Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance

Chronic Obstructive Pulmonary Disease (COPD) is a disease that is spreading worldwide and is responsible for a huge number of deaths annually. It is characterized by progressive and often irreversible airflow obstruction, with a heterogeneous clinical manifestation based on disease severity. Along w...

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Main Authors: Angela Tramontano, Paolo Palange
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/7/1786
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author Angela Tramontano
Paolo Palange
author_facet Angela Tramontano
Paolo Palange
author_sort Angela Tramontano
collection DOAJ
description Chronic Obstructive Pulmonary Disease (COPD) is a disease that is spreading worldwide and is responsible for a huge number of deaths annually. It is characterized by progressive and often irreversible airflow obstruction, with a heterogeneous clinical manifestation based on disease severity. Along with pulmonary impairment, COPD patients display different grades of malnutrition that can be linked to a worsening of respiratory function and to a negative prognosis. Nutritional impairment seems to be related to a reduced exercise tolerance and to dyspnoea becoming a major determinant in patient-perceived quality of life. Many strategies have been proposed to limit the effects of malnutrition on disease progression, but there are still limited data available to determine which of them is the best option to manage COPD patients. The purpose of this review is to highlight the main aspects of COPD-related malnutrition and to underline the importance of poor nutritional state on muscle energetics, exercise tolerance and dyspnoea.
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spelling doaj.art-1b114c07c5634f3f86ae9445a21ae0d22023-11-17T17:22:01ZengMDPI AGNutrients2072-66432023-04-01157178610.3390/nu15071786Nutritional State and COPD: Effects on Dyspnoea and Exercise ToleranceAngela Tramontano0Paolo Palange1Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, ItalyChronic Obstructive Pulmonary Disease (COPD) is a disease that is spreading worldwide and is responsible for a huge number of deaths annually. It is characterized by progressive and often irreversible airflow obstruction, with a heterogeneous clinical manifestation based on disease severity. Along with pulmonary impairment, COPD patients display different grades of malnutrition that can be linked to a worsening of respiratory function and to a negative prognosis. Nutritional impairment seems to be related to a reduced exercise tolerance and to dyspnoea becoming a major determinant in patient-perceived quality of life. Many strategies have been proposed to limit the effects of malnutrition on disease progression, but there are still limited data available to determine which of them is the best option to manage COPD patients. The purpose of this review is to highlight the main aspects of COPD-related malnutrition and to underline the importance of poor nutritional state on muscle energetics, exercise tolerance and dyspnoea.https://www.mdpi.com/2072-6643/15/7/1786clinical nutritionCOPDdyspnoeaexercise tolerancenutritional state
spellingShingle Angela Tramontano
Paolo Palange
Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
Nutrients
clinical nutrition
COPD
dyspnoea
exercise tolerance
nutritional state
title Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
title_full Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
title_fullStr Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
title_full_unstemmed Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
title_short Nutritional State and COPD: Effects on Dyspnoea and Exercise Tolerance
title_sort nutritional state and copd effects on dyspnoea and exercise tolerance
topic clinical nutrition
COPD
dyspnoea
exercise tolerance
nutritional state
url https://www.mdpi.com/2072-6643/15/7/1786
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