MARCIA ERBLAND, M.D.
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To the editor: In the December issue, Angelillo and colleagues (1) reported the results of their study of high and low carbohydrate feedings in patients with chronic obstructive pulmonary disease and concluded that a low carbohydrate, high fat diet may be beneficial in such patients. In view of their methods and data, however, the validity of their results is questionable.
Their conclusions were based, in part, on serial measurements of CO2 production, O2 consumption, and the respiratory quotient. The timing of these measurements in relation to meals or physical activity is crucial to interpretation of the data. Whether a patient
ERBLAND M. Chronic Obstructive Pulmonary Disease and Carbohydrate Feedings. Ann Intern Med. ;104:889–890. doi: 10.7326/0003-4819-104-6-889_2
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Published: Ann Intern Med. 1986;104(6):889-890.
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