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Titre : | Effectiveness of Tailored Dietary Counseling in Treating Malnourished Outpatients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial (2020) |
Auteurs : | Thanh Nguyen ; Toby G. Pavey ; Peter F. Collins ; Nhung Viet Nguyen ; Tuong Duy Pham ; Danielle Gallegos |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 120, n° 5, may 2020) |
Article en page(s) : | p. 778-791 |
Note générale : | https://doi.org/10.1016/j.jand.2019.09.013 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Assistance ; Broncho-pneumopathie chronique obstructive ; Malnutrition ; Méthodes ; Thérapie nutritionnelle |
Résumé : |
Background: Malnutrition in patients with chronic obstructive pulmonary disease (COPD) is common and associated with poor prognosis. Nutrition interventions are necessary, but there is a lack of evidence regarding the effectiveness of tailored nutrition advice.
Objective: This study investigated whether tailored nutrition counseling could improve dietary intake, nutritional status, functional outcomes, and health-related quality of life (QoL) of malnourished outpatients with COPD. Design: We conducted a randomized controlled trial in which participants were randomly assigned to either the intervention group (IG) or the control group (CG). Participants/setting: One hundred and twenty malnourished outpatients with COPD participated in the study between May and November 2017 at the National Lung Hospital, Hanoi, Vietnam. Intervention: The IG received tailored nutrition counseling once per month for 3 months based on a specifically developed written nutrition resource for COPD. The CG received the same educational resource at baseline without any discussion. Main Outcome Measures: The main outcome measures were energy and protein intakes, body weight change, nutritional status (Subjective Global Assessment score), muscle strength, and QoL. Statistical Analyses: Differences between groups before and after the intervention were assessed using two-way repeated measures analysis of variance. Generalized estimating equation modeling was used to investigate the differences between groups over time. Results: At baseline, there were no significant differences in outcomes of interest between the two groups. After 3 months of intervention, time-intervention interactions for energy intake, protein intake, and body weight change were significant (945 kcal/day, 95% CI 792 to 1,099 kcal/day, P Conclusions: Tailored nutritional counseling has the potential to improve dietary intakes, nutritional status, functional outcomes, and QoL in malnourished outpatients with COPD. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267219313681 |