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Assessing current nutritional status of patients with HCV-related liver cirrhosis in the compensated stage.

Abstract

BACKGROUND/AIM

Nutritional states of Japanese patients with liver cirrhosis have recently shown great diversity, some show protein energy malnutrition and others excessive nutrition and obesity. For there to be adequate guidance regarding dietary treatment, it is important that a patient's current nutritional state be clarified.

METHODS

We assessed nutritive intake in Japanese cirrhotic patients and determined their nutritional problems. Subjects were non-hospitalized patients with hepatitis C virus (HCV)-related cirrhosis in the compensated stage (n=47), chronic hepatitis C (n=46) or healthy volunteers (n=32). A brief self-administered diet history questionnaire was conducted with assistance from a registered dietitian.

RESULTS

We categorized patients with cirrhosis according to daily intake of energy and protein; 10.6% had an energy and protein intake within a normal range, 72.4% showed excessive intake, and 17.0% showed insufficient intake of energy or protein. In cirrhotic patients with diabetic complications, the intake levels of energy, proteins, fat and carbohydrates were significantly higher than in patients without diabetes. Moreover, cirrhotic patients had significantly higher intake levels of energy, protein and fat than did chronic hepatitis C patients and healthy individuals. In patients with HCV-related liver cirrhosis, insufficient intake of energy and protein was shown in some, while many, especially those with diabetes, showed excessive intake.

CONCLUSION

For nutritive management of cirrhotic patients, the intake of various nutrients should be appropriately assessed and effective nutritional education systems established.

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  • Authors+Show Affiliations

    ,

    Department of Health and Nutrition Sciences, Faculty of Health and Social Welfare Sciences, Nishikyushu University, Kanzaki, Japan.

    , , , , , , , , , , , ,

    Source

    MeSH

    Academic Medical Centers
    Aged
    Cross-Sectional Studies
    Diabetes Complications
    Diet
    Female
    Hepacivirus
    Hepatitis C
    Hepatitis C, Chronic
    Humans
    Japan
    Liver
    Liver Cirrhosis
    Male
    Malnutrition
    Middle Aged
    Nutritional Status
    Overnutrition
    Prevalence
    Severity of Illness Index

    Pub Type(s)

    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22705430

    Citation

    Yasutake, Kenichiro, et al. "Assessing Current Nutritional Status of Patients With HCV-related Liver Cirrhosis in the Compensated Stage." Asia Pacific Journal of Clinical Nutrition, vol. 21, no. 3, 2012, pp. 400-5.
    Yasutake K, Bekki M, Ichinose M, et al. Assessing current nutritional status of patients with HCV-related liver cirrhosis in the compensated stage. Asia Pac J Clin Nutr. 2012;21(3):400-5.
    Yasutake, K., Bekki, M., Ichinose, M., Ikemoto, M., Fujino, T., Ryu, T., ... Enjoji, M. (2012). Assessing current nutritional status of patients with HCV-related liver cirrhosis in the compensated stage. Asia Pacific Journal of Clinical Nutrition, 21(3), pp. 400-5.
    Yasutake K, et al. Assessing Current Nutritional Status of Patients With HCV-related Liver Cirrhosis in the Compensated Stage. Asia Pac J Clin Nutr. 2012;21(3):400-5. PubMed PMID: 22705430.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Assessing current nutritional status of patients with HCV-related liver cirrhosis in the compensated stage. AU - Yasutake,Kenichiro, AU - Bekki,Machiko, AU - Ichinose,Masako, AU - Ikemoto,Michiko, AU - Fujino,Tatsuya, AU - Ryu,Tomoki, AU - Wada,Yoshiyuki, AU - Takami,Yuko, AU - Saitsu,Hideki, AU - Kohjima,Motoyuki, AU - Fukuizumi,Kunitaka, AU - Nakashima,Manabu, AU - Nakamuta,Makoto, AU - Enjoji,Munechika, PY - 2012/6/19/entrez PY - 2012/6/19/pubmed PY - 2012/8/31/medline SP - 400 EP - 5 JF - Asia Pacific journal of clinical nutrition JO - Asia Pac J Clin Nutr VL - 21 IS - 3 N2 - BACKGROUND/AIM: Nutritional states of Japanese patients with liver cirrhosis have recently shown great diversity, some show protein energy malnutrition and others excessive nutrition and obesity. For there to be adequate guidance regarding dietary treatment, it is important that a patient's current nutritional state be clarified. METHODS: We assessed nutritive intake in Japanese cirrhotic patients and determined their nutritional problems. Subjects were non-hospitalized patients with hepatitis C virus (HCV)-related cirrhosis in the compensated stage (n=47), chronic hepatitis C (n=46) or healthy volunteers (n=32). A brief self-administered diet history questionnaire was conducted with assistance from a registered dietitian. RESULTS: We categorized patients with cirrhosis according to daily intake of energy and protein; 10.6% had an energy and protein intake within a normal range, 72.4% showed excessive intake, and 17.0% showed insufficient intake of energy or protein. In cirrhotic patients with diabetic complications, the intake levels of energy, proteins, fat and carbohydrates were significantly higher than in patients without diabetes. Moreover, cirrhotic patients had significantly higher intake levels of energy, protein and fat than did chronic hepatitis C patients and healthy individuals. In patients with HCV-related liver cirrhosis, insufficient intake of energy and protein was shown in some, while many, especially those with diabetes, showed excessive intake. CONCLUSION: For nutritive management of cirrhotic patients, the intake of various nutrients should be appropriately assessed and effective nutritional education systems established. SN - 0964-7058 UR - https://www.unboundmedicine.com/medline/citation/22705430/Assessing_current_nutritional_status_of_patients_with_HCV_related_liver_cirrhosis_in_the_compensated_stage_ L2 - http://apjcn.nhri.org.tw/server/APJCN/21/3/400.pdf DB - PRIME DP - Unbound Medicine ER -