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  • Nutrition

Background

COPD stands for chronic obstructive pulmonary disease. It’s a term used for a number of conditions affecting the lungs, including chronic bronchitis and emphysema, that cause breathing difficulties. People with COPD have trouble breathing, and other symptoms include coughing, excess phlegm, frequent chest infections and persistent wheezing. Other symptoms found in these patients may be weight loss, tiredness and oedema.2

An estimated 1.2 million people in the UK have COPD. Around 2% of the whole population (4.5% of all people aged over 40) live with diagnosed COPD.2

COPD is often associated with muscle wasting and weakness, both of which predict morbidity and mortality. It is also associated with a hypermetabolic state, which results in accelerated muscle atrophy.3,4

Treatment

There is no cure for COPD but a lot can be done to relieve symptoms, such as stopping smoking and using an inhaler to make breathing easier.2 Eating a balanced diet is important, and it’s recommended that people with COPD keep mobile and manage their weight. Should the person be underweight, it’s important that they eat foods that are high in protein and calories.

Products

For people with COPD who may require additional nutrition, the following feeds may be suitable:

Ensure Plus Advance

Ensure Plus Advance is a 1.5kcal/ml, ready-to-drink, milkshake style oral nutritional supplement that contains high levels of protein, with additional vitamin D and CaHMB (calcium-β-hydroxy-β-methylbutyrate), for the dietary management of older adults with, or at risk of developing, disease-related malnutrition. It is available in 220ml bottles in banana, chocolate, coffee, strawberry and vanilla flavours.

Ensure TwoCal

Ensure TwoCal is a 2.0kcal/ml, milkshake style oral nutritional supplement for people with, or at risk of developing, disease-related malnutrition. Ensure TwoCal is ready-to-drink, and is available in banana, neutral, strawberry and vanilla flavours. Ensure TwoCal contains FOS (fructo-oligosaccharides), which have an important role to play in the diet by helping to support gastrointestinal function5. It is presented in a 200ml bottle.

TwoCal

TwoCal is a 2.0kcal/ml tube feed for people who are catabolic or fluid restricted who have, or are at risk of developing, disease-related malnutrition. TwoCal contains FOS (fructo-oligosaccharides), which have an important role in the diet by helping to support gastrointestinal function.5 It is available in a 1000ml Ready to Hang bottle and in a 200ml bottle, which attach directly to Abbott giving sets. The 200ml bottle is convenient for bolus feeding and mobile patients.

Pulmocare

Pulmocare is a 1.5kcal/ml tube feed specifically formulated for people with pulmonary (lung) disease. Pulmocare is available in a 500ml Ready to Hang bottle, which attaches directly to Abbott giving sets.

Ensure Compact

Ensure Compact is a 2.4 kcal/ml, nutritionally complete, ready-to-drink, milkshake style oral nutritional supplement, for the dietary management of patients with, or at risk of developing, disease-related malnutrition. It is available in 125ml bottles in banana, café latte, strawberry and vanilla flavours.

To find out more about any particular product in our wide range of adult, older children and paediatric feeds, please click here.

Reference

  1. NHS Choices, 2018:https://www.nhs.uk/conditions/chronic-obstructive-pulmonary-disease-copd/
    Last accessed April 2019
  2. British Ling Foundation, 2019:https://statistics.blf.org.uk/copd Last accessed April 2019
  3. Barreiro E and Jaitovich A. J Thorac Dis 2018;10(Suppl 12):S1415-S1424.
  4. Wust R C and Degens H. Int J Chron Obstruct Pulmon Dis 2007;2(3):289-300.
  5. Bouhnik Y et al. Nutr J 2006;5:8.

Date of preparation April 2019 ANUKANI160260(1)

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