Nutrition and Ventilatory Function, Softcover reprint of the original 1st ed. 1992 Current Topics in Rehabilitation Series

In his review of the Proceedings of the First International Workshop on Respiratory Muscles in Chronic Obstructive Pulmonary Disease, organized in Montescano in 1986, Thomas K. Aldrich stated that "there is little information on nutrition". We felt that the need to supplement the evaluation of respiratory muscles by studying nutritional problems was an important enough matter to justify producing a specific study on the subject. This book is the result of the efforts made in this direction. Since 1986, many of the problems associated with nutrition and ventilatory function have been elucidated, and we hope that the contents of this book may contribute towards spreading interest and knowledge in this sector, particularly among those working in the field of respiratory rehabilitation. The physiological and clinical aspects of nutritional problems and the therapeutic approaches adopted in different disease conditions are dealt with in these pages by some of the best-known researchers in the field, providing abundant evidence, if any should be needed, that rehabilitation is not merely exercise. The picture strongly emerging over these last few years is that rehabilitation is not merely a matter of knowledge of lung or respiratory muscles, but also of heart-lung interaction, metabolic equilibrium and nutrition. So much for recent developments, but what does the future hold in store? May 1992 RENATO CORSICO Preface Nutrition and ventilation are inextricably related.

Nutrition and Malnutrition.- 1. Anthropometric Parameters in the Assessment of Nutritional Status.- 2. Serum and Immunological Parameters in the Assessment of Nutritional Status.- 3. Energy Balance.- Pathophysiology of Malnutrition in COPD.- 4. Epidemiology of Malnutrition in Chronic Obstructive Pulmonary Disease.- 5. Energy Expenditure in Chronic Lung Disease.- 6. Polyunsaturated Fatty Acids as Nutritional Modulators of the Pulmonary Response to Sepsis.- Effects of Malnutrition on Ventilatory System.- 7. Nutritional Status and Respiratory Mechanics.- 8. A Preliminary Report on the Effects of Malnutrition on Skeletal Muscle Composition in Chronic Obstructive Pulmonary Disease.- 9. Malnutrition and Lung Host Defenses: Implications for the Pathogenesis and Prevention of Pneumonia.- 10. Respiratory Muscle Function in the Obese.- 11. Eating Behavior in Chronic Obstructive Pulmonary Disease.- Clinical Aspects of Malnutrition in COPD.- 12. The Effects of Nutritional Support to Malnourished ambulatory Chronic Obstructive Pulmonary Disease Patients.- 13. Lung Alveolar Modifications and Nutrition in Malnourished Patients on Mechanical Ventilation: a Preliminary Report.- 14. Nutrition in ARDS and Multiorgan Failure.- 15. Metabolic Support and Energy Supply for Acute Respiratory Failure.- 16. Cachexia in Chronic Obstructive Pulmonary Disease.- Nutritional Therapy.- 17. Macronutrient Effect on Metabolism and Ventilation in Patients with Chronic Lung Disease.- 18. Parenteral Nutrition in Cystic Fibrosis.- 19. Oral Intake, O2, Dyspnea, Dysphagia and Other Considerations in Chronic Obstructive Pulmonary Disease Patients.- 20. Influence of Body Mass Index on Maximal Static Respiratory Pressures.- 21. The Effect of Resistive Breathing Training Combined with Nutritional Supplementation in Malnourished Chronic Obstructive Pulmonary Disease.