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Terapia Nutricional No Paciente Com Doenca Pulmonar Obstrutiva Cronica PDF
Terapia Nutricional No Paciente Com Doenca Pulmonar Obstrutiva Cronica PDF
1
Projeto Diretrizes
Associação Médica Brasileira e Conselho Federal de Medicina
Objetivo:
Esta diretriz tem por finalidade proporcionar aos profissionais da saúde uma visão
geral sobre a abordagem nutricional no paciente portador de doença pulmonar crô-
nica, com base na evidência científica disponível. O tratamento do paciente deve ser
individualizado de acordo com suas condições clínicas e com a realidade e experiência
de cada profissional.
Conflito de interesse:
Nenhum conflito de interesse declarado.
Introdução
repouso, por curto período (até duas semanas), mento como complemento à terapia
14. Kelsen SG, Ference M, Kapoor S. Effects 21. Landbo C, Prescott E, Lange P, Vestbo J,
of prolonged undernutrition on structure Almdal TP. Prognostic value of nutritio-
and function of the diaphragm. J Appl nal status in chronic obstructive pulmo-
Physiol 1985;58:1354-9. nary disease. Am J Respir Crit Care Med
1999;160:1856-61.
15. Rochester DF. Malnutrition and the
respiratory muscles. Clin Chest Med 22. Slinde F, Gronberg A, Engstrom CP, Rossan-
1986;7:91-9. der-Hulthen L, Larsson S. Body composition
by bioelectrical impedance predicts mortality in
16. Ferreira IM, Brooks D, Lacasse Y, Gold- chronic obstructive pulmonary disease patients.
stein RS, White J. Nutritional supple- Respir Med 2005;99:1004-9.
mentation for stable chronic obstructive
pulmonary disease. Cochrane Database 23. Vestbo J, Prescott E, Almdal T, Dahl M,
Syst Rev 2005(2):CD000998. Nordestgaard BG, Andersen T, et al. Body
mass, fat-free body mass, and prognosis in
patients with chronic obstructive pulmo-
17. Driver AG, McAlevy MT, Smith JL. Nutri-
nary disease from a random population
tional assessment of patients with chronic
sample: findings from the Copenhagen City
obstructive pulmonary disease and acute
Heart Study. Am J Respir Crit Care Med
respiratory failure. Chest 1982;82:568-71.
2006;173:79-83.
18. Prescott E, Almdal T, Mikkelsen KL,
24. Singapore Ministry of Health. Chronic
Tofteng CL, Vestbo J, Lange P. Prognostic obstructive pulmonary disease. Singapore:
value of weight change in chronic ob- Singapore Ministry of Health; 2006. 84p.
structive pulmonary disease: results from
the Copenhagen City Heart Study. Eur 25. Budweiser S, Jorres RA, Riedl T, Heine-
Respir J 2002;20:539-44. mann F, Hitzl AP, Windisch W, et al.
Predictors of survival in COPD patients
19. Schols AM, Slangen J, Volovics L, Wouters with chronic hypercapnic respiratory failure
EF. Weight loss is a reversible factor in the receiving noninvasive home ventilation.
prognosis of chronic obstructive pulmo- Chest 2007;131:1650-8.
nary disease. Am J Respir Crit Care Med
1998;157(6 Pt 1):1791-7. 26. Ferreira I, Brooks D, Lacasse Y, Goldstein R.
Nutritional intervention in COPD: a syste-
20. Wilson DO, Rogers RM, Wright EC, matic overview. Chest 2001;119:353-63.
Anthonisen NR. Body weight in chronic
obstructive pulmonary disease. The Na- 27. Debigare R, Marquis K, Cote CH, Tremblay
tional Institutes of Health Intermittent RR, Michaud A, LeBlanc P, et al. Catabolic/
Positive-Pressure Breathing Trial. Am Rev anabolic balance and muscle wasting in pa-
Respir Dis 1989;139:1435-8. tients with COPD. Chest 2003;124:83-9.
28. Schols AM, Wouters EF. Nutritional life in stable chronic obstructive pulmo-
abnormalities and supplementation in nary disease (COPD) patients. Clin Nutr
chronic obstructive pulmonary disease. 2005;24:433-41.
Clin Chest Med 2000;21:753-62.
36. Talpers SS, Romberger DJ, Bunce SB,
29. Zaloga G, Ackerman MH. A review of Pingleton SK. Nutritionally associated
disease-specific formulas. AACN Clin increased carbon dioxide production. Excess
Issues Crit Care Nurs 1994;5:421-35. total calories vs high proportion of carbo-
hydrate calories. Chest 1992;102:551-5.
30. Baker JP, Detsky AS, Stewart S, Whitwell
J, Marliss EB, Jeejeebhoy KN. Randomi- 37. Sullivan DJ, Marty TL, Barton RG. A case
zed trial of total parenteral nutrition in of overfeeding complicating the manage-
critically ill patients: metabolic effects of ment of adult respiratory distress syndrome.
varying glucose-lipid ratios as the energy Nutrition 1995;11:375-8.
source. Gastroenterology 1984;87:53-9.
38. Burdet L, Muralt B, Schutz Y, Pichard C,
31. Hwang TL, Huang SL, Chen MF. Ef- Fitting JW. Administration of growth hor-
fects of intravenous fat emulsion on re- mone to underweight patients with chronic
spiratory failure. Chest 1990;97:934-8. obstructive pulmonary disease. A prospec-
tive, randomized, controlled study. Am J
32. Anker SD, John M, Pedersen PU, Ra- Respir Crit Care Med 1997;156:1800-6.
guso C, Cicoira M, Dardai E, et al. ES-
PEN Guidelines on Enteral Nutrition: 39. Pichard C, Kyle U, Chevrolet JC, Jolliet P,
Cardiology and Pulmonology. Clin Nutr Slosman D, Mensi N, et al. Lack of effects
2006;25:311-8. of recombinant growth hormone on muscle
function in patients requiring prolonged
33. Vermeeren MA, Creutzberg EC, Schols mechanical ventilation: a prospective, ran-
AM, Postma DS, Pieters WR, Roldaan AC, domized, controlled study. Crit Care Med
et al. Prevalence of nutritional depletion in a 1996;24:403-13.
large out-patient population of patients with
COPD. Respir Med 2006;100:1349-55. 40. Sharma S, Arneja A, McLean L, Duerksen
D, Leslie W, Sciberras D, et al. Anabolic
34. Donahoe M, Rogers RM. Nutritional steroids in COPD: a review and preliminary
assessment and support in chronic ob- results of a randomized trial. Chron Respir
structive pulmonary disease. Clin Chest Dis 2008;5:169-76.
Med 1990;11:487-504.
41. Schols AM, Soeters PB, Mostert R,
35. Planas M, Alvarez J, Garcia-Peris PA, Pluymers RJ, Wouters EF. Physiologic
de la Cuerda C, Lucas P, Castella M, et effects of nutritional support and anabolic
al. Nutritional support and quality of steroids in patients with chronic obstructive
does the evidence show? Curr Opin Crit pentaenoic acid, gamma-linolenic acid, and
Care 2005;11:461-7. antioxidants in patients with acute respira-
tory distress syndrome. Enteral Nutrition
56. Matsuyama W, Mitsuyama H, Watanabe M, in ARDS Study Group. Crit Care Med
Oonakahara K, Higashimoto I, Osame M, 1999;27:1409-20.
et al. Effects of omega-3 polyunsaturated
fatty acids on inflammatory markers in 58. Singer P, Theilla M, Fisher H, Gibstein
COPD. Chest 2005;128:3817-27. L, Grozovski E, Cohen J. Benefit of an
enteral diet enriched with eicosapentaenoic
57. Gadek JE, DeMichele SJ, Karlstad MD, acid and gamma-linolenic acid in ventilated
Pacht ER, Donahoe M, Albertson TE, et patients with acute lung injury. Crit Care
al. Effect of enteral feeding with eicosa- Med 2006;34:1033-8.