Pulmonary rehabilitation and oral nutritional supplement enriched with beta-hydroxy-beta-methylbutyrate for bronchiectasis participants: A prospective, randomised study

In a recent study published in Clinical Nutrition (October 2015), Olveira et al. [ [1] Olveir G. Olveira C. Doña E. et al. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study). Clin Nutr. 2015; https://doi.org/10.1016/j.clnu.2015.10.001 Abstract Full Text Full Text PDF Scopus (34) Google Scholar ] reported that a 24-week oral supplement therapy enriched in beta-hydroxy-beta-methylbutyrate combined with pulmonary rehabilitation improved body composition, muscle strength, quality of life (QOL) and serum biomarkers in normally-nourished non-cystic-fibrosis bronchiectasis patients. We also agree with the study concept and believe that combined rehabilitation and nutritional management contribute to a better outcome [ [2] Wakabayashi H. Sakuma K. Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management. J Cachexia Sarcopenia Muscle. 2014; 5: 269-277 Crossref PubMed Scopus (234) Google Scholar ]. However, we have several concerns about the study. Reply – Letter to the Editor – Pulmonary rehabilitation and oral nutritional supplement enriched with beta-hydroxy-beta-methylbutyrate for bronchiectasis participants: A prospective, randomised studyClinical NutritionVol. 35Issue 3PreviewDear Dr. N. E. P. Deutz please find enclosed our response to the letter which was sent to the editor by Kokura et al. with regard to the article “Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study).” Full-Text PDF