Nutritional assessment in cirrhotic patients with hepatic encephalopathy

Detalhes bibliográficos
Autor(a) principal: Romeiro, Fernando Gomes [UNESP]
Data de Publicação: 2015
Outros Autores: Augusti, Laís [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.4254/wjh.v7.i30.2940
http://hdl.handle.net/11449/172377
Resumo: Hepatic encephalopathy (HE) is one of the worst complications of liver disease and can be greatly influenced by nutritional status. Ammonia metabolism, inflammation and muscle wasting are relevant processes in HE pathophysiology. Malnutrition worsens the prognosis in HE, requiring early assessment of nutritional status of these patients. Body composition changes induced by liver disease and limitations superimposed by HE hamper the proper accomplishment of exams in this population, but evidence is growing that assessment of muscle mass and muscle function is mandatory due to the role of skeletal muscles in ammonia metabolism. In this review, we present the pathophysiological aspects involved in HE to support further discussion about advantages and drawbacks of some methods for evaluating the nutritional status of cirrhotic patients with HE, focusing on body composition.
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spelling Nutritional assessment in cirrhotic patients with hepatic encephalopathyAnthropometryDual-energy X-ray absorptiometryElectric impedanceHepatic encephalopathyLiver cirrhosisMalnutritionMuscle strengthNutrition assessmentHepatic encephalopathy (HE) is one of the worst complications of liver disease and can be greatly influenced by nutritional status. Ammonia metabolism, inflammation and muscle wasting are relevant processes in HE pathophysiology. Malnutrition worsens the prognosis in HE, requiring early assessment of nutritional status of these patients. Body composition changes induced by liver disease and limitations superimposed by HE hamper the proper accomplishment of exams in this population, but evidence is growing that assessment of muscle mass and muscle function is mandatory due to the role of skeletal muscles in ammonia metabolism. In this review, we present the pathophysiological aspects involved in HE to support further discussion about advantages and drawbacks of some methods for evaluating the nutritional status of cirrhotic patients with HE, focusing on body composition.Gastroenterology Division Department of Internal Medicine-Botucatu Medical School UNESP-Univ Estadual PaulistaGastroenterology Division Department of Internal Medicine-Botucatu Medical School UNESP-Univ Estadual PaulistaUniversidade Estadual Paulista (Unesp)Romeiro, Fernando Gomes [UNESP]Augusti, Laís [UNESP]2018-12-11T16:59:58Z2018-12-11T16:59:58Z2015-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2940-2954application/pdfhttp://dx.doi.org/10.4254/wjh.v7.i30.2940World Journal of Hepatology, v. 7, n. 30, p. 2940-2954, 2015.1948-5182http://hdl.handle.net/11449/17237710.4254/wjh.v7.i30.29402-s2.0-849528152172-s2.0-84952815217.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengWorld Journal of Hepatology1,272info:eu-repo/semantics/openAccess2024-08-14T17:36:52Zoai:repositorio.unesp.br:11449/172377Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:36:52Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Nutritional assessment in cirrhotic patients with hepatic encephalopathy
title Nutritional assessment in cirrhotic patients with hepatic encephalopathy
spellingShingle Nutritional assessment in cirrhotic patients with hepatic encephalopathy
Romeiro, Fernando Gomes [UNESP]
Anthropometry
Dual-energy X-ray absorptiometry
Electric impedance
Hepatic encephalopathy
Liver cirrhosis
Malnutrition
Muscle strength
Nutrition assessment
title_short Nutritional assessment in cirrhotic patients with hepatic encephalopathy
title_full Nutritional assessment in cirrhotic patients with hepatic encephalopathy
title_fullStr Nutritional assessment in cirrhotic patients with hepatic encephalopathy
title_full_unstemmed Nutritional assessment in cirrhotic patients with hepatic encephalopathy
title_sort Nutritional assessment in cirrhotic patients with hepatic encephalopathy
author Romeiro, Fernando Gomes [UNESP]
author_facet Romeiro, Fernando Gomes [UNESP]
Augusti, Laís [UNESP]
author_role author
author2 Augusti, Laís [UNESP]
author2_role author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Romeiro, Fernando Gomes [UNESP]
Augusti, Laís [UNESP]
dc.subject.por.fl_str_mv Anthropometry
Dual-energy X-ray absorptiometry
Electric impedance
Hepatic encephalopathy
Liver cirrhosis
Malnutrition
Muscle strength
Nutrition assessment
topic Anthropometry
Dual-energy X-ray absorptiometry
Electric impedance
Hepatic encephalopathy
Liver cirrhosis
Malnutrition
Muscle strength
Nutrition assessment
description Hepatic encephalopathy (HE) is one of the worst complications of liver disease and can be greatly influenced by nutritional status. Ammonia metabolism, inflammation and muscle wasting are relevant processes in HE pathophysiology. Malnutrition worsens the prognosis in HE, requiring early assessment of nutritional status of these patients. Body composition changes induced by liver disease and limitations superimposed by HE hamper the proper accomplishment of exams in this population, but evidence is growing that assessment of muscle mass and muscle function is mandatory due to the role of skeletal muscles in ammonia metabolism. In this review, we present the pathophysiological aspects involved in HE to support further discussion about advantages and drawbacks of some methods for evaluating the nutritional status of cirrhotic patients with HE, focusing on body composition.
publishDate 2015
dc.date.none.fl_str_mv 2015-01-01
2018-12-11T16:59:58Z
2018-12-11T16:59:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.4254/wjh.v7.i30.2940
World Journal of Hepatology, v. 7, n. 30, p. 2940-2954, 2015.
1948-5182
http://hdl.handle.net/11449/172377
10.4254/wjh.v7.i30.2940
2-s2.0-84952815217
2-s2.0-84952815217.pdf
url http://dx.doi.org/10.4254/wjh.v7.i30.2940
http://hdl.handle.net/11449/172377
identifier_str_mv World Journal of Hepatology, v. 7, n. 30, p. 2940-2954, 2015.
1948-5182
10.4254/wjh.v7.i30.2940
2-s2.0-84952815217
2-s2.0-84952815217.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv World Journal of Hepatology
1,272
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 2940-2954
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128204676792320

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