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Nutrients
Volume 16
Issue 18
10.3390/nu16183105
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Systematic Review

Practical Guidelines by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) on Nutritional Management of Patients with Chronic Obstructive Pulmonary Disease: A Review

by
Alicia Justel Enríquez
1,
Juana M. Rabat-Restrepo
2,3,*,
Francisco J. Vilchez-López
4,
Carmen Tenorio-Jiménez
5,
José M. García-Almeida
6,7,
José-Antonio Irles Rocamora
3,8,
José L. Pereira-Cunill
3,9,10,
María J. Martínez Ramírez
11,12,
María J. Molina-Puerta
13,14,
Juan B. Molina Soria
15,
María I. Rebollo-Pérez
16,
Gabriel Olveira
7,17,18,19,* and
Pedro P. García-Luna
3,9,10
1
Servicio de Endocrinología y Nutrición, Hospital Universitario de la Princesa, 28006 Madrid, Spain
2
Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen Macarena, 41009 Sevilla, Spain
3
Departamento de Medicina, Facultad de Medicina, Universidad de Sevilla, 41009 Sevilla, Spain
4
Servicio de Endocrinología y Nutrición, Hospital Puerta del Mar, 11009 Cádiz, Spain
5
Endocrinology and Nutrition Clinical Management Unit, University Hospital Virgen de las Nieves, 18014 Granada, Spain
6
Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain
7
Instituto de Investigación Biomédica de Málaga/Plataforma Bionand, 29010 Málaga, Spain
8
UGC Endocrinología y Nutrición, Hospital Universitario Valme, 41014 Sevilla, Spain
9
Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain
10
Endocrine Diseases Research Group, Institute of Biomedicine of Seville (IBIS), 41007 Sevilla, Spain
11
Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Jaén, 23007 Jaén, Spain
12
Facultad de Medicina, Universidad de Jaén, 23071 Jaén, Spain
13
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, 14004 Córdoba, Spain
14
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
15
Unidad de Nutrición y Dietética, Hospital General, 23700 Linares, Spain
16
Servicio de Endocrinología y Nutrición, Hospital Juan Ramón Jiménez, 21005 Huelva, Spain
17
Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Regional Universitario de Málaga, 29010 Málaga, Spain
18
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III, 28029 Madrid, Spain
19
Departamento de Medicina y Dermatología, Facultad de Medicina, Universidad de Málaga, 29010 Málaga, Spain
 
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Nutrients 2024, 16(18), 3105; https://doi.org/10.3390/nu16183105 (registering DOI)
Submission received: 29 July 2024 / Revised: 6 September 2024 / Accepted: 10 September 2024 / Published: 14 September 2024
(This article belongs to the Special Issue Morphofunctional Nutritional Assessment in Clinical Practice)
Versions Notes

Abstract

Malnutrition is common in chronic obstructive pulmonary disease (COPD) patients and is associated with worse lung function and greater severity. This review by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) addresses the nutritional management of adult COPD patients, focusing on Morphofunctional Nutritional Assessment and intervention in clinical practice. A systematic literature search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, followed by critical appraisal based on Scottish Intercollegiate Guidelines Network (SIGN) guidelines. Recommendations were graded according to the European Society for Clinical Nutrition and Metabolism (ESPEN) system. The results were discussed among GARIN members, with consensus determined using a Likert scale. A total of 24 recommendations were made: 2(A), 6(B), 2(O), and 14(GPP). Consensus exceeded 90% for 17 recommendations and was 75–90% for 7. The care of COPD patients is approached from a nutritional perspective, emphasizing nutritional screening, morphofunctional assessment, and food intake in early disease stages. Nutritional interventions include dietary advice, recommendations on food group intake, and the impact of specialized nutritional treatment, particularly oral nutritional supplements. Other critical aspects, such as physical activity and quality of life, are also analyzed. These recommendations provide practical guidance for managing COPD patients nutritionally in clinical practice.
Keywords: chronic obstructive pulmonary disease; nutrition; diet; enteral nutrition chronic obstructive pulmonary disease; nutrition; diet; enteral nutrition

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MDPI and ACS Style

Justel Enríquez, A.; Rabat-Restrepo, J.M.; Vilchez-López, F.J.; Tenorio-Jiménez, C.; García-Almeida, J.M.; Irles Rocamora, J.-A.; Pereira-Cunill, J.L.; Ramírez, M.J.M.; Molina-Puerta, M.J.; Soria, J.B.M.; et al. Practical Guidelines by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) on Nutritional Management of Patients with Chronic Obstructive Pulmonary Disease: A Review. Nutrients 2024, 16, 3105. https://doi.org/10.3390/nu16183105

AMA Style

Justel Enríquez A, Rabat-Restrepo JM, Vilchez-López FJ, Tenorio-Jiménez C, García-Almeida JM, Irles Rocamora J-A, Pereira-Cunill JL, Ramírez MJM, Molina-Puerta MJ, Soria JBM, et al. Practical Guidelines by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) on Nutritional Management of Patients with Chronic Obstructive Pulmonary Disease: A Review. Nutrients. 2024; 16(18):3105. https://doi.org/10.3390/nu16183105

Chicago/Turabian Style

Justel Enríquez, Alicia, Juana M. Rabat-Restrepo, Francisco J. Vilchez-López, Carmen Tenorio-Jiménez, José M. García-Almeida, José-Antonio Irles Rocamora, José L. Pereira-Cunill, María J. Martínez Ramírez, María J. Molina-Puerta, Juan B. Molina Soria, and et al. 2024. "Practical Guidelines by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) on Nutritional Management of Patients with Chronic Obstructive Pulmonary Disease: A Review" Nutrients 16, no. 18: 3105. https://doi.org/10.3390/nu16183105

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