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Role of Nutrition in COPD Your name Course name Instructor’s Name UT Health San Antonio Division of Respiratory Care Date 1
ROLE OF NUTRITION IN COPD MANAGEMENT Role of Nutrition in COPD Management The article by Scoditti et al. (2019) explores the role of diet in treating and preventing Chronic Obstructive Pulmonary Disease (COPD). COPD as a significant cause of increased morbidity and mortality to vulnerable individuals all over the world. The authors integrate evidence from observational and clinical studies to summarize the impact of nutrients and dietary patterns on the functioning of the lungs, the development of COPD, its progression, and outcomes while highlighting the mechanism of action of the dietary nutrients. The researchers based their study on a qualitative review to investigate the connection between diet and COPD. The exploration results indicate that several dietary options are essential for preventing COPD or its progress. Some food and nutrients such as nutraceuticals with endowment of antioxidants and anti-inflammatory properties and consumption of combined balanced diets help prevent COPD ( Furulund et al., 2021). These balanced dietary patterns are associated with improved functioning of pulmonary and reduced function decline of the lungs, hence reducing risks of COPD. COPD development involves several pathogenic processes, such as local and systemic oxidants and inflammation. Oxidant stress directly causes lung damage by modifying the DNA, lipids, and proteins or initiating a cellular response that drives inflammatory responses, causing an obstruction (Scoditti et al., 2019). These processes can be prevented through dietary interventions by combining antioxidants and anti-inflammatory diets in balanced diets to prevent the potential harm to the lungs. The appropriate dietary patterns are Mediterranean and prudent diet, with Western diet and first foods being risky for obstructive lung disease. In this case, the best antioxidants include Vitamin C, Vitamin E, and flavonoids ( van Iersel et al., 2022). Other 2
ROLE OF NUTRITION IN COPD MANAGEMENT significant nutrients for preventing or managing COPD are vitamin D sources and minerals, followed by healthy weight. Significantly, nutrient supplementation, for instance, by increasing the fruit and vegetable intake, improves the intake of multiple nutrients such as vitamin C, vitamin E, flavonoids, and carotenoids, which reduce the risk of respiratory diseases like COPD. Importance to the Field The topic of diet and nutrition is relevant in the respiratory field as it provides an alternative intervention for COPD and other respiratory issues. A dietary approach would apply in the respiratory department to prevent the development of COPD or prevent progression among the patients and as a management approach for the infection (Beijers et al., 2023). The insights from the reviewed articles show a great potential to integrate dietary approaches in improving respiratory patients’ outcomes by supplying ill individuals at the bedside with essential nutrients to help manage their diseases (Daga et al., 2018). The nutritional value of different diets depicted in this review would help practitioners make appropriate diet plans for patients to give desirable outcomes. The respiratory professionals would require the knowledge of diet and nutrition in COPD patients to provide accurate health information for the clients. The knowledge of anti- inflammatory and antioxidant foods would foster healthy feeding programs for the patients to boost health outcomes and prevent the progression of COPD. Similarly, the uninfected but vulnerable population would require adequate dietary information to minimize the chances of developing COPD. Discussion Questions 3
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ROLE OF NUTRITION IN COPD MANAGEMENT The proposed discussion questions on this topic that would induce more knowledge sharing about nutrition and COPD management include the following: 1. Why do you think poor nutrition is a risk factor for COPD? 2. What are the foods to consume and foods to avoid in COPD patients? 3. Why is malnutrition common in COPD? 4
ROLE OF NUTRITION IN COPD MANAGEMENT References Beijers, R. J., Steiner, M. C., & Schols, A. M. (2023). The role of diet and nutrition in the management of COPD. European Respiratory Review , 32 (168). https://doi.org/10.1183/16000617.0003-2023 Daga, M. K., Singh, S., & Mawari, G. (2018). Medical nutrition therapy: an essential component of COPD care. Current Respiratory Medicine Reviews , 14 (3), 149-155. https://doi.org/10.2174/1573398X14666181005102219 Furulund, E., Bemanian, M., Berggren, N., Madebo, T., Rivedal, S. H., Lid, T. G., & Fadnes, L. T. (2021). Effects of nutritional interventions in individuals with chronic obstructive lung disease: a systematic review of randomized controlled trials. International Journal of Chronic Obstructive Pulmonary Disease , 3145-3156. https://doi.org/10.2147/COPD.S323736 Scoditti, E., Massaro, M., Garbarino, S., & Toraldo, D. M. (2019). Role of diet in chronic obstructive pulmonary disease prevention and treatment. Nutrients , 11 (6), 1357. https://doi.org/10.3390/nu11061357 van Iersel, L. E., Beijers, R. J., Gosker, H. R., & Schols, A. M. (2022). Nutrition as a modifiable factor in the onset and progression of pulmonary function impairment in COPD: A systematic review. Nutrition reviews , 80 (6), 1434-1444. https://doi.org/10.1093/nutrit/nuab077 5
ROLE OF NUTRITION IN COPD MANAGEMENT CARS Check List Reference 1: Beijers, R. J., Steiner, M. C., & Schols, A. M. (2023). The role of diet and nutrition in the management of COPD. European Respiratory Review , 32 (168). https://doi.org/10.1183/16000617.0003-2023 Yes No Unclea r Factors C redibility Check Is the author listed? Is it trying to sell you something? Is the information current? Is there a date? A ccuracy Check Is the information written in a factual tone? Is it trying to persuade you to believe something? Does it make common sense? Is everything well-written without errors? R easonability Check Are positions backed up by reasons? Is it written emotionally or confrontationally? Does it present and address counter-arguments? Does it mention scholarly research? S upport Check Is there support for general statements made? Are informing sources cited? Are professionals and experts listed by name? Did you find other sites that agreed with the arguments without copying them word for word? Reference 2: Daga, M. K., Singh, S., & Mawari, G. (2018). Medical nutrition therapy: an essential component of COPD care. Current Respiratory Medicine Reviews , 14 (3), 149-155. https://doi.org/10.2174/1573398X14666181005102219 Yes No Uncle ar Factors 6
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ROLE OF NUTRITION IN COPD MANAGEMENT C redibility Check Is the author listed? Is it trying to sell you something? Is the information current? Is there a date? A ccuracy Check Is the information written in a factual tone? Is it trying to persuade you to believe something? Does it make common sense? Is everything well-written without errors? R easonability Check Are positions backed up by reasons? Is it written emotionally or confrontationally? Does it present and address counter-arguments? Does it mention scholarly research? S upport Check Is there support for general statements made? Are informing sources cited? Are professionals and experts listed by name? Did you find other sites that agreed with the arguments without copying them word for word? Reference 3: Furulund, E., Bemanian, M., Berggren, N., Madebo, T., Rivedal, S. H., Lid, T. G., & Fadnes, L. T. (2021). Effects of nutritional interventions in individuals with chronic obstructive lung disease: a systematic review of randomized controlled trials. International Journal of Chronic Obstructive Pulmonary Disease , 3145-3156. https://doi.org/10.2147/COPD.S323736 Yes No Unclea r Factors C redibility Check Is the author listed? Is it trying to sell you something? Is the information current? Is there a date? A ccuracy Check Is the information written in a factual tone? Is it trying to persuade you to believe something? Does it make common sense? Is everything well-written without errors? 7
ROLE OF NUTRITION IN COPD MANAGEMENT R easonability Check Are positions backed up by reasons? Is it written emotionally or confrontationally? Does it present and address counter-arguments? Does it mention scholarly research? S upport Check Is there support for general statements made? Are informing sources cited? Are professionals and experts listed by name? Did you find other sites that agreed with the arguments without copying them word for word? Reference 4: Scoditti, E., Massaro, M., Garbarino, S., & Toraldo, D. M. (2019). Role of diet in chronic obstructive pulmonary disease prevention and treatment. Nutrients , 11 (6), 1357. https://doi.org/10.3390/nu11061357 Yes No Unclea r Factors C redibility Check Is the author listed? Is it trying to sell you something? Is the information current? Is there a date? A ccuracy Check Is the information written in a factual tone? Is it trying to persuade you to believe something? Does it make common sense? Is everything well-written without errors? R easonability Check Are positions backed up by reasons? Is it written emotionally or confrontationally? Does it present and address counter-arguments? Does it mention scholarly research? S upport Check Is there support for general statements made? Are informing sources cited? Are professionals and experts listed by name? Did you find other sites that agreed with the arguments without copying them word for word? Reference 5: van Iersel, L. E., Beijers, R. J., Gosker, H. R., & Schols, A. M. (2022). 8
ROLE OF NUTRITION IN COPD MANAGEMENT Nutrition as a modifiable factor in the onset and progression of pulmonary function impairment in COPD: A systematic review. Nutrition reviews , 80 (6), 1434-1444. https://doi.org/10.1093/nutrit/nuab077 Yes No Unclea r Factors C redibility Check Is the author listed? Is it trying to sell you something? Is the information current? Is there a date? A ccuracy Check Is the information written in a factual tone? Is it trying to persuade you to believe something? Does it make common sense? Is everything well-written without errors? R easonability Check Are positions backed up by reasons? Is it written emotionally or confrontationally? Does it present and address counter-arguments? Does it mention scholarly research? S upport Check Is there support for general statements made? Are informing sources cited? Are professionals and experts listed by name? Did you find other sites that agreed with the arguments without copying them word for word? 9
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