{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:41:46Z","timestamp":1785519706595,"version":"3.56.0"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Stiftung zur F\u00f6rderung der Ern\u00e4hrungsforschung Schweiz"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malnutrition and sarcopenia are common in inpatient rehabilitation, however individual nutritional therapy (iNT) is often underutilized. This study aimed to assess the effect of iNT on nutrition and muscular health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Patients with chronic obstructive pulmonary disease (COPD) or post-pneumonia at risk for malnutrition and sarcopenia undergoing inpatient rehabilitation were enrolled. The control group received usual care including enriched food and educational group sessions on nutrition. The intervention group received additional counselling by a dietician twice a week. Both groups received individualized physiotherapy and self-management coaching, endurance exercise sessions on 5\u00a0days and strength training sessions on 2\u20133\u00a0days per week as part of the clinical routine. Primary outcomes were changes in energy and protein intake, assessed via menu consumption and macronutrient analysis. Secondary outcomes included handgrip strength, muscle mass by bioimpedance analysis, and physical performance measured by the timed-up-and-go test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-six patients per group (median age of 72\u00a0years, 60% men, 52% COPD) were included. Energy and protein intake increased significantly more in the intervention group with a 309\u00a0kcal and 16\u00a0g compared to \u221253\u00a0kcal and \u22121\u00a0g in the control group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001 for group differences). Handgrip improved more in the intervention group by a median of 1\u00a0kg (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.007), without group differences in muscle mass or physical performance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>INT effectively increased energy and protein intake in patients at risk of malnutrition and sarcopenia undergoing 3\u00a0weeks of pulmonary rehabilitation, with a positive impact on prognostic handgrip strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>The study was registered by the US National Institutes of Health (ClinicalTrials.gov). # NCT05096013.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14799731251350692","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T04:25:53Z","timestamp":1750739153000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Effect of individual nutritional therapy during inpatient pulmonary rehabilitation in patients at risk for malnutrition and sarcopenia - 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