Evaluation of the nutritional status of patients with liver cirrhosis

作     者：Barbara Janota Aneta Krupowicz Kinga Noras Ewa Janczewska 

作者机构：Department of Basic Medical SciencesFaculty of Public Health in BytomMedical University of Silesia in KatowiceBytom 41-902Poland ID ClinicMysłowice 41-400Poland Department of BiometryWarsaw University of Life SciencesWarsaw 02-787Poland 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第7期

页      面：914-924页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Liver cirrhosis Fibrosis Nutritional status Malnourishment Sarcopenia 

摘      要：BACKGROUND Progressive malnutrition coexists with liver diseases,particularly in patients with *** diagnosis of malnutrition in patients with advanced stages of chronic liver disease and the implementation of appropriate nutritional treatment for malnourished patients should be an integral part of the therapeutic *** To evaluate the nutritional status of patients with various severities of advanced liver fibrosis,using various nutritional status *** This study involved 118 patients with liver cirrhosis who were classified into three groups according to their Child-Pugh *** nutritional status of the patients in each group was assessed using different *** average values obtained from the measurements were calculated for each research *** influence of disease stage on the examined parameters of nutritional status was determined using one-way analysis of *** investigate the relationship between the parameters determining nutritional status and the stage of disease advancement,a correlation analysis was *** The Child-Pugh A group had the highest mean body weight(76.42 kg),highest mean body mass index(BMI)(26.72 kg/m²),and largest mean arm circumference(27.64 cm).In the Child-Pugh B group,the mean scores of all examined variables were lower than those of the Child-Pugh A group,whereas the mean body weight and BMI of the Child-Pugh C group were higher than those of the Child-Pugh B *** was a very strong correlation between the Child-Pugh classification and subjective global assessment score;a very strong correlation between the Child-Pugh classification and arm circumference;a strong correlation between the Child-Pugh classification and body weight,albumin concentration,fat-free mass index,muscle mass index,phase angle,and BMI;and an average correlation between Child-Pugh classification and fat mass ***,these indicators deteriorated with disease *** Advanced li