Nutritional assessment and treatment of patients with liver cirrhosis

Nutrition. 2013 Nov-Dec;29(11-12):1279-85. doi: 10.1016/j.nut.2013.03.017. Epub 2013 Jul 16.

Abstract

Prevalence of chronic liver diseases, including liver cirrhosis, is increasing worldwide. The nutritional state assessment in these patients is complicated, and besides anthropometry is based on several other tools in order to be more accurate. Specific dietary recommendations are needed in patients with chronic liver diseases in order to help prevent and treat liver decompensation because malnutrition is an independent predictor of mortality. This review focuses on essential aspects in the nutritional assessment of cirrhotic patients and some general recommendations for their treatment.

Keywords: Bioelectrical impedance; Body composition; Branched chain amino acid; Decompensated cirrhosis; Hand grip strength; Malnutrition.

Publication types

  • Review

MeSH terms

  • Adiponectin / blood
  • Anthropometry
  • Biomarkers / blood
  • Cytokines / blood
  • Dietary Carbohydrates / administration & dosage
  • Dietary Proteins / administration & dosage
  • Electric Impedance
  • Hand Strength
  • Humans
  • Leptin / blood
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / diet therapy*
  • Micronutrients / administration & dosage
  • Muscle, Skeletal / drug effects
  • Nutrition Assessment*
  • Nutritional Status
  • Protein-Energy Malnutrition / diet therapy
  • Protein-Energy Malnutrition / etiology
  • Randomized Controlled Trials as Topic

Substances

  • Adiponectin
  • Biomarkers
  • Cytokines
  • Dietary Carbohydrates
  • Dietary Proteins
  • Leptin
  • Micronutrients