CarolBraunschweig,PhD,RD

Foodisfuel� Usedformetabolismwhichchangesfoodandoxygenintoenergyandcarbondioxide

� Energyisusedforallofyouractivities� sleepingtoexercise

Foodprovidesnutrients� Carbohydrates,FatandProteindeterminehowmuchenergyyouwillhaveandhowmuchcarbondioxideisproduced

� Carbondioxideisawasteproductthatleavesyourbodyviayourbreathing

� Whenthereistoomuchcarbondioxideinyourbodyyoufeelweak

BreathingwithCOPD� Requiresmoreenergy� Musclesinvolvedmayneedupto10timesmorecaloriesinpeoplewithCOPDthaninthosewithout

GoodNutri;on� Helpsfightinfections� ChestinfectionshappenmoreofteninpeoplewithCOPD

� Theycanleadtohospitalizations� Goodnutritioncanreduceyourriskofinfections

Establishyourgoalweight� BeingeitheroverweightorunderweightisnotgoodifyouhaveCOPD

�  Ifyouareoverweightyouworkhardertobreathe�  Ifyouareunderweightyoumaygetmorelunginfectionsand/oryoumayfeel

weakandtired.

Monitoryourweight� Weighyourselfonceortwice/week�  Ifyouaretakingdiureticsorsteroidsyoushouldweighyourselfdailybecauseyourweightmayfluctuate

�  Ifyougainorlosemorethan2lbsinonedayor5lbsinaweekcontactyourdoctor

Fluidintake�  Fluidshelptokeepmucusthinandeasiertocoughup� Drink6-8glassesofnon-caffeinatedbeverages/day�  Limitcaffeine(coffee,tea,cola,MtDew,chocolate)asitmayinterferewithsomeofyourmedicines

Fiber�  Fiberistheindigestiblepartofplantfood�  IthelpsmovefoodthoughyourGItract,helpscontrolbloodglucoseandkeepcholesterollevelsatgoallevels

�  Fiberrichfoodsinclude:�  Vegetables�  Fruits�  Cookeddriedpeasandbeans�  Whole-grainfoods�  Bran�  Wholegrainpasta

Fiber� Thegoalistoconsume20-35gmoffiber/day� Exampleofhowtoeatthismuchfiberin1day:

�  1Call-brancereal(18gm)�  Sandwichwith2sliceswholegrainbread(4gm)andamediumapple(4gm)

�  1Cpeasatdinner(8gm)

Salt� Eatingtoomuchsaltcausesthebodytoholdontotoomuchwaterwhichcancausebreathingtobemoredifficult�  Removethesaltshakerfromyourtable� Useherbstoflavoryourfood� Don’taddsalttofoodwhencooking�  Readfoodlabels�  Avoidfoodsthathave>300mgsodium/serving

Oxygen�  Ifyouuseacannulaforcontinuousoxygenwhereitwhileyoueat�  Eatinganddigestionrequireenergysoyouwillneedtheoxygen

Foodsthatcausebloa;ng/gas� Afullorbloatedstomachmightmakebreathinguncomfortable

� Avoidfoodsthatcausegasorbloating�  Carbonatedbeverages�  Fried,greasyorspicyfoods�  brusselsprouts,cabbage,cauliflower,corn,cucumbers,leeks,

Potassium� Besuretogetenoughifyoutakeadiureticthatcausesyoutolosepotassium� Oranges�  Bananas,�  Potatoes�  Asparagus�  tomatoes

ShortofbreathaFerea;ng?� Clearyourairwaysatleastonehrbeforeeating� Eatslower,takesmallbitesandchewslowly� Breathdeeplywhilechewing� Putyourutensilsdownbetweenbites� Chooseeasytochewfoods� Eat5-6smallmeals/day� Drinkliquidsattheendofthemeals� Eatsittingup� Usepursedlipbreathing

Eatavarietyoffoods

Too;redtoeatlaterintheday?� Choseeasytopreparefoods� Askfriends/familytohelpwithmealpreparations� CheckoutMealsonWheels�  Freezeextraportionsofwhatyoucooktodayandsavefora“tired”day

� Restbeforeeating� Tryeatingyourmainmealearlyintheday

Noappe;te?� Avoidnon-nutritiousbeverages(coffee/tea)� Eatmoreproteinandfatandlesssimplesugars� Eatsmallfrequentmeals� Walkordosomelightactivitytostimulateyourappetite

� Keepfoodvisibleandwithineasyreach

Noappe;te?� Drinkbeveragesafterthemeal� Planmealstoincludeyourfavoritefoods� Eatthehigh-caloriefoodsfirst

Snacks� Eatsnacksthathavehighproteinandhighcalories� Keepsnacksvisible

Howtogainweight�  Drinkahighcaloriedrink�  Avoidlowfatorlowcalorieproducts�  Usewholemilk,cheeseandyogurt�  Highcaloriesnacks

�  Icecream�  Cookies�  Pudding�  Cheeseandcrackers/peanutbutterandcrackers�  Granolabars�  Custard�  Nachoswithcheese�  Breadstickswithcheesesauce

Somehighcaloriesnacks�  Supershake

�  1Cwholemilk�  1Cicecream�  1pkgCarnationinstantbreakfastPourintoablenderandmixwell(55oCalories)

PeanutbuJershake� ½Cheavywhippingcream�  3TBLpeanutbutter�  3TBLchocolatesyrup�  1½CchocolateicecreamPourallingredientsintoablendernadmixwell(1090calories)

GreatGrapeSlush�  2grapejuicebars� ½Cgrapejuice�  2TBLcornsyrup�  1TBlcornoilPourallingredientsintoablenderandmixwell

Othercalorieboosters� Non-fatpowderedmilk

�  Addtocreamedsoups,yogurt,scrambledeggs,pudding,mashedpotatoes,custard,hotcereal

� Creamcheeseorshredded,melted,sliced,cubedorgratedcheese�  Addtosandwiches,snacks,casseroles,crackers,eggs,soup,toast,pasta,potatoes,riceorvegetables

Othercalorieboosters� Nutdust

�  Addtopudding,gravy,mashedpotatoes,salads,yogurt

� Mayonnaise,butter,margarineorsourcream�  Addtosandwiches,bread,casseroles,soups,eggs,cookedcereals,pasta,potatoes,rice,vegetables,pudding

Ques;ons?