Small bites,big impact:The importance of evening snacks in patients with advanced chronic liver disease

作     者：Federica Perazza Federico Ravaioli 

作者机构：Department of Medical and Surgical SciencesUniversity of BolognaBologna 40138Italy 

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

年 卷 期：2025年第17卷第1期

页      面：1-4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：Nutrition Cirrhosis Advanced chronic liver disease Malnutrition Sarco-penia Skeletal muscle mass 

摘      要：People with advanced chronic liver disease(ACLD)have an enhanced risk of malnutrition,which has multifactorial etiology and is mainly linked to a reduced energy and protein intake;malnutrition is critical for patients with cirrhosis since it is often associated with sarcopenia,a skeletal muscle depletion with a loss of muscle mass and ***-evening snacks have been extensively studied,and guidelines are recommended to counteract the effects of prolonged fasting at night in patients with ***,it has not been fully explored whether late evening snacking is clarified as a milestone to address the nutritional needs of people with ACLD or whether it has a potential role in improving body *** this randomised control trial,Yu et al demonstrated that long-term nocturnal snacks have the potential to significantly improve body composition by body fat mass,visceral fat area and body cell mass in patients with *** the improvement in skeletal muscle mass was minor,the promising results in other compositions provide hope for future research and patient care.