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Clinical impact of sarcopenia assessment in patients with liver cirrhosis
- Publication Year :
- 2021
-
Abstract
- Introduction: Sarcopenia is defined as loss of skeletal muscle mass, strength, and function, and it is associated with increased morbidity and mortality in patients with chronic liver disease. Areas covered: The aim of this review is to provide a detailed report on the pathophysiological mechanisms underlying sarcopenia in cirrhotic patients, the several imaging methods available for the assessment of sarcopenia and the clinical studies evaluating the prognostic role of sarcopenia presence in cirrhotic patients. Expert opinion: Sarcopenia pathogenesis is complex and multifaceted, as chronic catabolic conditions, increased energy expenditure, reduced appetite, side effects of multiple therapies, alterations in circulating levels of hormones, low protein synthesis, presence of ascites or portosystemic shunts are all factors contributing to muscle atrophy in cirrhotic patients. Computed tomography scan is the most validated method to evaluate muscle mass and quality. Sarcopenia is associated with a higher rate waitlist mortality, hepatic encephalopathy, and lower quality of life in patients with liver cirrhosis. Future studies should make an effort to unify and validate liver disease-specific cutoffs for the definition of sarcopenia.
- Subjects :
- Liver Cirrhosis
medicine.medical_specialty
Sarcopenia
Cirrhosis
Low protein
medicine.medical_treatment
Nutritional Status
malnutrition
Liver transplantation
Chronic liver disease
body composition
chronic liver disease
liver transplantation
Skeletal muscle mass
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Risk Factors
Internal medicine
Ascites
medicine
Humans
Muscle, Skeletal
Hepatic encephalopathy
Hepatology
business.industry
medicine.disease
Prognosis
musculoskeletal system
Muscle atrophy
body regions
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
medicine.symptom
business
Tomography, X-Ray Computed
human activities
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....7e9eae5fe5730cbf530571a5ec77530c