Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation

Detalhes bibliográficos
Autor(a) principal: Vulcano, Daniela Salate Biagioni [UNESP]
Data de Publicação: 2013
Outros Autores: Carvalhaes, Maria Antonieta de Barros Leite [UNESP], Bakonyi Neto, Alexandre [UNESP]
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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spelling 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
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