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Prevalence and Mechanisms of Malnutrition in Patients With Advanced Liver Disease, and Nutrition Management Strategies
- Source :
- Clinical Gastroenterology and Hepatology. 10:117-125
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Malnutrition is prevalent among cirrhotic patients and is an important prognostic factor. Etiologic factors include hypermetabolism, malabsorption, altered nutrient metabolism, and anorexia. It is a challenge to manage nutrition in cirrhotic patients because of alterations to metabolic and storage functions of the liver; use of traditional assessment tools, such as anthropometric and biometric measures, is difficult because of complications such as ascites and inflammation. In addition to meeting macro- and micronutrient requirements, the composition and timing of supplements have been proposed to affect efficacy of nutrition support. Studies have indicated that branched chain aromatic acid can be given as therapeutic nutrients, and that probiotics and nocturnal feeding improve patient outcomes.
- Subjects :
- Liver Cirrhosis
medicine.medical_specialty
Malabsorption
Hepatology
business.industry
Malnutrition
Gastroenterology
Anorexia
medicine.disease
Micronutrient
Diet
Liver disease
Treatment Outcome
Parenteral nutrition
Internal medicine
Prevalence
medicine
Hypermetabolism
Humans
medicine.symptom
Intensive care medicine
business
Hepatic encephalopathy
Subjects
Details
- ISSN :
- 15423565
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Clinical Gastroenterology and Hepatology
- Accession number :
- edsair.doi.dedup.....c086e896fa80fb9b97c85270178493f0