Patients with COPD who are at risk of malnutrition have an improved outcome with dietary modification and food fortification.
This is the conclusion of a randomised controlled trial involving 59 outpatients with COPD. The intervention group received dietary counselling and advice on food fortification. The control group received a leaflet. .
The intervention lasted 6 months and there was a six month follow up. The intervention group gained weight and maintained this weight during the following up.
The control group lost weight throughout the study. Patients reported improvements in their symptoms and ability to carry out daily activity although there was no actual improvement in respiratory function.
Thorax. Published Online First: 15 December 2008. doi:10.1136/thx.2008.097352