Malnutrition in Liver Cirrhosis: The Influence of Protein and Sodium.
Protein calorie malnutrition (PCM) is associated with an increased risk of morbidity and mortality in patients with cirrhosis and occurs in 50%-90% of these patients. Although the pathogenesis of PCM is multifactorial, alterations in protein metabolism play an important role. This article is based o...
| Publicado en: | Middle East Journal of Digestive Diseases Vol. 5; no. 2; pp. 65 - 76 |
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| Autores principales: | , , |
| Formato: | review Journal Article |
| Publicado: |
Iranian Association of Gastroenterology & Hepatology
Apr2013
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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=89080032&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 89080032 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20085230 BG4K jtl: Middle East Journal of Digestive Diseases issn: 20085230 maglogo: N pubinfo: dt: Apr2013 vid: 5 iid: 2 pid: 70725 pub: Iranian Association of Gastroenterology & Hepatology artinfo: ui: 89080032 89080032 107957496 89080032 ppf: 65 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Malnutrition in Liver Cirrhosis: The Influence of Protein and Sodium. aug: au: Eghtesad, Sareh Poustchi, Hossein Malekzadeh, Reza affil: Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran sug: subj: Malnutrition Liver Cirrhosis Ascites Proteins Sodium Receptors, Adrenergic, beta Nutritional Assessment ab: Protein calorie malnutrition (PCM) is associated with an increased risk of morbidity and mortality in patients with cirrhosis and occurs in 50%-90% of these patients. Although the pathogenesis of PCM is multifactorial, alterations in protein metabolism play an important role. This article is based on a selective literature review of protein and sodium recommendations. Daily protein and sodium requirements of patients with cirrhosis have been the subject of many research studies since inadequate amounts of both can contribute to the development of malnutrition. Previous recommendations that limited protein intake should no longer be practiced as protein requirements of patients with cirrhosis are higher than those of healthy individuals. Higher intakes of branched-chain amino acids as well as vegetable proteins have shown benefits in patients with cirrhosis, but more research is needed on both topics. Sodium restrictions are necessary to prevent ascites development, but very strict limitations, which may lead to PCM should be avoided. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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