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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 ,
Marja A. P. Vermeeren ,
Emiel F. M. Wouters ,
Annemie M. W. J. Schols  and
Klaas R. Westerterp
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 [email protected]
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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.

Keywords

Energy balanceDepleted ambulatory chronic obstructive pulmonaryPhysical activity level
Type
Research Article
Information
British Journal of Nutrition , Volume 89 , Issue 5 , May 2003 , pp. 725 - 729
Copyright
Copyright © The Nutrition Society 2003

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