Anthropometric, biochemical and clinical assessment of malnutrition in Malaysian patients with advanced cirrhosis.
Background: There is limited data on the nutritional status of Asian patients with various aetiologies of cirrhosis. This study aimed to determine the prevalence of malnutrition and to compare nutritional differences between various aetiologies.Methodology: A cross-sectional study of adult patients...
| Publicado en: | Nutrition Journal Vol. 9; pp. 27 - 28 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105063831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105063831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14752891 1CYY jtl: Nutrition Journal issn: 14752891 maglogo: N pubinfo: dt: 2010 vid: 9 pid: 24147 pub: BioMed Central artinfo: ui: 105063831 NLM20576106 2010725873 10.1186/1475-2891-9-27 NLM20576106 PMC2909148 105063831 ppf: 27 ppct: 1 formats: fmt: @attributes: type: P tig: atl: Anthropometric, biochemical and clinical assessment of malnutrition in Malaysian patients with advanced cirrhosis. aug: au: Tai ML Goh KL Mohd-Taib SH Rampal S Mahadeva S Tai, Mei-Ling S Goh, Khean-Lee Mohd-Taib, Siti Hawa Rampal, Sanjay Mahadeva, Sanjiv affil: Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia sug: subj: Liver Cirrhosis Complications Malnutrition Epidemiology Nutritional Status Anthropometry Asians Clinical Assessment Tools Cross Sectional Studies Female Human Liver Cirrhosis, Alcoholic Complications Malaysia Male Malnutrition Etiology Female Male ab: Background: There is limited data on the nutritional status of Asian patients with various aetiologies of cirrhosis. This study aimed to determine the prevalence of malnutrition and to compare nutritional differences between various aetiologies.Methodology: A cross-sectional study of adult patients with decompensated cirrhosis was conducted. Nutritional status was assessed using standard anthropometry, serum visceral proteins and subjective global assessment (SGA).Results: Thirty six patients (mean age 59.8 +/- 12.8 years; 66.7% males; 41.6% viral hepatitis; Child-Pugh C 55.6%) with decompensated cirrhosis were recruited. Malnutrition was prevalent in 18 (50%) patients and the mean caloric intake was low at 15.2 kcal/kg/day. SGA grade C, as compared to SGA grade B, demonstrated significantly lower anthropometric values in males (BMI 18.1 +/- 1.6 vs 26.3 +/- 3.5 kg/m2, p < 0.0001; MAMC 19.4 +/- 1.5 vs 24.5 +/- 3.6 cm, p = 0.002) and females (BMI 19.4 +/- 2.7 vs 28.9 +/- 4.3, p = 0.001; MAMC 18.0 +/- 0.9 vs 28.1 +/- 3.6, p < 0.0001), but not with visceral proteins. The SGA demonstrated a trend towards more malnutrition in Child-Pugh C compared to Child-Pugh B liver cirrhosis (40% grade C vs 25% grade C, p = 0.48). Alcoholic cirrhosis had a higher proportion of SGA grade C (41.7%) compared to viral (26.7%) and cryptogenic (28.6%) cirrhosis, but this was not statistically significant.Conclusion: Significant malnutrition in Malaysian patients with advanced cirrhosis is common. Alcoholic cirrhosis may have more malnutrition compared to other aetiologies of cirrhosis. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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