Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S0102-86502013001000008 http://hdl.handle.net/11449/109796 |
Resumo: | PURPOSE: Malnutrition is prevalent in patients with advanced liver disease (LD) related to multifactorial causes. Fluid retention can underestimate the nutritional status based on anthropometric measures. We evaluated nutritional indicators and body composition (BC) in patients with liver cirrhosis and correlated them with LD severity. METHODS: Forty three patients with LD enrolled for liver transplantation were evaluated by Anthropometric measures, subjective evaluation (Global Assessment of Nutritional Status - SGA) and biochemical indicators. Single-frequency electrical bioimpedance (SFE-BIA) was used to evaluate body composition (BC). It measured resistance (R), reactance (Xc) and the phase angle (PA). LD severity was estimated by Child-Pugh and Meld criteria (Model for End-Stage Liver Disease). RESULTS: Child-Pugh index between patients was 7.11±1.70 and Meld was 12.23±4.22. Arm Circumference, Arm Muscle Circumference and Arm Muscle Area, SGA, hemoglobin, hematocrit and albumin showed better correlation with disease severity. Xc and PA showed correlation both with Meld and Child-Pugh score when BC were evaluated. PA was depleted in 55.8% of the patients. CONCLUSIONS: Diagnosis of malnutrition varied according to the method. Global assessment of nutritional status showed better correlation with disease severity than with objective methods. Single-frequency electrical bioimpedance for body composition analysis in cirrhotic patients must be cautiously used; however, primary vectors seems to be valid and promising in clinical practice. |
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Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantationLiver CirrhosisNutrition AssessmentProtein MalnutritionElectric ImpedancePURPOSE: Malnutrition is prevalent in patients with advanced liver disease (LD) related to multifactorial causes. Fluid retention can underestimate the nutritional status based on anthropometric measures. We evaluated nutritional indicators and body composition (BC) in patients with liver cirrhosis and correlated them with LD severity. METHODS: Forty three patients with LD enrolled for liver transplantation were evaluated by Anthropometric measures, subjective evaluation (Global Assessment of Nutritional Status - SGA) and biochemical indicators. Single-frequency electrical bioimpedance (SFE-BIA) was used to evaluate body composition (BC). It measured resistance (R), reactance (Xc) and the phase angle (PA). LD severity was estimated by Child-Pugh and Meld criteria (Model for End-Stage Liver Disease). RESULTS: Child-Pugh index between patients was 7.11±1.70 and Meld was 12.23±4.22. Arm Circumference, Arm Muscle Circumference and Arm Muscle Area, SGA, hemoglobin, hematocrit and albumin showed better correlation with disease severity. Xc and PA showed correlation both with Meld and Child-Pugh score when BC were evaluated. PA was depleted in 55.8% of the patients. CONCLUSIONS: Diagnosis of malnutrition varied according to the method. Global assessment of nutritional status showed better correlation with disease severity than with objective methods. Single-frequency electrical bioimpedance for body composition analysis in cirrhotic patients must be cautiously used; however, primary vectors seems to be valid and promising in clinical practice.Sao Paulo State University Botucatu Medical School Postgraduate Program in General Bases of SurgeryUNESP Botucatu Medical School Nurse DepartmentUNESP Botucatu Medical School Department of Surgery and OrthopedicsSao Paulo State University Botucatu Medical School Postgraduate Program in General Bases of SurgeryUNESP Botucatu Medical School Nurse DepartmentUNESP Botucatu Medical School Department of Surgery and OrthopedicsSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaUniversidade Estadual Paulista (Unesp)Vulcano, Daniela Salate Biagioni [UNESP]Carvalhaes, Maria Antonieta de Barros Leite [UNESP]Bakonyi Neto, Alexandre [UNESP]2014-10-01T13:08:33Z2014-10-01T13:08:33Z2013-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article733-739application/pdfhttp://dx.doi.org/10.1590/S0102-86502013001000008Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 10, p. 733-739, 2013.0102-8650http://hdl.handle.net/11449/10979610.1590/S0102-86502013001000008S0102-86502013001000008WOS:000325689800008S0102-86502013001000008.pdf72802171676420565421002546545582SciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengActa Cirúrgica Brasileira0.9330,395info:eu-repo/semantics/openAccess2024-08-14T14:18:21Zoai:repositorio.unesp.br:11449/109796Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:18:21Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
title |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
spellingShingle |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation Vulcano, Daniela Salate Biagioni [UNESP] Liver Cirrhosis Nutrition Assessment Protein Malnutrition Electric Impedance |
title_short |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
title_full |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
title_fullStr |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
title_full_unstemmed |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
title_sort |
Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation |
author |
Vulcano, Daniela Salate Biagioni [UNESP] |
author_facet |
Vulcano, Daniela Salate Biagioni [UNESP] Carvalhaes, Maria Antonieta de Barros Leite [UNESP] Bakonyi Neto, Alexandre [UNESP] |
author_role |
author |
author2 |
Carvalhaes, Maria Antonieta de Barros Leite [UNESP] Bakonyi Neto, Alexandre [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Vulcano, Daniela Salate Biagioni [UNESP] Carvalhaes, Maria Antonieta de Barros Leite [UNESP] Bakonyi Neto, Alexandre [UNESP] |
dc.subject.por.fl_str_mv |
Liver Cirrhosis Nutrition Assessment Protein Malnutrition Electric Impedance |
topic |
Liver Cirrhosis Nutrition Assessment Protein Malnutrition Electric Impedance |
description |
PURPOSE: Malnutrition is prevalent in patients with advanced liver disease (LD) related to multifactorial causes. Fluid retention can underestimate the nutritional status based on anthropometric measures. We evaluated nutritional indicators and body composition (BC) in patients with liver cirrhosis and correlated them with LD severity. METHODS: Forty three patients with LD enrolled for liver transplantation were evaluated by Anthropometric measures, subjective evaluation (Global Assessment of Nutritional Status - SGA) and biochemical indicators. Single-frequency electrical bioimpedance (SFE-BIA) was used to evaluate body composition (BC). It measured resistance (R), reactance (Xc) and the phase angle (PA). LD severity was estimated by Child-Pugh and Meld criteria (Model for End-Stage Liver Disease). RESULTS: Child-Pugh index between patients was 7.11±1.70 and Meld was 12.23±4.22. Arm Circumference, Arm Muscle Circumference and Arm Muscle Area, SGA, hemoglobin, hematocrit and albumin showed better correlation with disease severity. Xc and PA showed correlation both with Meld and Child-Pugh score when BC were evaluated. PA was depleted in 55.8% of the patients. CONCLUSIONS: Diagnosis of malnutrition varied according to the method. Global assessment of nutritional status showed better correlation with disease severity than with objective methods. Single-frequency electrical bioimpedance for body composition analysis in cirrhotic patients must be cautiously used; however, primary vectors seems to be valid and promising in clinical practice. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-10-01 2014-10-01T13:08:33Z 2014-10-01T13:08:33Z |
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/10.1590/S0102-86502013001000008 Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 10, p. 733-739, 2013. 0102-8650 http://hdl.handle.net/11449/109796 10.1590/S0102-86502013001000008 S0102-86502013001000008 WOS:000325689800008 S0102-86502013001000008.pdf 7280217167642056 5421002546545582 |
url |
http://dx.doi.org/10.1590/S0102-86502013001000008 http://hdl.handle.net/11449/109796 |
identifier_str_mv |
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 10, p. 733-739, 2013. 0102-8650 10.1590/S0102-86502013001000008 S0102-86502013001000008 WOS:000325689800008 S0102-86502013001000008.pdf 7280217167642056 5421002546545582 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Acta Cirúrgica Brasileira 0.933 0,395 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
733-739 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
dc.source.none.fl_str_mv |
SciELO 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_ |
1808128109546831872 |