Multidimensional Individualized Nutritional Therapy for Individuals with Severe COPD

Inclusion Criteria

• •≥ 35 years
• •Severe COPD defined as GOLD grade 2 group B or D OR GOLD grade 3 and 4 group ABCD
• •Able to eat orally
• •Live in own home
• •Speak Danish or English
• •Undernourished OR at risk of undernutrition defined as BMI ≤ 21 kg/m2 if \< 70 years and BMI \<22 kg/m2 if ≥70 years OR BMI 21-25 kg/m2 plus nutritional risk (nutritional risk screening score ≥3) if \<70 years and BMI 22-25 kg/m2 plus nutritional risk if ≥70 years
• •Stable phase
• •CHANGE: Undernourished OR at risk of undernutrition (a maximum BMI of 25 kg/m2) determined by Nutritional Risk Screening 2002 or Mini Nutritional Assessment Short Form according to the protocol published in Trials.