Diet and nutrition are important in helping you manage your COPD in many ways. Good nutrition helps you avoid infections. They include brown rice, whole-wheat bread, whole-wheat pasta, oats, quinoa, and barley. Not only are whole-grain foods high in fiber, which has antioxidant and anti-inflammatory qualities, but they're full of vitamin E, selenium, and essential fatty acids, which are good for lung health.

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RESPIRATORY
DIET

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EDUCATIONAL AIMS
 To introduce dietary factors and nutrients
linked to lung functions and diseases
 To discuss nutritional counseling and vitamin
Supplementation.

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INTRODUCTION TO
RESPIRATORY DIET
 A balanaced diet with plenty of
fruits, vegetables, fish reduces
the risk of developing lung
disease.

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WHAT IS BALANCED DIET
 A food which provides complete
nutrients as well as supplies
carbohydrates, proteins, fats,
vitamins, minerals, fibers in their
normal proportion.

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Why nutrition is important
 Body needs food as fuel to perform all activities
 It helps to breath easier
 Helps to fight against infections
 Breathing require more energy in COPD patient
 A person with COPD may burn up to 10 times more
calories during breathing than the healthy person

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HOOW DOES FOOD RELATED TO BREATHING
 METABOLISM - FOOD TO FUEL
 Food + Co2 Energy + Co2
 Co2 is ………..product.
 Energy used for all activity – sleeping to
exercise

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LIST OF RESPIRATORY
DISEASES
 COPD
 ASTHMA
 TB
 LUNG CANCER

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COPD (chronic obstructive
pulmonary Disorder
BRONCHITIS EMPHYSEMA

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ASTHMA

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MALNUTRITION AND RESPIRATORY SYSTEM
MALNUTRITION IMPAIRS
 Respiratory muscle strength decrease
 Max voluntary ventilation decrease
 Response to hypoxia
 Pulmonary defense mechanisms

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DIET FOR COPD patients should
contain the following
 Antioxidants
 Vitamin C, A, D
 Calcium
 Phosphorus
 LFats
 Proteins
 Carbohydrates

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DIET FOR ASTHMA patients should
contain
 Vitamin D rich food
 Beta carotene rich foods
 Magnesium rich foods
 Omega 3 – fatty acids

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ANTIOXIDANT foods contain
 Apples, oranges, papaya
strawberries
 Carrots
 Peppers
 Tomatoes

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VITAMIN E,D,C contain foods
 Almonds, spinach, olive oil,
avocado, sweet potato
 Kiwi, papaya, Oranges,red pepper
are vitamin C foods
 Cereals, egg yolks, fatty fish like
tuna are vitamin D foods

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VITAMIN D contain foods
 Salmon
 Milk
 Fortified milk
 Fortified orange juice
 Eggs

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CALIUM contain foods
 Almonds
 Milk
 Oranges
 Soybean
 Spinach
 Seeds

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PHOSPHOROUS Contain foods
 Milk
 Cheese
 Meat
 Fish
 Eggs
 Nuts
 Beans

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LOW FATS contain foods
 Yogurt
 Cheese
 Milk

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PROTEIN RICH foods
 Lean meat
 Fish
 Poultry
 Eggs
 Nuts
 Cottage cheese
 Peanut butter or other nut butters
 Protein powder which be added to foods and drinks

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HIGH CARBOHYDRATES contain
foods
 Blueberries,
 Oatmeal
 Brownrice
 Sweet potatoes
 Whole wheat bread

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LIST OF HIGH FIBER foods
 Whole grains
 Vegetables
 Fruits
 Peas and beans
 Bran
 Pasta
 Rice

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MAGNESIUM contain foods
 Dark green or leafy vegetables
 Whole grains
 Lentils
 Tofu
 Seafood

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BETA CAROTENE contain foods
Sweet potatoes
Leafy green vegetables
Broccoli
Spinach
Carrots

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MAGNESIUM foods include
Banana
Avocado
Dark leafy vegetables
Dried fruit
Lentils
Soybeans
Fish
Whole grains

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OMEGA 3- FATTY ACID foods
include
 Egg
 Salmon, tuna
 Walnuts
 Seasame and pumpkin seeds
 Soyabean
 Spinach

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SIZE and FREQUENCY of MEALS
 Eating 3 large meals a day can make
COPD symptoms feel worse ( because
a large meal takes more energy and O2
to digest)
 6 small meals a day can help to keep
energy levels stable and generally be
easier to digest.

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FOODS to be AVOIDED
 Cabbage
 Broccoli
 Avocadas
 Apples
 Melons

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FOODS TO BE AVOIDED
 Sulfites which are found in wine and dried fruits,pickled
food, shrimp, bottles lemon and lime juice
 Foods that can cause gas.
 Artificial ingredients such as chemical preservatives.
 Omega 6- fatty acid
 Salt intake should be reduced
 Monosodium glutamate (this is found in a plenty amount in
chinese foods and packaged and processed foods)

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LESS intake of SALT
 To much Salt can cause breathing
problems, because it can make the
body retain water.
 Pt can lower the salt intak Ed by not
adding salt to their food when cooking
or eating.
 Using of herbs or salt substitutes in
recipes in place of salt.

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FLUID INTAKE
 8-9 glasses of water should
be consumed per day (to
control dehydration)

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Cycle of weight loss

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HEALTHY WEIGHT
 COPD can cause Weight loss, as when a
person doesn’t have enough body fat, their
body may start to burn muscle for energy, so
for this full fat diary products such as whole
glass of milk.
 Olive oil which can be added to salads and
cooked vegetables and meats
 Nuts and nut butter which are high in healthy
fats and proteins.

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COPD pt SHOULD AVOID FOODS
AND DRINKS THAT CONTAIN
 Alcohol –such as beer, wine and
liquor.
 Caffein – such as coffee, tea,
chocolate and certain soft drinks.
 Food additives .

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TB( tuberculosis )

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DIET FOR TB patients should
contain
 Antioxidants
 High carbohydrates
 Low fats
 High proteins
 Starchy vegetables
 Calium
 Vitamin A, D,C,E
 Vitamin B complex

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STARCHY VEGETABLES are
 Bitter gourd
 Drumstick
 Spinach
 Broccoli

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VITAMIN B COMPLEX contain foods
 Whole grains
 Cereals
 Pulses
 Nuts
 Sedds
 Salmon, tuna, sardines (cold water fishs)

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VITAMINS B COMPLEX foods
contain
 Oranges
 Kiwi
 Potatoes
 Red bell pepper
 Dried beans

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SELEIUM contain foods
 Sunflower seeds
 Fish and shellfish
 Meat
 Eggs
 Wholegrain
 Brownrice
 Onion

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SELEIUM contain foods
 Brown rice
 Brocoli
 Mushroom
 Seeds( sunflower and pumpkin seeds)

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FOODS TO BE AVOIDED are
 Trans fatty acids
 Refined carbohydrates (breads, pasta,
instant rice, soft drinks, jam and jelly)
 Various sauces (conatins excess sugar and
salt)
 Refined sugar (encourage bacterial action)
 Caffein and alcohol

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SODIUM AND FLUID INTAKE
 Eat less than 2,300 mg of
Na/day
 Choose low sodium foods, do
not add salt when cooking

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RECOMMENDATIONS
 Eat less then 10 percent calories from
saturated fats nad less than 300 mg / day of
cholesterol and eat as few trans-fats as
possible
 Maintain total intake of fats/ouls between 20-
35 percent of calories
 Regarding meat,poultry,dry beans, milk and
milk products choose lean,low fat, fat free
options

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LUNG CANCER

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DIET FOR LUNG CANCER patients
should contain
 Antioxidants
 Seleium
 Low fat intake
 Vitamin E, D, C
 B comples vitamin
 Omega 3 fatty acids

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CURCUMIN contain foods
 Turmeric
 Saffron

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WHAT TO AVOID
 Caffeine
 Alcohol
 Smoking
 Refined foods such as white bread,
pastas, sugar
 Excess dietary fats( trans and saturated
fats)

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SALT and FLUID INTAKE
 As patients with lung cancer suffer from
hyponatremia so there Should be
sodium limit and restrictions on fluid as
more fluid intake causes more loss of
sodium
 Fluid intake should less than 500 ml /per

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Foods for Healthy Lungs and Improved Breathing
 Garlic and Onions –
great for the heart and the lungs
Reduce inflammation, lower cholesterol,
and fight infection
Water-plays a huge role in health
base of any cleansing action
Ginger – This spice has anti-
inflammatory properties and promotes the
elimination of pollutants from the lungs.
Chili Peppers –
Peppers are filled with capsaicin,
Capsaicin improves blood flow, stimulates
mucus membranes, and fights infection
Cruciferous Vegetables –
Cabbage, cauliflower, broccoli.
rich in chlorophyll that cleans and builds
blood

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Pomegranates - slows the growth of lung tumors
Turmeric - curcumin, a compound that
encourages the self-destruction of cancer
cells.
Apples – Flavonoids, vitamin E, and vitamin C all
help the lungs function at their best.
Grapefruit – Naringin, a flavonoid are inhibits the
activation of a cancer causing enzyme. White
grapefruit contains a high amount of this
flavonoid.
Beans, Seeds, and Nuts –rich amounts of
magnesium, a mineral that contributes to
healthy lung function
essential fatty acids that are good for the
cardiovascular system

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 Carrots –
Rich in vitamin A, vitamin C, and
lycopene, all antioxidants that affect lung
health and lower the chances of
developing lung disease.
Oranges – Citrus is rich in vitamin C and
vitamin B6. These help the lungs transfer
oxygen.
Pumpkin – Pumpkin is another food rich
in beta carotene and vitamin C, like
carrots

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