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Chronic Obstructive
Pulmonary Disease
Dr.Etisa Adi Murbawani, M.Si
C.O.P.D.
Definition of COPD
Studies :
Low serum 25 hydroxyvitamin D
levels have been documented in
individual with COPD
Suggesting that vitamin D deficiency
due to poor intake and decreased
sun exposure may play a role in bone
disease
The use of glucocorticosteroid has
been shown to increase the
incidence of osteoporosis
Glucocorticosteroids
Bone mineral density should be
measured in individual who have
COPD, particularly in those receiving
long-term glucocorticoid treatment
( > 7,5 mg prednisone/day )
Intake calcium & vitamin D should be
assessed
RDA : Ca = 800 1200 mg/day
vitamin D = at least 400 IU
A diet without tough or stringy
foods
Gas forming vegetables may cause
discomfort
Enrich diet with antioxidants
General rule
Small frequent feeding
Fiber should be increased gradually
Limit liquids with meals drink
fluids an hour after meal
Eat more slowly