Evidence map›Paper›PMID 36747276›Full record

ArticleTrials2023

Multidimensional individualized nutritional therapy for individuals with severe chronic obstructive pulmonary disease: study protocol for a registry-based randomized controlled trial.

Maria H Hegelund, Christian Ritz, Thyge L Nielsen, Mette F Olsen, Christian Søborg, Lone Braagaard, Christian Mølgaard, Rikke Krogh-Madsen, Birgitte Lindegaard, Daniel Faurholt-Jepsen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04873856 (Multidimensional INDividualized NUTritional Therapy for Individuals with Severe Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04873856 nacompletednot on this map

Multidimensional INDividualized NUTritional Therapy for Individuals with Severe Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorNordsjaellands HospitalRan2021 to 2023Enrolled87ConditionsChronic Obstructive Pulmonary DiseaseArmsIntervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Maria H HegelundDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark. maria.hein.hegelund.01@regionh.dk.
Christian RitzNational Institute of Public Health, Copenhagen, Denmark.
Thyge L NielsenDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Mette F OlsenDepartment of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark.
Christian SøborgDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Lone BraagaardDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Christian MølgaardDepartment of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Rigshospitalet, Denmark.
Rikke Krogh-MadsenDepartment of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark.
Birgitte LindegaardDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Daniel Faurholt-JepsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Frederiksberg, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKDanish National Institute of Public Health · DK

Funding

Axel Muusfeldts Fond 2021-0194Grosserer LF Foghts Fond 21Grosserer LF Foghts Fond 898
6 · The paper itself

Abstract

backgroundIndividuals with severe chronic obstructive pulmonary disease (COPD) are often at risk of undernutrition with low health-related quality of life (HRQoL). Undernutrition can worsen COPD and other comorbidities, be an independent predictor of morbidity and functional decline resulting in increased healthcare consumption and increased risk of death. Especially exacerbations and acute infections result in unintentional weight loss. The aim is to investigate the effect of an individualized nutritional intervention among individuals with severe COPD.

methodsAn open-label randomized controlled trial with two parallel groups. Participants are recruited from the pulmonary outpatient clinic at the Department of Pulmonary and Infectious Diseases, Copenhagen University Hospital, North Zealand, Denmark, and randomly allocated to either the intervention (intervention + standard of care) or control group (standard of care). The intervention has a duration of 3 months and combines individual nutritional care with adherence support and practical tools. It contains 4 elements including an individual nutritional plan, regular contacts, adherence support, and weight diary. The primary outcome is a difference in HRQoL (EQ-5D-5L) between the intervention and control group 3 months after baseline. Difference in functional capacity (grip strength, 30-s stand chair test, and physical activity), disease-specific quality of life (COPD Assessment Test), anxiety and depression (Hospital Anxiety and Depression Scale), nutritional parameters (energy and protein intake), anthropometry (weight, body mass index, waist, hip, and upper arm circumference), body composition (total fat-free and fat mass and indices), and prognosis (exacerbations, oxygen therapy, hospital contacts, and mortality) 3 months after baseline will be included as secondary outcomes. Data will be collected through home visits at baseline and 1 and 3 months after baseline. DISCUSSION: Currently, nutritional care is a neglected area of outpatient care among individuals with severe COPD. If this patient-centered approach can demonstrate a positive impact on HRQoL, mortality, and hospital contacts, it should be recommended as part of end-of-life care for individuals with severe COPD.

trial registrationClinicalTrials.gov NCT04873856 . Registered on May 3, 2021.

Indexed as

MalnutritionPulmonary Disease, Chronic ObstructiveHumansNutritional SupportQuality of LifeRandomized Controlled Trials as TopicRegistriesBody compositionChronic obstructive pulmonary diseaseFunctional capacityMental healthNutritional statusNutritional therapyQuality of life

Identifiers

PMID36747276
PMCPMC9900973
OpenAlexW4319298280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.