title: [Malnutrition in chronic obstructive bronchopulmonary diseases].
abstract: Malnutrition occurs in 23-70% of patients with chronic obstructive pulmonary disease and appears to be an independent factor connected with poor prognosis. Malnutrition stems from a long-term negative balance of energy and nutrients. That is caused by hypermetabolism, with possible role of an increased thermic effect of food, and probably by (at least intermittently) a limited intake of food. The adverse effect of malnutrition may be mediated by a decreased respiratory muscle strength but also by other mechanisms (electrolyte disorders, disturbed respiratory control, immunosuppression). In these patients, realimentation may be difficult to achieve, especially on the out-patient basis. However, with an increased effort of the health professionals and a good compliance of the patients, a substantial improvement is feasible, which might in turn improve the patients' prognosis.
authors.affiliation: 2. interní klinika FN a LF UK, Hradec Králové.
authors.forename: J
authors.initials: J
authors.lastname: Horácek
authors.forename: B
authors.initials: B
authors.lastname: Král
authors.forename: J
authors.initials: J
authors.lastname: Bures
authors.forename: V
authors.initials: V
authors.lastname: Pidrman
mesh_terms: D004750:Enteral Nutrition; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications*; D009748:Nutrition Disorders / Q000209:etiology* / Q000628:therapy
vernacular_title: Malnutrice u chronické obstrukcní choroby bronchopulmonální.