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Energy balance in depleted ambulatory patients with chronic obstructive pulmonary disease: the effect of physical activity and oral nutritional supplementation

Published online by Cambridge University Press:  09 March 2007

Annelies H. C. Goris
Affiliation:
Department of Human Biology, Maastricht University, Maastricht, The Netherlands
Marja A. P. Vermeeren*
Affiliation:
Department of Dietetics and Respiratory Medicine, University Hospital Maastricht, PO Box 5800, 6202 AZ MAASTRICHT, The Netherlands
Emiel F. M. Wouters
Affiliation:
Department of Respiratory Medicine, Maastricht University, Maastricht, The Netherlands
Annemie M. W. J. Schols
Affiliation:
Department of Respiratory Medicine, Maastricht University, Maastricht, The Netherlands
Klaas R. Westerterp
Affiliation:
Department of Human Biology, Maastricht University, Maastricht, The Netherlands
*
*Corresponding Author: Dr Marja Vermeeren, fax +31 433875159, email vermeeren.marja@zonnet.nl
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Abstract

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Patients with chronic obstructive pulmonary disease (COPD) often suffer from weight loss. The aim of the present study was to gain insight into the energy balance of depleted ambulatory COPD patients, in relation to their habitual level of physical activity and consumption of oral nutritional supplements. Clinically stable and weight-stable patients (n 20; BMI 19·8± SD 2·0 kg/m2) were studied 1 and 3 months after rehabilitation or recovery in the clinic and were at random assigned to a control or intervention group with regard to nutritional supplementation. Energy intake was measured with a 7 d food record. Energy expenditure was estimated from a simultaneous 7 d assessment of physical activity with a tri-axial accelerometer for movement registration in combination with measured BMR. Body mass was measured at several time points. The body mass remained stable in both groups after 1 or 3 months and mean energy balances were comparable for both groups. The mean body-mass change between month 1 and 3 was negatively related to the mean physical activity level (r −0·49; P=0·03). Weight change over the 3 months was negatively associated with the physical activity level. These results suggest that knowledge about the individual physical activity level is necessary for the estimation of the energy need of the COPD patient.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2003

References

Baarends, E, Schols, A, Pannemans, D, Westerterp, K & Wouters, E (1997) Total free living energy expenditure in severe chronic obstructive pulmonary disease. American Journal of Respiratory Critical Care Medicine 155 549554.CrossRefGoogle ScholarPubMed
Creutzberg, EC, Wouters, EFM, Mostert, R, Weling-Scheepers, CAPM & Schols, AMWJ (2003) Efficacy of nutritional supplementation therapy in depleted patients with chronic obstructive pulmonary disease. Nutrition (In the Press)Google Scholar
Efthimou, J, Fleming, J, Gomes, C & Spiro, SG (1988) The effect of supplementary oral nutrition in poorly nourished patients with chronic obstructive pulmonary disease. American Review of Respiratory Diseases 137 10751082.CrossRefGoogle Scholar
Fjeld, CR, Brown, KH & Schoeller, DA (1988) Validation of the deuterium oxide method for measuring average daily milk intake in infants. American Journal of Clinical Nutrition 48 671679.CrossRefGoogle ScholarPubMed
Goris, AHC, Meijer, EP, Kester, A & Westerterp, KR (2001) The use of a tri-axial accelerometer for the validity of reported food intake. American Journal of Clinical Nutrition 73 549553.CrossRefGoogle Scholar
Goris, AHC & Westerterp, KR (1997) Underreporting of habitual food explained by undereating in motivated lean women. Journal of Nutrition 129 878882.CrossRefGoogle Scholar
Lewis, MI, Belman, MJ & Dorr-Uyemura, L (1987) Nutritional supplementation in ambulatory patients with chronic obstructive pulmonary disease. American Review of Respiratory Diseases 135 10621068.Google ScholarPubMed
Meijer, EP, Goris, AHC, Wouters, L & Westerterp, KR (2001) Physical inactivity as a determinant of the physical activity level in the elderly. International Journal of Obesity 25 935939.CrossRefGoogle ScholarPubMed
Mostert, R, Goris, A, Weling-Scheepers, C, Wouters, EFM & Schols, AMWJ (2000) Tissue depletion and health related quality of life in patients with chronic obstructive pulmonary disease. Respiratory Medicine 9 859867.CrossRefGoogle Scholar
Schols, AMWJ, Slangen, J, Volovics, L & Wouters, EFM (1998) Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary disease. American Journal of Respiratory Critical Care Medicine 157 17911797.CrossRefGoogle ScholarPubMed
Schols, AMWJ, Soeters, PB, Mostert, R, Pluymers, RJ & Wouters, EFM (1995) Physiologic effects of nutritional support and anabolic steroids in patients with chronic obstructive pulmonary disease. American Journal of Respiratory Critical Care Medicine 152 12681274.CrossRefGoogle ScholarPubMed
Schols, AMWJ, Soeters, PB, Mostert, R, Saris, WHM & Wouters, EFM (1991) Energy balance in chronic obstructive pulmonary disease. American Review of Respiratory Diseases 143 12481252.CrossRefGoogle ScholarPubMed
Westerterp, KR, Kayser, B, Brouns, F, Herry, JP & Saris, WH (1992) Energy expenditure climbing Mt. Everest. Journal of Applied Physiology 73 18151819.CrossRefGoogle ScholarPubMed
Wilson, DO, Rogers, RM, Wright, EC & Anthonisen, NR (1989) Body weight in chronic obstructive pulmonary disease. American Review of Respiratory Diseases 139 14351438.CrossRefGoogle ScholarPubMed
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