Review Article
Nutritional Status In COPD
Sergio Alcolea Batres
, José Villamor León, Álvarez-Sala Rodolfo
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
Correspondence: Dr. S. Alcolea Batres. Servicio de Neumología (planta 12). Hospital Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid. España
Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain
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Alcolea" "apellidos" => "Batres" "email" => array:1 [ 0 => "alcobatres@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "José Villamor" "apellidos" => "León" ] 2 => array:2 [ "nombre" => "Álvarez-Sala" "apellidos" => "Rodolfo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. S. Alcolea Batres. Servicio de Neumología (planta 12). Hospital Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-06-20" "fechaAceptado" => "2006-08-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154877" "palabras" => array:4 [ 0 => "Chronic bronchitis" 1 => "COPD" 2 => "Malnutrition" 3 => "Nutritional assessment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154876" "palabras" => array:4 [ 0 => "Bronquitis crónica" 1 => "EPOC" 2 => "Desnutrición" 3 => "Valo-ración nutricional" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Changes in nutritional status, such as weight loss and malnutrition, are a very common complication in patients with chronic obstructive pulmonary disease (COPD). These changes primarily affect the patients' quality of life and functional capacity and they are also independent prognostic indicators of both morbidity and mortality. Malnutrition in these patients is due to multiple factors including increases in resting energy expenditure, decreased food intake, the effects of certain drugs, and, perhaps most importantly, a high systemic inflammatory response.</p><p class="elsevierStyleSimplePara elsevierViewall">The present review covers the most important facets of the prevalence, etiology, pathogenesis, and consequences of malnutrition in COPD and considers which parameters for nutritional assessment are the most satisfactory for use in routine clinical practice. The strategy used to ensure correct nutritional status in these patients is also discussed.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las alteraciones nutricionales, entendidas como pérdida de peso o desnutrición, son una complicación muy frecuente en los pacientes con enfermedad pulmonar obstructiva cró-nica (EPOC) y afectan principalmente a su capacidad fun-cional y calidad de vida, además de constituir un indicador pronóstico de morbilidad y mortalidad independientes. Los factores que contribuyen a la desnutrición son múltiples; en-tre ellos cabe mencionar el aumento del gasto energético en reposo, el descenso de la ingesta, el efecto de determinados fármacos y, quizá el más importante, una elevada respuesta inflamatoria sistémica.</p><p class="elsevierStyleSimplePara elsevierViewall">En este artículo se pretende revisar los aspectos más im-portantes sobre la prevalencia, etiopatogenia y efectos de la desnutrición en la EPOC, además de discutir los parámetros de valoración nutricional más adecuados en la práctica clí-nica diaria y la estrategia para que estos pacientes manten-gan un correcto estado nutricional.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:50 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systemic effects of chronic obstructive pulmonary 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 5 | 9 |
| 2024 October | 24 | 18 | 42 |
| 2024 September | 27 | 15 | 42 |
| 2024 August | 42 | 37 | 79 |
| 2024 July | 21 | 22 | 43 |
| 2024 June | 23 | 18 | 41 |
| 2024 May | 33 | 25 | 58 |
| 2024 April | 21 | 25 | 46 |
| 2024 March | 32 | 13 | 45 |
| 2024 February | 20 | 21 | 41 |
| 2023 March | 3 | 5 | 8 |
| 2023 February | 29 | 31 | 60 |
| 2023 January | 11 | 26 | 37 |
| 2022 December | 15 | 21 | 36 |
| 2022 November | 19 | 17 | 36 |
| 2022 October | 20 | 42 | 62 |
| 2022 September | 15 | 30 | 45 |
| 2022 August | 18 | 33 | 51 |
| 2022 July | 21 | 43 | 64 |
| 2022 June | 14 | 30 | 44 |
| 2022 May | 19 | 30 | 49 |
| 2022 April | 17 | 21 | 38 |
| 2022 March | 16 | 29 | 45 |
| 2022 February | 15 | 36 | 51 |
| 2022 January | 22 | 39 | 61 |
| 2021 December | 18 | 36 | 54 |
| 2021 November | 17 | 41 | 58 |
| 2021 October | 18 | 45 | 63 |
| 2021 September | 19 | 54 | 73 |
| 2021 August | 12 | 26 | 38 |
| 2021 July | 8 | 17 | 25 |
| 2021 June | 15 | 29 | 44 |
| 2021 May | 13 | 19 | 32 |
| 2021 April | 34 | 23 | 57 |
| 2021 March | 13 | 16 | 29 |
| 2021 February | 10 | 14 | 24 |
| 2021 January | 10 | 14 | 24 |
| 2020 December | 12 | 11 | 23 |
| 2020 November | 5 | 7 | 12 |
| 2020 October | 7 | 4 | 11 |
| 2020 September | 12 | 2 | 14 |
| 2020 August | 14 | 8 | 22 |
| 2020 July | 15 | 13 | 28 |
| 2020 June | 11 | 5 | 16 |
| 2020 May | 10 | 9 | 19 |
| 2020 April | 8 | 14 | 22 |
| 2020 March | 10 | 9 | 19 |
| 2020 February | 12 | 11 | 23 |
| 2020 January | 19 | 8 | 27 |
| 2019 December | 19 | 17 | 36 |
| 2019 November | 16 | 9 | 25 |
| 2019 October | 9 | 5 | 14 |
| 2019 September | 7 | 21 | 28 |
| 2019 August | 9 | 7 | 16 |
| 2019 July | 16 | 20 | 36 |
| 2019 June | 12 | 12 | 24 |
| 2019 May | 14 | 22 | 36 |
| 2019 April | 22 | 33 | 55 |
| 2019 March | 18 | 28 | 46 |
| 2019 February | 9 | 13 | 22 |
| 2019 January | 10 | 14 | 24 |
| 2018 December | 14 | 16 | 30 |
| 2018 November | 11 | 13 | 24 |
| 2018 October | 17 | 18 | 35 |
| 2018 September | 13 | 16 | 29 |
| 2018 May | 9 | 0 | 9 |
| 2018 April | 9 | 5 | 14 |
| 2018 March | 11 | 8 | 19 |
| 2018 February | 4 | 4 | 8 |
| 2018 January | 3 | 7 | 10 |
| 2017 December | 3 | 10 | 13 |
| 2017 November | 4 | 16 | 20 |
| 2017 October | 8 | 28 | 36 |
| 2017 September | 12 | 19 | 31 |
| 2017 August | 29 | 25 | 54 |
| 2017 July | 13 | 8 | 21 |
| 2017 June | 33 | 39 | 72 |
| 2017 May | 34 | 14 | 48 |
| 2017 April | 12 | 0 | 12 |
| 2017 March | 28 | 5 | 33 |
| 2017 February | 10 | 1 | 11 |
| 2017 January | 5 | 1 | 6 |
| 2016 December | 4 | 5 | 9 |
| 2016 November | 8 | 6 | 14 |
| 2016 October | 13 | 13 | 26 |
| 2016 September | 9 | 6 | 15 |
| 2016 August | 11 | 6 | 17 |
| 2016 July | 2 | 0 | 2 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 175 | 15 | 190 |
| 2015 September | 160 | 17 | 177 |
| 2015 August | 160 | 15 | 175 |
| 2015 July | 143 | 16 | 159 |
| 2015 June | 114 | 8 | 122 |
| 2015 May | 143 | 19 | 162 |
| 2015 April | 259 | 14 | 273 |
| 2015 March | 157 | 8 | 165 |
| 2015 February | 108 | 8 | 116 |
| 2015 January | 87 | 9 | 96 |
| 2014 December | 129 | 14 | 143 |
| 2014 November | 181 | 18 | 199 |
| 2014 October | 168 | 14 | 182 |
| 2014 September | 190 | 9 | 199 |
| 2014 August | 139 | 11 | 150 |
| 2014 July | 135 | 8 | 143 |
| 2014 June | 146 | 8 | 154 |
| 2014 May | 179 | 14 | 193 |
| 2014 April | 167 | 7 | 174 |
| 2014 March | 121 | 15 | 136 |
| 2014 February | 108 | 9 | 117 |
| 2014 January | 93 | 9 | 102 |
| 2013 December | 73 | 12 | 85 |
| 2013 November | 61 | 8 | 69 |
| 2013 October | 68 | 13 | 81 |
| 2013 September | 64 | 7 | 71 |
| 2013 August | 51 | 12 | 63 |
| 2013 July | 80 | 13 | 93 |
| 2013 June | 43 | 9 | 52 |
| 2013 May | 56 | 8 | 64 |
| 2013 April | 43 | 5 | 48 |
| 2013 March | 13 | 2 | 15 |
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