Abstract：
BACKGROUND: Limited benefit of pulmonary exercise rehabilitation has been associated with fulfilment of energy and protein requirements.
OBJECTIVE: The aim was to enhance dietary intake towards requirements and to maintain changes after a pulmonary rehabilitation program.
METHODS: This single arm intervention study included multidisciplinary focus on nutrition and three sessions of individual dietary counselling during a 10-week pulmonary exercise rehabilitation in five municipalities centers. Data were collected at baseline (P0), at the end of intervention (P1) and for two municipalities at three months post intervention (P2).
RESULTS: Of the 111 included participants, (mean age 70.8 (±9)) 99 (89%) completed the rehabilitation including the three individual dietary counselling\'s. A very large variation in body composition including body mass index and exercise abilities was found. Protein intake improved from 64 (±22 g) (P0) to 88 (±25 g) (P1) (p < 0.001) and energy intake from 1676 (±505 kcal) (P0) to 1941 (±553 kcal) (p < 0.001) (P1) and Muscle Mass Index increased from 10.6 (±3.2) (P0) to 10.9 (±3.2) (P1) (p = 0.007); number of 30 s chair stand test improved from 10.9 (±2.8) repetitions (P0) to 14.1 (±4.3) repetitions (P1) (p < 0.001), distance in six-minut walking test improved from 377.2 (±131.2 m) (P0) to 404.1 (±128.6 m) (P1) (p < 0.001). Two municipalities completed the three months follow-up. For those, dietary improvements remained stable, including protein intake.
CONCLUSIONS: Including three sessions of dietary counselling in a multi-professional effort was associated with improved individualized dietary intake, as well as physical function. Benefits remained almost unchanged after three months. Improvements in function could not be fully explained by improved intakes.
OBJECTIVE: The aim was to enhance dietary intake towards requirements and to maintain changes after a pulmonary rehabilitation program.
METHODS: This single arm intervention study included multidisciplinary focus on nutrition and three sessions of individual dietary counselling during a 10-week pulmonary exercise rehabilitation in five municipalities centers. Data were collected at baseline (P0), at the end of intervention (P1) and for two municipalities at three months post intervention (P2).
RESULTS: Of the 111 included participants, (mean age 70.8 (±9)) 99 (89%) completed the rehabilitation including the three individual dietary counselling\'s. A very large variation in body composition including body mass index and exercise abilities was found. Protein intake improved from 64 (±22 g) (P0) to 88 (±25 g) (P1) (p < 0.001) and energy intake from 1676 (±505 kcal) (P0) to 1941 (±553 kcal) (p < 0.001) (P1) and Muscle Mass Index increased from 10.6 (±3.2) (P0) to 10.9 (±3.2) (P1) (p = 0.007); number of 30 s chair stand test improved from 10.9 (±2.8) repetitions (P0) to 14.1 (±4.3) repetitions (P1) (p < 0.001), distance in six-minut walking test improved from 377.2 (±131.2 m) (P0) to 404.1 (±128.6 m) (P1) (p < 0.001). Two municipalities completed the three months follow-up. For those, dietary improvements remained stable, including protein intake.
CONCLUSIONS: Including three sessions of dietary counselling in a multi-professional effort was associated with improved individualized dietary intake, as well as physical function. Benefits remained almost unchanged after three months. Improvements in function could not be fully explained by improved intakes.
摘要：
背景：肺运动康复的有限益处与满足能量和蛋白质需求有关。
目的：目的是提高膳食摄入量，以满足肺康复计划后的需求并保持变化。
方法：这项单臂干预研究包括对营养的多学科关注和在五个城市中心进行为期10周的肺运动康复期间进行的三次个人饮食咨询。数据在基线(P0)收集，在干预结束时(P1)和两个城市在干预后三个月(P2)。
结果：在111名参与者中，（平均年龄70.8（±9））99（89％）完成了康复，包括三个单独的饮食咨询。发现包括体重指数和运动能力在内的身体成分差异很大。蛋白质摄入量从64（±22g）（P0）提高到88（±25g）（P1）（p<0.001），能量摄入量从1676（±505kcal）（P0）提高到1941（±553kcal）（p<0.001）（P1），肌肉质量指数从10.6（±3.2）（P0）提高到10.9（±3.2）（P1）（p=1）的重复次数（六分钟步行试验中的距离从377.2（±131.2m）（P0）提高到404.1（±128.6m）（P1）（p<0.001）。两个城市完成了为期三个月的后续行动。对于那些,饮食改善保持稳定，包括蛋白质的摄入。
结论：在多专业的努力中包括三次饮食咨询与改善个性化饮食摄入有关，以及身体功能。三个月后，福利几乎保持不变。功能的改进不能完全用改进的摄入量来解释。
目的：目的是提高膳食摄入量，以满足肺康复计划后的需求并保持变化。
方法：这项单臂干预研究包括对营养的多学科关注和在五个城市中心进行为期10周的肺运动康复期间进行的三次个人饮食咨询。数据在基线(P0)收集，在干预结束时(P1)和两个城市在干预后三个月(P2)。
结果：在111名参与者中，（平均年龄70.8（±9））99（89％）完成了康复，包括三个单独的饮食咨询。发现包括体重指数和运动能力在内的身体成分差异很大。蛋白质摄入量从64（±22g）（P0）提高到88（±25g）（P1）（p<0.001），能量摄入量从1676（±505kcal）（P0）提高到1941（±553kcal）（p<0.001）（P1），肌肉质量指数从10.6（±3.2）（P0）提高到10.9（±3.2）（P1）（p=1）的重复次数（六分钟步行试验中的距离从377.2（±131.2m）（P0）提高到404.1（±128.6m）（P1）（p<0.001）。两个城市完成了为期三个月的后续行动。对于那些,饮食改善保持稳定，包括蛋白质的摄入。
结论：在多专业的努力中包括三次饮食咨询与改善个性化饮食摄入有关，以及身体功能。三个月后，福利几乎保持不变。功能的改进不能完全用改进的摄入量来解释。
