Low fat intake is associated with pathological manifestations and poor recovery in patients with hepatocellular carcinoma.

Background: This study aimed to clarify whether dietary deviation is associated with pathological manifestations in hepatocellular carcinoma (HCC) patients.Methods: Dietary intake was estimated in 35 HCC cases before and after hospitalization by referencing digital camera images of each meal. Pathol...

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Publicado en:Nutrition Journal Vol. 12; pp. 79 - 80
Autores principales: Yamada, Kazuki, Suda, Takeshi, Komoro, Yuko S, Kanefuji, Tsutomu, Kubota, Tomoyuki, Murayama, Toshiko, Nakayama, Hideaki, Aoyagi, Yutaka
Formato: research Journal Article
Publicado: BioMed Central 2013
Acceso en línea:Ver este registro en EBSCOhost
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        10.1186/1475-2891-12-79
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        atl: Low fat intake is associated with pathological manifestations and poor recovery in patients with hepatocellular carcinoma.
      aug:
        au:
          Yamada, Kazuki
          Suda, Takeshi
          Komoro, Yuko S
          Kanefuji, Tsutomu
          Kubota, Tomoyuki
          Murayama, Toshiko
          Nakayama, Hideaki
          Aoyagi, Yutaka
        affil: Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8122, Japan. suda@med.niigata-u.ac.jp.
      sug:
        subj:
          Carcinoma, Hepatocellular Therapy
          Recovery
          Diet, Fat-Restricted
          Dietary Supplements
          Liver Neoplasms Therapy
          Aged
          Amino Acids Administration and Dosage
          Body Composition
          Body Mass Index
          Carcinoma, Hepatocellular Complications
          Dietary Fats Administration and Dosage
          Electric Impedance
          Energy Intake
          Female
          Hospitalization
          Human
          Experimental Studies
          Japan
          Linear Regression
          Liver Neoplasms Complications
          Male
          Middle Age
          Multivariate Analysis
          Nutritional Assessment
          Nutritional Requirements
          Nutritional Support Methods
          Protein-Energy Malnutrition Complications
          Protein-Energy Malnutrition Therapy
          Questionnaires
          Dietary Reference Intakes
          Treatment Outcomes
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: This study aimed to clarify whether dietary deviation is associated with pathological manifestations in hepatocellular carcinoma (HCC) patients.Methods: Dietary intake was estimated in 35 HCC cases before and after hospitalization by referencing digital camera images of each meal. Pathological conditions were evaluated in nitrogen balance, non-protein respiratory quotient (npRQ), neuropsychiatric testing and recovery speed from HCC treatment.Results: On admission, nitrogen balance and npRQ were negative and less than 0.85, respectively. Five patients were judged to have suffered from minimal hepatic encephalopathy that tended to be associated with a lowered value of npRQ (p = 0.082). The energy from fat intake showed a tendency of positive correlation with npRQ (p = 0.11), and the patients with minimal hepatic encephalopathy took significantly fewer energy from fat (p = 0.024). The energy difference from fat between diets at home versus those in the hospital showed a significant positive correlation with npRQ change after admission (p = 0.014). The recovery speed from invasive treatments for HCC showed a significant negative correlation with npRQ alteration after admission (p = 0.0002, r = -0.73).Conclusions: These results suggest the lower fat intake leads to deterioration of energy state in HCC patients, which associates with poor recovery from invasive treatments and various pathological manifestations.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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