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Current Nutrition Reports

The Challenges of Nutritional Assessment in Cirrhosis

  • 01-09-2017
  • Gastroenterology, Critical Care, and Lifestyle Medicine (SA McClave, Section Editor)
Published in:
Authors
Alessio Molfino
Sheeva Johnson
Valentina Medici
Published in
Current Nutrition Reports | Issue 3/2017

Abstract

Purpose of Review

Nutritional status in patients with cirrhosis is very frequently associated with macro- and micronutrient deficiencies. Cirrhosis itself is the cause of malnutrition and nutritional deficiencies but these conditions have to be identified and addressed properly as they can worsen the prognosis of cirrhosis. The goals of this review are to (1) identify and describe the challenges associated with nutritional assessment in cirrhosis and (2) describe recent advancements when using clinical, laboratory, and instrumental tools in the evaluation of malnourished patients with liver diseases.

Recent Findings

The most promising tools for nutritional assessment in cirrhosis include the evaluation of body composition with phase angle obtained by bioelectrical impedance analysis, computed tomography transverse images at the level of third lumbar vertebra. The Royal Free Hospital global assessment algorithm appears to be helpful but needs further validation.

Summary

Nutritional assessment in cirrhosis is challenging as several factors, including edema, can interfere with it and because of lack of a validated gold standard. Regardless, nutritional assessment methods have been developed in recent years and should gain relevance in the clinical practice.
Title
The Challenges of Nutritional Assessment in Cirrhosis
Authors
Alessio Molfino
Sheeva Johnson
Valentina Medici
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Nutrition Reports / Issue 3/2017
Electronic ISSN: 2161-3311
DOI
https://doi.org/10.1007/s13668-017-0216-8
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