Optimizing individual benefits of pulmonary rehabilitation including a multifaceted dietary intervention – A single-arm feasibility study

Abstract

Summary: Introduction: Few studies have examined the effectiveness of nutrition interventions in municipal COPD rehabilitation programs. The objectives of this study were to examine the feasibility of implementation in practice (primary) and the feasibility of study methods and potential effectiveness (secondary) of a multidisciplinary dietary intervention offered to patients who start municipal rehabilitations program. Methods: This study was a single arm intervention study with a pre-post design. Participant were recruited from five different municipal rehabilitation centers and received three individualized dietary counselling's. The primary outcome was retention, compliance to the intervention and complement of data collection. Secondary outcomes included changes in dietary intake, body composition and physical function. Analysis of the primary and secondary outcomes was primarily based on descriptive statistics. Results: In total, 111 (77%) of 145 eligible patients from five different municipalities consented to participate. Of them 99 (89%) completed. Before the intervention 67 (63%) of the participants had 75% or more of their requirement of energy covered, and 48 (45%) had 75% or more of their protein requirements covered. At the end of the intervention, 76 (77%) of the participants had 75% or more coverage of energy requirements and 80 (83%) had 75% or more coverage of their protein requirements. In general, the level of completeness was high. Conclusion: We found recruitment to be feasible, a high rate of retention, a high compliance to the intervention and high completeness of the data collection.

Keywords

• COPD
• Nutrition intervention
• Chronic diseases
• Pulmonary rehabilitation
• Physical activity