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Vol. 62. Issue 5.
Pages 287-356 (May 2026)
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Vol. 62. Issue 5.
Pages 287-356 (May 2026)
SEPAR's Voice

SEPAR and SEEN Consensus Document on Nutritional Assessment and Management in Patients with COPD

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Javier de Miguel-Díeza, José Pablo Suárez-Llanosb, Juan Marco Figueira-Gonçalvesc,
Corresponding author
juanmarcofigueira@gmail.com

Corresponding author.
, Irene Bretón-Lesmesd, Rodrigo Torres-Castroe, Rafael Golpef, Natalia Covadonga Iglesias-Hernándezg, Carlos Antonio Amado-Diagoh, Yaiza García-Delgadoi, Amaia Aramburu-Ojembarrenaj, María Dolores Andreu-Gosálbezk, Pilar Cejudo-Ramosl,m, María Riestra-Fernándezn
a Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
b Unidad de Nutrición Clínica y Dietética, Servicio de Endocrinología y Nutrición, Complejo Hospitalario Universitario Nuestra Señora de Candelaria, Tenerife, Spain
c Servicio de Neumología, Complejo Hospitalario Universitario Nuestra Señora de Candelaria, Tenerife, Spain
d Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, Spain
e Departamento de Kinesiología, Universidad de Chile, Chile
f Servicio de Neumología, Hospital Universitario Lucus Augusti, Lugo, Spain
g Servicio de Endocrinología y Nutrición, Hospital Universitario Basurto, Bilbao, Spain
h Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de investigación sanitaria IDIVAL, Santander, Spain
i Sección de Endocrinología y Nutrición, Complejo Hospitalario Universitario Insular-Materno Infantil, Gran Canaria, Spain
j Servicio de Neumologia, Hospital Universitario Galdakao-Usansolo, Bizkaia, Spain
k Servicio de Endocrinología y Nutrición, Hospital Sierrallana, Cantabria, Spain
l Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla, IBiS, Sevilla, Spain
m Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
n Sección de Endocrinología y Nutrición, Hospital Universitario de Cabueñes, Instituto de Investigación Sanitaria del Principado de Asturias, Gijón, Spain
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Abstract

Malnutrition and sarcopenia are prevalent and often underdiagnosed in individuals with chronic obstructive pulmonary disease (COPD), with significant implications for morbidity, mortality, and quality of life. Despite their clinical relevance, current COPD guidelines provide limited direction regarding nutritional assessment and intervention. This consensus document, developed jointly by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Endocrinology and Nutrition (SEEN), offers evidence-based recommendations for the nutritional assessment and management of patients with COPD. A multidisciplinary panel of experts identified three key clinical issues relating to the prevalence and impact of malnutrition, appropriate assessment strategies, and the effectiveness of nutritional interventions. Systematic reviews were conducted in accordance with PRISMA guidelines, and the quality of evidence was assessed using SIGN and GRADE methodologies. These recommendations aim to support clinical decision-making and promote early, structured, and individualized nutritional strategies to improve outcomes in patients with COPD.

Keywords:
COPD
Chronic obstructive pulmonary disease
Malnutrition
Management
Nutritional support
GLIM
Mortality

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