European Journal of Clinical Nutrition
04/24/2002
By David Ball
While malnutrition in chronic obstructive pulmonary disease (COPD) patients may not be due to an increased energy expenditure, insufficient energy intake can cause a significant negative energy balance.
An observational study during a rehabilitation programme by specialists in the People's Republic of China and the United Kingdom found a negative energy balance in seven out of 10 patients.
Energy expenditure profiles were evaluated in six COPD patients with body mass index (BMI) 18.5 kg/m², and four healthy age matched controls.
Indirect calorimetry, bicarbonate-urea methods and dietary records were used to measure total daily energy expenditure (TEE), resting energy expenditure (REE) and diet induced thermogenesis (DIT) and energy intake
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