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Title: Nutritional assessment in cirrhosis
Authors: Chonmaitree P.
Roongsangmanoon W.
Keywords: transthyretin
alcoholic pancreatitis
arm circumference
body composition
body mass
body weight
body weight loss
caloric intake
carbohydrate metabolism
clinical outcome
delayed hypersensitivity
diet supplementation
dietary intake
dual energy X ray absorptiometry
electric conductivity
Global Assessment of Functioning
global assessment tool
grip strength
lean tissue
liver cirrhosis
muscle mass
muscle strength
nutritional assessment
nutritional deficiency
nutritional status
protein intake
prothrombin time
resting energy expenditure
six minute walk test
subjective global assessment
vitamin intake
Issue Date: 2019
Abstract: Malnutrition is common in cirrhosis. It is associated with mortality and morbidity. Pathogenesis of malnutrition in cirrhotic patients is multifactorial. Nutritional assessment is crucial but often ignored. No gold standard of nutritional assessment tools is established. Many assessment tools have limitations for using in cirrhosis with fluid retention. CT scan to assess sarcopenia is promising. Royal Free Hospital-nutritional prioritizing tool (RFH-NPT) and Liver disease undernutrition screening tool (LDUST) are proposed as screening tools. Complete nutritional assessment should be performed in high risk patients. Vitamin and trace element levels should be checked. Adequate energy (at least 35 kcal/kg body weight) and protein (1.2 to 1.5 g/kg body weight) are recommended. Repeat assessment is advocated. In this review, pathogenesis, nutritional assessment tools and treatment of malnutrition in cirrhotic patients are presented. © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2019.
ISSN: 1252208
Appears in Collections:Scopus 1983-2021

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