[High-caloric nutrition in chronic obstructive lung disease].

摘要: A body weight lower than 90% of the optional value has an unfavorable influence on prognosis chronic obstructive pulmonary disease (COPD). Short term studies up to three months duration have shown improved function respiratory muscle exercise tolerance and immunologic parameters by increased caloric intake 45 kcal/kg weight. In a randomized trial twelve 14 30 patients with average FEV1 0.8 l were instructed take high calorie diet. For simplicity part calories administered as Fresubin, fluid nutrient formula. Although gain 7 kg (p = 0.003) was obtained difference control group statistically not significant 0.08). The same true for skin fold thickness (12.4 vs 5.7 mm), change ventilatory 6 minute walking distance (-33 -86 m). Subjective improvement was, however, impressive in all dietary intervention, explainable probably attention. Dietary counselling calories, vitamins also calcium is thus very important treatment COPD.