High Protein Diet and Physical Activity in COPD
Study Details
Study Description
Brief Summary
COPD outpatients with severe and very severe (grade III-IV) disease at risk of malnutrition commencing rehabilitation (7-10-week physical activity program) were randomized to receive a high protein diet (≥ 25 energy percentage) or standard care.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Peripheral muscle function was measured by 6MWD (6-meter-walk-distance) and handgrip strength; FFM was measured by bioimpedance, mid upper arm circumference, and mid-thigh circumference; quality of life was measured by CAT (????); and dyspnoea was measured by the Medical Research Council dyspnoea scale and Borg scores at baseline and after 12 weeks.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: intervention Individual nutritional guidance of a protein intake of ≥25 E%. |
Dietary Supplement: intervention
a protein intake of ≥25 E%. An oral nutritional supplement (containing 1570 kJ/100 g and 92 g protein/100 g. Atpro 200) was used as supplement to the patients' habitual diet.
|
No Intervention: control Free diet |
Outcome Measures
Primary Outcome Measures
- 6-minute walk test (6MWD) [7 weeks]
metres
- hand grip strenght [7 weeks]
kg
Secondary Outcome Measures
- Fat Free Mass (FFM) [7 weeks]
Bioimpedance - kg
- Dyspnoea after 6 minutes walk [7 weks]
Medical Research Council (MRC) dyspnoea scale (scores range from 0 to 5)
- Quality of life [7 weeks]
self-administered COPD Assessment Test (CAT), 40-point scale
Eligibility Criteria
Criteria
Inclusion Criteria:
-
diagnosed COPD stage III or stage IV
-
Nutritional risk by screening (NRS-2002)(Kondrup et al, 2002) and/or low-fat free mass (FFMI) (≤ 15% for women and ≤ 16% for men) measured by Bioelectrical Impedance Analysis (BIA)
Exclusion Criteria:
-
Terminal phase of COPD
-
Lung transplanted patients
-
Severe Comorbidities influenzing the end-points (pancreatic insufficiency, severe hepatic failure, inflammatory gastrointestinal disease)
-
Multiple sclerosis
-
Any unwillingness or inability (e.g. not able to make notes of their nutritional intake, come to consultations or manage oral intake)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Pulmonary Medicine | Copenhagen | Denmark | 2400 |
Sponsors and Collaborators
- Jens Rikardt Andersen
- Bispebjerg Hospital
Investigators
- Principal Investigator: Jens R Andersen, University of Copenhagen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BBH-KU 33