Dietary resilience in patients with severe COPD at the start of a pulmonary rehabilitation program

L. ter Beek; H. van der Vaart; J.B. Wempe; A.O. Dzialendzik; J.L.N. Roodenburg; C.P. van der Schans; H.H. Keller; H. Jager-Wittenaar

doi:10.2147/COPD.S151720

Dietary resilience in patients with severe COPD at the start of a pulmonary rehabilitation program

L. ter Beek, H. van der Vaart, J.B. Wempe, A.O. Dzialendzik, J.L.N. Roodenburg, C.P. van der Schans, H.H. Keller, H. Jager-Wittenaar

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

© 2018 ter Beek et al.Background: COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life. Aims: In this qualitative study, we aimed to explore strategies used to overcome food-related challenges, ie, dietary resilience, and whether these led to a healthy diet. Furthermore, we aimed to identify the key themes of motivation for dietary resilience in patients with severe COPD. Methods: In October 2015 to April 2016, 12 patients with severe COPD starting a pulmonary rehabilitation program were interviewed. Qualitative description and thematic analysis were performed. Results: All participants mentioned the use of strategies to overcome challenges. Key themes of motivation for dietary resilience were identified as “wanting to be as healthy as possible”, “staying independent”, and “promoting a sense of continuity and duty”. Two out of 12 participants met the criteria for a healthy diet. Conclusion: Our study showed a variety of motivational factors and strategies reported by patients with severe COPD to overcome food-related challenges. However, the majority (n=10) of the participants did not meet the criteria for a healthy diet. The identified key themes can be used to develop education to support patients with severe COPD to improve their diet.

Original language	English
Pages (from-to)	1317-1324
Journal	International Journal of COPD
Volume	13
DOIs	https://doi.org/10.2147/COPD.S151720
Publication status	Published - 23 Apr 2018
Externally published	Yes

Funding

We would like to thank Niels de Voogd, Janneke Dilling, Leanda Brinkman, and Petra Goedemoed of the pulmonary rehabilitation ward of the UMCG, and Noor de Vink, Manon Westra, and Marije Rolsma, students at the Hanze University of Applied Sciences for their valuable contribution to this study. The abstract of this paper was presented at the 2016 ESPEN Congress as a poster presentation with interim findings. The poster’s abstract was published in “Abstracts of 38th ESPEN Congress in Copenhagen, Denmark, 17–20 September 2016” in Clinical Nutrition, 2016;35 Supplement 1:S85–S86.

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Universitair Medisch Centrum Groningen

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@article{f96d4d20f3a245799c72a72ea011e83b,

title = "Dietary resilience in patients with severe COPD at the start of a pulmonary rehabilitation program",

abstract = "{\textcopyright} 2018 ter Beek et al.Background: COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life. Aims: In this qualitative study, we aimed to explore strategies used to overcome food-related challenges, ie, dietary resilience, and whether these led to a healthy diet. Furthermore, we aimed to identify the key themes of motivation for dietary resilience in patients with severe COPD. Methods: In October 2015 to April 2016, 12 patients with severe COPD starting a pulmonary rehabilitation program were interviewed. Qualitative description and thematic analysis were performed. Results: All participants mentioned the use of strategies to overcome challenges. Key themes of motivation for dietary resilience were identified as “wanting to be as healthy as possible”, “staying independent”, and “promoting a sense of continuity and duty”. Two out of 12 participants met the criteria for a healthy diet. Conclusion: Our study showed a variety of motivational factors and strategies reported by patients with severe COPD to overcome food-related challenges. However, the majority (n=10) of the participants did not meet the criteria for a healthy diet. The identified key themes can be used to develop education to support patients with severe COPD to improve their diet.",

author = "{ter Beek}, L. and {van der Vaart}, H. and J.B. Wempe and A.O. Dzialendzik and J.L.N. Roodenburg and {van der Schans}, C.P. and H.H. Keller and H. Jager-Wittenaar",

year = "2018",

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doi = "10.2147/COPD.S151720",

language = "English",

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journal = "International Journal of COPD",

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T1 - Dietary resilience in patients with severe COPD at the start of a pulmonary rehabilitation program

AU - ter Beek, L.

AU - van der Vaart, H.

AU - Wempe, J.B.

AU - Dzialendzik, A.O.

AU - Roodenburg, J.L.N.

AU - van der Schans, C.P.

AU - Keller, H.H.

AU - Jager-Wittenaar, H.

PY - 2018/4/23

Y1 - 2018/4/23

N2 - © 2018 ter Beek et al.Background: COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life. Aims: In this qualitative study, we aimed to explore strategies used to overcome food-related challenges, ie, dietary resilience, and whether these led to a healthy diet. Furthermore, we aimed to identify the key themes of motivation for dietary resilience in patients with severe COPD. Methods: In October 2015 to April 2016, 12 patients with severe COPD starting a pulmonary rehabilitation program were interviewed. Qualitative description and thematic analysis were performed. Results: All participants mentioned the use of strategies to overcome challenges. Key themes of motivation for dietary resilience were identified as “wanting to be as healthy as possible”, “staying independent”, and “promoting a sense of continuity and duty”. Two out of 12 participants met the criteria for a healthy diet. Conclusion: Our study showed a variety of motivational factors and strategies reported by patients with severe COPD to overcome food-related challenges. However, the majority (n=10) of the participants did not meet the criteria for a healthy diet. The identified key themes can be used to develop education to support patients with severe COPD to improve their diet.

AB - © 2018 ter Beek et al.Background: COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life. Aims: In this qualitative study, we aimed to explore strategies used to overcome food-related challenges, ie, dietary resilience, and whether these led to a healthy diet. Furthermore, we aimed to identify the key themes of motivation for dietary resilience in patients with severe COPD. Methods: In October 2015 to April 2016, 12 patients with severe COPD starting a pulmonary rehabilitation program were interviewed. Qualitative description and thematic analysis were performed. Results: All participants mentioned the use of strategies to overcome challenges. Key themes of motivation for dietary resilience were identified as “wanting to be as healthy as possible”, “staying independent”, and “promoting a sense of continuity and duty”. Two out of 12 participants met the criteria for a healthy diet. Conclusion: Our study showed a variety of motivational factors and strategies reported by patients with severe COPD to overcome food-related challenges. However, the majority (n=10) of the participants did not meet the criteria for a healthy diet. The identified key themes can be used to develop education to support patients with severe COPD to improve their diet.

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DO - 10.2147/COPD.S151720

M3 - Article

SN - 1176-9106

VL - 13

SP - 1317

EP - 1324

JO - International Journal of COPD

JF - International Journal of COPD

ER -

Dietary resilience in patients with severe COPD at the start of a pulmonary rehabilitation program

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