Although nutrition is increasingly recognised as a vital component of critical care, the optimal nutritional management of critically ill patients with COPD remains challenging. Accurate nutritional assessment and calculation requirements, timing and route of nutrition, along with the potential benefits of specialised nutritional interventions, remain subjects of much debate.

  1. Kanchustambham V & Brown B (2026). Chronic Obstructive Pulmonary Disease (COPD). Treasure Island, Florida: StatPearls Publishing
  2. Cruz R, Wilkins D & Jolley C (2026). Exercise-induced dynamic hyperinflation in chronic obstructive pulmonary disease. Exp Physiol, 111(5). 2476-2484
  3. Stanojcic M, Finnerty C & Jeschke M (2016). Anabolic and anticatabolic agents in critical care. Curr Opin Crit Care, 22(4): 325-331
  4. Berger D, Bloechlinger S, Von Haehling S, Doehner W, Takala J et al (2016). Dysfunction of respiratory muscles in critically ill patients on the intensive care unit. Journal of Cachexia, Sarcopenia and muscle, 7(4): 403-412
  5. Cehan V, Cehan A, Pui M & Lazar A (2025). A new perspective on overfeeding in the intensive care unit (ICU): Challenges, dangers and prevention methods. Life, 15(5): 828
  6. Deng M, Lu Y, Zhang Q, Bian Y, Zhou X et al (2023). Global prevalence of malnutrition in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis. Clin Nutr, 42(6): 848-858
  7. Compher C, Fukushima R, Correia M, Gonzalez M, Mckeever L et al (2025). Recognising malnutrition in adults with critical illness: guidance statements from the Global Leadership Initiative on Malnutrition. JPEN J Parenter Enteral Nutr, 49(4): 405-413
  8. Sweatt K, Garvey W & Martins C (2024). Strengths and limitations of BMI in the diagnosis of obesity: what is the path forward? Open Access, 13: 584-595
  9. Machado dos Reis A, Fructhenicht A & Moreira L (2019). NUTRIC score use around the world: a systematic review. Rev Bras Ter Intensiva, 31(3): 379-385
  10. Yoshida M, Yamamoto R, Izumino H, Matsushima S, Takatani Y et al (2025). Nutrition therapy for physical impairment in critically ill patients: a narrative review of the latest evidence. Clinical Nutrition, 52: 134-153
  11. Delsoglio M, Achamrah N, Berger M & Pichard C (2019). Indirect calorimetry in clinical practice. J Clin Med, 8(9): 1387
  12. Singer P, Blaser A, Berger M, Alhazzani W, Calder P et al (2019). ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition, 38, 48-79
  13. Elke G, van Zanten A, Lemieux M, McCall M, Jeejeebhoy K et al (2016). Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomised controlled trials. Crit Care, 20(1):117
  14. Dams K, De Meyer G, Jacobs R, Schepens T, Perkisas S et al (2024). Combined ultrasound of m. quadriceps and diaphragm to determine the occurrence of sarcopenia and prolonged ventilation in a COVID-19 ICU cohort. Nutrition, 117, 112250
  15. Vezina F & Cantin A (2018). Antioxidants and chronic obstructive pulmoanry disease. Chronic Obstr Pulm Dis, 5(4): 277-288
  16. Jolliffe D, Greenberg L, Hooper R, Mathyssen C, Rafiq R et al (2018). Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax, 74(4)
  17. Yaeger M, Leuenberger L, Shaikh S & Gowdy K (2024). Omega-3 fatty acids and chronic lung diseases: A narrative review of impacts from womb to tomb. J Nutr, 155(2), 453-464

About the Author: Holly Monday-Jones, RD

Holly is a Clinical Acute Dietitian and Student Lead for Betsi Cadwaladr University Health Board Central area and founder of HMJ Nutrition Services and HMJ Wellbeing Solutions.

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Although nutrition is increasingly recognised as a vital component of critical care, the optimal nutritional management of critically ill patients with COPD remains challenging. Accurate nutritional assessment and calculation requirements, timing and route of nutrition, along with the potential benefits of specialised nutritional interventions, remain subjects of much debate.

  1. Kanchustambham V & Brown B (2026). Chronic Obstructive Pulmonary Disease (COPD). Treasure Island, Florida: StatPearls Publishing
  2. Cruz R, Wilkins D & Jolley C (2026). Exercise-induced dynamic hyperinflation in chronic obstructive pulmonary disease. Exp Physiol, 111(5). 2476-2484
  3. Stanojcic M, Finnerty C & Jeschke M (2016). Anabolic and anticatabolic agents in critical care. Curr Opin Crit Care, 22(4): 325-331
  4. Berger D, Bloechlinger S, Von Haehling S, Doehner W, Takala J et al (2016). Dysfunction of respiratory muscles in critically ill patients on the intensive care unit. Journal of Cachexia, Sarcopenia and muscle, 7(4): 403-412
  5. Cehan V, Cehan A, Pui M & Lazar A (2025). A new perspective on overfeeding in the intensive care unit (ICU): Challenges, dangers and prevention methods. Life, 15(5): 828
  6. Deng M, Lu Y, Zhang Q, Bian Y, Zhou X et al (2023). Global prevalence of malnutrition in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis. Clin Nutr, 42(6): 848-858
  7. Compher C, Fukushima R, Correia M, Gonzalez M, Mckeever L et al (2025). Recognising malnutrition in adults with critical illness: guidance statements from the Global Leadership Initiative on Malnutrition. JPEN J Parenter Enteral Nutr, 49(4): 405-413
  8. Sweatt K, Garvey W & Martins C (2024). Strengths and limitations of BMI in the diagnosis of obesity: what is the path forward? Open Access, 13: 584-595
  9. Machado dos Reis A, Fructhenicht A & Moreira L (2019). NUTRIC score use around the world: a systematic review. Rev Bras Ter Intensiva, 31(3): 379-385
  10. Yoshida M, Yamamoto R, Izumino H, Matsushima S, Takatani Y et al (2025). Nutrition therapy for physical impairment in critically ill patients: a narrative review of the latest evidence. Clinical Nutrition, 52: 134-153
  11. Delsoglio M, Achamrah N, Berger M & Pichard C (2019). Indirect calorimetry in clinical practice. J Clin Med, 8(9): 1387
  12. Singer P, Blaser A, Berger M, Alhazzani W, Calder P et al (2019). ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition, 38, 48-79
  13. Elke G, van Zanten A, Lemieux M, McCall M, Jeejeebhoy K et al (2016). Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomised controlled trials. Crit Care, 20(1):117
  14. Dams K, De Meyer G, Jacobs R, Schepens T, Perkisas S et al (2024). Combined ultrasound of m. quadriceps and diaphragm to determine the occurrence of sarcopenia and prolonged ventilation in a COVID-19 ICU cohort. Nutrition, 117, 112250
  15. Vezina F & Cantin A (2018). Antioxidants and chronic obstructive pulmoanry disease. Chronic Obstr Pulm Dis, 5(4): 277-288
  16. Jolliffe D, Greenberg L, Hooper R, Mathyssen C, Rafiq R et al (2018). Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax, 74(4)
  17. Yaeger M, Leuenberger L, Shaikh S & Gowdy K (2024). Omega-3 fatty acids and chronic lung diseases: A narrative review of impacts from womb to tomb. J Nutr, 155(2), 453-464

About the Author: Holly Monday-Jones, RD

Holly is a Clinical Acute Dietitian and Student Lead for Betsi Cadwaladr University Health Board Central area and founder of HMJ Nutrition Services and HMJ Wellbeing Solutions.

Leave A Comment

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