronic obstructive pulmonary disease (COPD) showed variable changes during physiotherapy. Individual energy needs assessment is recommended for these COPD patients.

Area of Science:

  • Pulmonary Medicine
  • Human Physiology
  • Nutritional Science

Background:

  • Underweight patients with chronic obstructive pulmonary disease (COPD) often experience altered energy metabolism.
  • Physiotherapy is a common intervention for COPD management, but its effect on energy expenditure is not fully understood.

Purpose of the Study:

  • To investigate the changes in total daily energy expenditure (TEE) in underweight patients with COPD who participate in a physiotherapy program.

Main Methods:

  • A prospective intervention study was conducted with 15 underweight COPD patients (BMI < 21 kg/m²).
  • Total daily energy expenditure (TEE) was measured using the doubly labeled water method over two weeks.
  • Energy intake was assessed via a 7-day dietary record during both a control period and a 2-week physiotherapy period.

Main Results:

  • Mean TEE was 6% lower during physiotherapy compared to the control period, but this difference was not statistically significant.
  • Ten out of fourteen patients exhibited a decrease in TEE, while four patients showed an increase.
  • Mean energy intake remained stable between the control and physiotherapy periods.

Conclusions:

  • Total daily energy expenditure (TEE) can vary significantly among underweight COPD patients undergoing physiotherapy.
  • Given the variability in TEE, personalized assessment of energy requirements is crucial for effective management of these patients.
Abstract

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