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To compare the effectiveness of usual care versus best practice nutritional support in treating malnutrition in Chronic Obstructive Pulmonary Disease (COPD).

Not Applicable
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Malnutrition
Respiratory - Chronic obstructive pulmonary disease
Diet and Nutrition - Other diet and nutrition disorders
Registration Number
ACTRN12619001586101
Lead Sponsor
Metro South Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

•Confirmed diagnosis of COPD: forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) less than the lower limit of normal with a smoking history of 10 pack years or more.
•Currently stable i.e. not receiving antibiotic or steroid treatment for an infective
•exacerbation of COPD within the last 4 weeks
•At nutritional risk: Malnutrition Screening Tool score greater than or equal to 2.
•Competent to provide written informed consent and able to answer questions
•Able to achieve nutritional requirements orally

Exclusion Criteria

•Requirement for tube feeding or parenteral nutrition
•Currently receiving, or within the last 4 weeks, oral nutritional supplements
•Palliative care
•Conditions that could result in weight loss (chronic renal disease requiring dialysis,
liver failure, known malignancy)
•Currently participating in another research trial
•Already under the care of a dietitian

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
utritional status analysed by assessing energy intake using 24 hour recall.<br> <br>[Baseline, 6, 12 weeks (primary end-point) post enrolment.];Weight status by using digital scale.[Baseline, 6, 12 weeks (primary end-point) post enrolment.];Nutritional status analysed by assessing protein intake using 24 hour recall.[Baseline, 6, 12 weeks (primary end-point) post enrolment.]
Secondary Outcome Measures
NameTimeMethod
Quality of life assessed by the St Georges Respiratory Questionnaire. [Baseline, 6, 12 weeks post-intervention commencement.];Body Mass Index (BMI) for assessment of malnutrition status <br>This was assessed by using a Seca digital scale and height stadiometer. [Baseline, 6, 12 weeks post-intervention commencement.];Hand grip strength for assessment of muscle mass.<br>This was assessed by using a dynamometer.[Baseline, 6 and 12 weeks.]
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