Prevention and Management of Malnutrition in Patients with Chronic Obstructive Pulmonary Disease: A Scoping Review.

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2024-09-06 DOI:10.3390/arm92050034

Stefano Mancin, Sara Khadhraoui, Erica Starace, Simone Cosmai, Fabio Petrelli, Marco Sguanci, Giovanni Cangelosi, Beatrice Mazzoleni

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Abstract

Background: Chronic obstructive pulmonary disease (COPD) is linked to altered nutritional status due to increased catabolism, leading to muscle mass loss. This study aims to identify and map available evidence regarding multidisciplinary interventions focused on prevention, diagnosis and nutrition education, as well as the role of diet, to prevent and manage malnutrition in patients with COPD.

Methods: A scoping review was conducted using the Cochrane, PubMed/Medline, CINAHL, Embase, Scopus, and Web of Science databases. This study adhered to the Arksey and O'Malley framework and JBI methodology.

Results: Of the 1761 records identified, 15 were included. Evidence suggests that the Malnutrition Universal Screening Tool and Mini Nutritional Assessment are the most suitable screening scale. Guidelines have highlighted that personalized nutritional counseling is a very common intervention as it allows for a consideration of all physical, psychological, and social aspects of the patient.

Conclusions: The role of healthcare professionals is crucial in the early identification of nutrition-related issues and in educating patients about the prevention and management of malnutrition, both in hospital and community settings. Key aspects include early malnutrition detection, personalized counseling and patient education, and a multidisciplinary approach. These findings provide a foundation for developing of targeted patient educational initiatives to improve the nutritional management of COPD patients.

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慢性阻塞性肺疾病患者营养不良的预防和管理：范围综述。

背景：慢性阻塞性肺病（COPD）与营养状况的改变有关，因为分解代谢增加，导致肌肉质量下降。本研究旨在确定和绘制有关多学科干预的现有证据，这些干预侧重于预防、诊断和营养教育，以及饮食在预防和控制慢性阻塞性肺病患者营养不良方面的作用：使用 Cochrane、PubMed/Medline、CINAHL、Embase、Scopus 和 Web of Science 数据库进行了范围界定审查。本研究遵循 Arksey 和 O'Malley 框架以及 JBI 方法：结果：在确定的 1761 条记录中，有 15 条被纳入。有证据表明，营养不良通用筛查工具和迷你营养评估是最合适的筛查量表。指南强调，个性化营养咨询是一种非常常见的干预措施，因为它可以考虑到患者的生理、心理和社会等各个方面：在医院和社区环境中，医护人员在早期发现营养相关问题以及教育患者预防和管理营养不良方面发挥着至关重要的作用。关键环节包括早期发现营养不良、个性化咨询和患者教育以及多学科方法。这些发现为制定有针对性的患者教育计划，改善慢性阻塞性肺病患者的营养管理奠定了基础。

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来源期刊

Advances in respiratory medicine RESPIRATORY SYSTEM-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.