COPD: Recommendations and Supporting Evidence (2019)

COPD: Recommendations and Supporting Evidence (2019)

Recommendations

Guideline recommendations are the essence of evidence-based guidelines and provide a course of action  for the practitioner based on the evidence. Below, you will find the Chronic Obstructive Pulmonary Disease (COPD) 2018 recommendations organized by Nutrition Care Process category. 

Download the Guideline Comparison Table to see the changes between the 2019 and 2008 guideline recommendations.

Each recommendation receives a rating of Strong, Weak, or Consensus. The rating for the recommendation is primarily based on the strength of the supporting evidence but also the balance between benefits or harms anticipated and the clinical practice implications. The Academy categorizes recommendations in terms of either Imperative or Conditional statements. Conditional statements clearly define a specific situation or specific sub-population within the larger guideline population. Imperative statements are broadly applicable to the target population without restraints on their application. Learn more →  

Resources Available with Each Recommendation

In addition to the recommendation statement and strength rating, on each recommendation page, you will find:

  • A brief narrative summary of the evidence analyzed to reach the recommendation
  • A statement of justification, or reason for the strength of the recommendation
  • Detailed information on the evidence supporting the recommendations and background narrative (available in the Supporting Evidence section toward the bottom of each recommendation page)
  • A reference list at the end of each recommendation page that includes all the sources used in the evidence analysis for the particular recommendation (each reference is hyperlinked to a summary of the article analyzed in the evidence analysis).

Screening and Referral

None.

Nutrition Assessment

COPD: Assessment of Energy Intake

COPD: Assessment of Body Weight

COPD: Assessment of Energy Needs

COPD: Estimating Resting Metabolic Rate (RMR)
COPD: Estimating Total Energy Expenditure (TEE)

COPD: Assessment of Serum 25(OH)D Status 

COPD: Assessment of Serum 25(OH)D Status

COPD: Assessment of Exacerbations  

Nutrition Diagnosis

None.

Nutrition Intervention

COPD: Medical Nutrition Therapy

COPD: Energy Prescription

COPD: Macronutrient Composition (Percent Distribution)

COPD: Vitamin D Supplementation

COPD: Vitamin D Supplementation for Serum 25(OH)D Levels 10ng/ml or Lower

COPD: Vitamin D Supplementation for Serum 25(OH)D Levels 11-29ng/ml

Nutrition Monitoring and Evaluation

COPD: Monitor and Evaluate Energy Intake and Body Weight for Energy Needs 

COPD: Monitor and Evaluate Serum 25(OH)D Status 

COPD: Monitor and Evaluate Effect of Vitamin D Supplementation