Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia

Chronic obstructive pulmonary disease (COPD) is one of the most common chronic diseases in the elderly population and is characterized by persistent respiratory symptoms and airflow obstruction. During COPD progression, a variety of pulmonary and extrapulmonary complications develop, with sarcopenia...

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Main Authors: Yayun Nan, Yuting Zhou, Ziyu Dai, Ting Yan, Pingping Zhong, Fufeng Zhang, Qiong Chen, Linlin Peng
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1214684/full
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author Yayun Nan
Yuting Zhou
Yuting Zhou
Ziyu Dai
Ziyu Dai
Ting Yan
Pingping Zhong
Pingping Zhong
Fufeng Zhang
Fufeng Zhang
Qiong Chen
Qiong Chen
Linlin Peng
Linlin Peng
author_facet Yayun Nan
Yuting Zhou
Yuting Zhou
Ziyu Dai
Ziyu Dai
Ting Yan
Pingping Zhong
Pingping Zhong
Fufeng Zhang
Fufeng Zhang
Qiong Chen
Qiong Chen
Linlin Peng
Linlin Peng
author_sort Yayun Nan
collection DOAJ
description Chronic obstructive pulmonary disease (COPD) is one of the most common chronic diseases in the elderly population and is characterized by persistent respiratory symptoms and airflow obstruction. During COPD progression, a variety of pulmonary and extrapulmonary complications develop, with sarcopenia being one of the most common extrapulmonary complications. Factors that contribute to the pathogenesis of coexisting COPD and sarcopenia include systemic inflammation, hypoxia, hypercapnia, oxidative stress, protein metabolic imbalance, and myocyte mitochondrial dysfunction. These factors, individually or in concert, affect muscle function, resulting in decreased muscle mass and strength. The occurrence of sarcopenia severely affects the quality of life of patients with COPD, resulting in increased readmission rates, longer hospital admission, and higher mortality. In recent years, studies have found that oral supplementation with protein, micronutrients, fat, or a combination of nutritional supplements can improve the muscle strength and physical performance of these patients; some studies have also elucidated the possible underlying mechanisms. This review aimed to elucidate the role of nutrition among patients with coexisting COPD and sarcopenia.
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spelling doaj.art-cce348e07c2b48689dc4bc117072d48c2023-08-08T05:50:54ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-08-011010.3389/fnut.2023.12146841214684Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopeniaYayun Nan0Yuting Zhou1Yuting Zhou2Ziyu Dai3Ziyu Dai4Ting Yan5Pingping Zhong6Pingping Zhong7Fufeng Zhang8Fufeng Zhang9Qiong Chen10Qiong Chen11Linlin Peng12Linlin Peng13Department of Ningxia Geriatrics Medical Center, Ningxia People’s Hospital, Yinchuan, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Ningxia Geriatrics Medical Center, Ningxia People’s Hospital, Yinchuan, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Geriatrics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaChronic obstructive pulmonary disease (COPD) is one of the most common chronic diseases in the elderly population and is characterized by persistent respiratory symptoms and airflow obstruction. During COPD progression, a variety of pulmonary and extrapulmonary complications develop, with sarcopenia being one of the most common extrapulmonary complications. Factors that contribute to the pathogenesis of coexisting COPD and sarcopenia include systemic inflammation, hypoxia, hypercapnia, oxidative stress, protein metabolic imbalance, and myocyte mitochondrial dysfunction. These factors, individually or in concert, affect muscle function, resulting in decreased muscle mass and strength. The occurrence of sarcopenia severely affects the quality of life of patients with COPD, resulting in increased readmission rates, longer hospital admission, and higher mortality. In recent years, studies have found that oral supplementation with protein, micronutrients, fat, or a combination of nutritional supplements can improve the muscle strength and physical performance of these patients; some studies have also elucidated the possible underlying mechanisms. This review aimed to elucidate the role of nutrition among patients with coexisting COPD and sarcopenia.https://www.frontiersin.org/articles/10.3389/fnut.2023.1214684/fullnutritionchronic obstructive pulmonary diseasesarcopeniaskeletal muscledietary supplementstherapy
spellingShingle Yayun Nan
Yuting Zhou
Yuting Zhou
Ziyu Dai
Ziyu Dai
Ting Yan
Pingping Zhong
Pingping Zhong
Fufeng Zhang
Fufeng Zhang
Qiong Chen
Qiong Chen
Linlin Peng
Linlin Peng
Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
Frontiers in Nutrition
nutrition
chronic obstructive pulmonary disease
sarcopenia
skeletal muscle
dietary supplements
therapy
title Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
title_full Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
title_fullStr Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
title_full_unstemmed Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
title_short Role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
title_sort role of nutrition in patients with coexisting chronic obstructive pulmonary disease and sarcopenia
topic nutrition
chronic obstructive pulmonary disease
sarcopenia
skeletal muscle
dietary supplements
therapy
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1214684/full
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