Since chronic obstructive pulmonary disease COPD and obesity became global public health challenges, the nutritional status evaluation is more important. How malnutrition and obesity will impact COPD prognosis and treatment is relevant and we considered need a separate approach. The new adiposity based chronic disease concept explains the role played by adiposity, and important studies, like European Community Health Survey ECRHS are highlighting the correlation between adiposity and lung function decline. On the other side, malnutrition decreases effort capacity and impairs the strength of respiratory muscles. Foods, nutrients and dietary patterns are influencing COPD prognosis and Mediterranean Diet, integrated in a healthy lifestyle should be part of COPD management. The important benefic role played by fibers, whole grains, combined with anti-inflammatory and antioxidant effects of fruits and vegetables, together with poly-unsaturated fatty acids PUFA, fish, vitamins and minerals, is detailed below, in contrast with the detrimental role of Western Diet. A multidisciplinary approach in COPD should be considered, integrating lifestyle interventions as important tools in COPD management.
Part of the book: Chronic Obstructive Pulmonary Disease
Obesity, with growing prevalence around the world, is a disease and a major risk factor for noncommunicable diseases and death. Lifestyle medicine integrates modern lifestyle practices with scientific evidence-based medicine in order to lower risk factors for chronic diseases and to support therapy if the disease is already present. Considering adiposity-based chronic disease conceptual model and new abdominal obesity classification, this article intends to describe healthy lifestyle pillars that must be considered in obesity prevention and treatment. Right nutrition, regular physical activity, optimal sleep, moderation in alcohol consumption, absence of smoking, and mindfulness should be considered in the effort to prevent and treat obesity. Doctor-patient partnership, patient empowerment, and doctor as a role model will complete the basic principle of lifestyle medicine.
Part of the book: Role of Obesity in Human Health and Disease