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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Changes in nutritional status&#44; such as weight loss and malnutrition&#44; are a very common complication in patients with chronic obstructive pulmonary disease &#40;COPD&#41;&#46; These changes primarily affect the patients&#39; quality of life and functional capacity and they are also independent prognostic indicators of both morbidity and mortality&#46; Malnutrition in these patients is due to multiple factors including increases in resting energy expenditure&#44; decreased food intake&#44; the effects of certain drugs&#44; and&#44; perhaps most importantly&#44; a high systemic inflammatory response&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The present review covers the most important facets of the prevalence&#44; etiology&#44; pathogenesis&#44; and consequences of malnutrition in COPD and considers which parameters for nutritional assessment are the most satisfactory for use in routine clinical practice&#46; The strategy used to ensure correct nutritional status in these patients is also discussed&#46;</p>"
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Nutritional Status In COPD
Sergio Alcolea Batres
Corresponding author
alcobatres@yahoo.es

Correspondence: Dr. S. Alcolea Batres. Servicio de Neumología (planta 12). Hospital Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid. España
, José Villamor León, Álvarez-Sala Rodolfo
Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Changes in nutritional status&#44; such as weight loss and malnutrition&#44; are a very common complication in patients with chronic obstructive pulmonary disease &#40;COPD&#41;&#46; These changes primarily affect the patients&#39; quality of life and functional capacity and they are also independent prognostic indicators of both morbidity and mortality&#46; Malnutrition in these patients is due to multiple factors including increases in resting energy expenditure&#44; decreased food intake&#44; the effects of certain drugs&#44; and&#44; perhaps most importantly&#44; a high systemic inflammatory response&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The present review covers the most important facets of the prevalence&#44; etiology&#44; pathogenesis&#44; and consequences of malnutrition in COPD and considers which parameters for nutritional assessment are the most satisfactory for use in routine clinical practice&#46; The strategy used to ensure correct nutritional status in these patients is also discussed&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las alteraciones nutricionales&#44; entendidas como p&#233;rdida de peso o desnutrici&#243;n&#44; son una complicaci&#243;n muy frecuente en los pacientes con enfermedad pulmonar obstructiva cr&#243;-nica &#40;EPOC&#41; y afectan principalmente a su capacidad fun-cional y calidad de vida&#44; adem&#225;s de constituir un indicador pron&#243;stico de morbilidad y mortalidad independientes&#46; Los factores que contribuyen a la desnutrici&#243;n son m&#250;ltiples&#59; en-tre ellos cabe mencionar el aumento del gasto energ&#233;tico en reposo&#44; el descenso de la ingesta&#44; el efecto de determinados f&#225;rmacos y&#44; quiz&#225; el m&#225;s importante&#44; una elevada respuesta inflamatoria sist&#233;mica&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En este art&#237;culo se pretende revisar los aspectos m&#225;s im-portantes sobre la prevalencia&#44; etiopatogenia y efectos de la desnutrici&#243;n en la EPOC&#44; adem&#225;s de discutir los par&#225;metros de valoraci&#243;n nutricional m&#225;s adecuados en la pr&#225;ctica cl&#237;-nica diaria y la estrategia para que estos pacientes manten-gan un correcto estado nutricional&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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