The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

A double-blind randomised controlled trial of protein supplementation to enhance exercise capacity in COPD during pulmonary rehabilitation: a pilot study

Choose one of the available languages:
https://nutricia.com.au/adult/our-solutions/try-fortisip-compact-protein/
Institution
Central and North West London NHS Foundation Trust (London, UK)
Institution Typology
Rehabilitation Center
Country
United
Description
Measurements were taken before and after pulmonary rehabilitation, with the primary endpoint being the distance covered in the incremental shuttle walk test (ISWT) after six weeks. Sixty-eight patients (intervention n = 36, control n = 32) were recruited. During pulmonary rehabilitation, patients took the carbohydrate control supplement twice daily and attended pulmonary rehabilitation twice weekly. The participants' experiences with the supplements were evaluated. As this was a pilot study, neither muscle mass nor quadriceps strength were assessed. This measure would allow a more accurate assessment of the effects of the intervention on the muscles of the lower limbs. Especially in obese patients, thigh circumference may not be the most reliable measurement. It is possible that the results were influenced by baseline data, which differed between groups in terms of age, number of hospitalizations and quality of life. Although it was not possible to administer a placebo that exactly matched the intervention, we were able to relabel both products without this being known to the patients or the investigator. Due to the coronavirus pandemic, the study had to be discontinued and further research is needed into the potential benefits of supplements in this population.
Disease
COPD
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available

Innovation
The authors discovered that whereas pulmonary rehabilitation was associated with an improvement in handgrip strength, protein supplementation had no extra benefit. This finding suggests that various muscle areas may respond differently to different forms of supplementation.

Evaluation System
The ISWT distance after 6 weeks indicated a clinically relevant difference in favor of the intervention group (intervention 342±149 m (n=22) versus control 305±148 m (n=22); p=0.1), even though no statistical significance was reached. At baseline, mid-thigh circumference was greater in those who had improved with ISWT (responders 62±4 cm versus non-responders 55±6 cm; p=0.006). Of the patients, 43% stated that they would continue to take the FCP and 79% described the taste as satisfactory.

Assessment
In COPD, high-protein supplementation during pulmonary rehabilitation was well-received by patients and may produce a clinically significant improvement in exercise capacity
References
Aldhahir, A. M., Aldabayan, Y. S., Alqahtani, J. S., Ridsdale, H. A., Smith, C., Hurst, J. R., & Mandal, S. (2021). A double-blind randomised controlled trial of protein supplementation to enhance exercise capacity in COPD during pulmonary rehabilitation: a pilot study. ERJ open research, 7(1), 00077-2021. doi.org/10.1183/23120541.00077-2021" target="_blank">doi.org/10.1183/23120541.00077-2021

Log in to comment >>