%0 Journal Article %T Manejo nutricional en los programas de rehabilitaci¨Žn respiratoria de los pacientes con enfermedad pulmonar obstructiva cr¨Žnica %A ORELLANA G %A XIMENA %A MENDOZA I %A LAURA %J Revista chilena de enfermedades respiratorias %D 2011 %I Scientific Electronic Library Online %R 10.4067/S0717-73482011000200010 %X it is estimated that at least one third of patients with moderate to severe chronic obstructive pulmonary disease (copd) have a significant alteration of their body composition, which is associated with deleterious clinical effects and higher mortality. however, there is a lack of evidence to support that dietary, pharmacological or both nutritional interventions have significant clinical benefits in copd patients who are participating in a pulmonary rehabilitation program. at the present time the recommendation is to establish a nutritional diagnosis of the copd patients from the beginning of the pulmonary rehabilitation program using the measurement of body mass index (bmi) and the estimation of the nutritional risk, which means a significant weight loss during a given period of time, followed by an individualized dietary and educational supplementation guide during at least 12 weeks. %K body composition %K nutritional supplementation %K respiratory rehabilitation %K body mass index %K nutritional risk %K fat free mass. %U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0717-73482011000200010&lng=en&nrm=iso&tlng=en