Food for thought: optimal diet in patients with asthma and chronic obstructive pulmonary disease.

Autor: Vameghestahbanati M; Department of Medicine, McGill University and McGill University Health Centre Research, Institute, Montreal, Quebec., Wang CJ; Centre for Heart Lung Innovation, St. Paul's Hospital., Sin DD; Centre for Heart Lung Innovation, St. Paul's Hospital.; Respiratory Division, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: Current opinion in pulmonary medicine [Curr Opin Pulm Med] 2024 Nov 29. Date of Electronic Publication: 2024 Nov 29.
DOI: 10.1097/MCP.0000000000001142
Abstrakt: Purpose of Review: Nutritional intake plays a major role in the management of lung health. This review provides the latest perspective on how dietary choices can modulate lung function in patients with chronic obstructive pulmonary disease (COPD) and asthma.
Recent Findings: The pathophysiology of COPD and asthma is driven by oxidative stress and inflammation of the airways, which is exacerbated by modifiable risk factors such as cigarette smoking and diet. Various foods can influence patient symptoms; highly processed foods increase the production of reactive oxygen species that augment airway inflammation, whereas foods rich in antioxidants, fiber and protein combat oxidative stress and muscle wastage. Patients with COPD or asthma are at increased risk of developing metabolic comorbidities, including cachexia and obesity that complicate disease phenotypes, leading to greater symptom severity. While clinical findings suggest a role for antioxidant and macronutrient support of lung function, comprehensive translational and clinical studies are necessary to better understand the mechanisms underlying nutrient interaction and lung structure-function.
Summary: Understanding the nutritional requirements that protect lung health and support weight management in COPD and asthma is imperative to providing personalized dietary recommendations and reducing patient morbidity.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze: MEDLINE