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  • Original Article
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Energy expenditure in underweight chronic obstructive pulmonary disease patients before and during a physiotherapy programme

Abstract

Objective:

To investigate how total daily energy expenditure (TEE) changes when underweight patients with chronic obstructive pulmonary disease (COPD) enters a physiotherapy programme.

Design:

Prospective intervention study.

Setting:

Sahlgrenska University Hospital, Göteborg, Sweden.

Subjects:

Fifteen patients with severe COPD and BMI<21 kg/m2 were recruited consecutively at the outpatient COPD unit at the Department of Respiratory Medicine. Fourteen patients completed the whole study.

Intervention:

TEE was assessed by the doubly labelled water method in a 2-week control period and during 2 weeks of physiotherapy. Energy intake was assessed using 7-day dietary record during control and physiotherapy period.

Results:

Mean TEE during physiotherapy period was 500 kJ (6%) lower than during control period but the difference was not statistically significant. Ten of the 14 patients had lower and four had higher TEE. Mean energy intake during the physiotherapy period did not change from the control period (7700 vs 7600 kJ/day).

Conclusions:

Since underweight patients with COPD may show variable TEE during physiotherapy compared to a control period, an assessment of individual energy requirements is recommended.

Sponsorship:

The Swedish Heart Lung Foundation, The Swedish Heart and Lung Association, The Swedish Nutrition Foundation, The Ingabritt and Arne Lundberg Foundation.

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Acknowledgements

We acknowledge the assistance of Mrs Elisabeth Gramatkovski for performing the DLW analysis in the mass spectrometer and Mr Daniel Arvidsson for valuable advice concerning the ActiReg.

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Correspondence to F Slinde.

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Guarantor: F Slinde.

Contributors: FS was responsible for the practical managing of all parts of the project and drafted the manuscript, KK was responsible for the physiotherapy program, AN was responsible for the medical surveillance and follow-up of the patients. All authors took part in the design of the study, interpretation of the results and writing the paper.

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Slinde, F., Kvarnhult, K., Grönberg, A. et al. Energy expenditure in underweight chronic obstructive pulmonary disease patients before and during a physiotherapy programme. Eur J Clin Nutr 60, 870–876 (2006). https://doi.org/10.1038/sj.ejcn.1602392

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