Chronic Obstructive Pulmonary Disease: A 2019 Evidence Analysis Center Evidence-Based Practice Guideline.

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Publisher: Elsevier Science Publishers
Document Type: Report; Brief article
Length: 377 words

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Abstract :

Abstract Chronic obstructive pulmonary disease (COPD) is a progressive lung disorder in which patients are at high risk for both pulmonary and systemic complications of their disease. Medical nutrition therapy by a registered dietitian nutritionist can be an integral component of lifestyle treatment targeted at maintaining and improving outcomes, such as lung function, mortality, and quality of life. The Academy of Nutrition and Dietetics (Academy) convened an expert workgroup to conduct a systematic review to update the COPD Evidence-Based Nutrition Practice Guideline. This publication outlines the Academy's Evidence Analysis Library methods used to complete the systematic review and guideline and examines the recommendations and supporting evidence. A total of 14 recommendations were developed based on evidence from eight conclusions. Using the Nutrition Care Process as a framework for practice, recommendations rated as strong included assessing and monitoring and evaluating body weight and medical nutrition therapy by a registered dietitian nutritionist. Weak recommendations included predicting resting and total energy expenditure. All other recommendations were rated as fair. These included individualizing the calorie prescription and macronutrient composition of the diet; assessing and monitoring and evaluating energy intake, serum 25-hydroxyvitamin D levels, and frequency of exacerbations; and determining need for vitamin D supplementation. Fewer than one-third of the systematic review's conclusions could be used to support the recommendations due to conflicting results or limited or no evidence available. The Evidence Analysis Library 2019 COPD Evidence-Based Nutrition Practice Guideline is a valuable resource for registered dietitian nutritionists and other health care professionals caring for those with COPD. Author Affiliation: 1University of Nebraska Medical Center, Omaha, NE 2Pediatric Pulmonary Division, University of Florida, Gainesville, FL 3Department of Clinical Nutrition, Penn State Health Milton S. Hersey Medical Center, Hershey, PA 4Academy of Nutrition and Dietetics Evidence Analysis Center, Chicago, IL * Address correspondence to: Tami A. Piemonte, MS, RDN, LD/N, Academy of Nutrition and Dietetics Evidence Analysis Center, 120 S Riverside Plaza, Suite 2190, Chicago, IL 60606-6995. (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. (footnote) FUNDING/SUPPORT Supported by the Academy of Nutrition and Dietetics. Byline: Corrine Hanson, PhD, RD (1), Ellen K. Bowser, MS, RDN, LDN, RN, FAND (2), David C. Frankenfield, MS, RD (3), Tami A. Piemonte, MS, RDN, LD/N [eal@eatright.org] (4,*)

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Gale Document Number: GALE|A648869790