Nutritional assessment in patients with cirrhosis
CONTEXT: Malnutrition in cirrhotic patients with end-stage disease is common, and the degree of nutritional debilitation can play an important role in the pathogenesis of complications and cause a negative impact on prognosis. However, it involves difficulties and controversies regarding the identif...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
2012-03-01
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| Series: | Arquivos de Gastroenterologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032012000100005&lng=en&tlng=en |
| _version_ | 1819175642557579264 |
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| author | Sabrina Alves Fernandes Lilian Bassani Flávia Feijó Nunes Maria Eugênia Deutrich Aydos Alexandro Vaesken Alves Cláudio Augusto Marroni |
| author_facet | Sabrina Alves Fernandes Lilian Bassani Flávia Feijó Nunes Maria Eugênia Deutrich Aydos Alexandro Vaesken Alves Cláudio Augusto Marroni |
| author_sort | Sabrina Alves Fernandes |
| collection | DOAJ |
| description | CONTEXT: Malnutrition in cirrhotic patients with end-stage disease is common, and the degree of nutritional debilitation can play an important role in the pathogenesis of complications and cause a negative impact on prognosis. However, it involves difficulties and controversies regarding the identification of the best nutritional assessment method. OBJECTIVE: To identify a method that provides a safe and effective nutritional diagnosis. METHODS: Cross-sectional study with 129 cirrhotic patients. Anthropometric measurements, subjective global assessment, hand grip strength and bioelectrical impedance. RESULTS: Through phase angle of bioelectrical impedance analysis (BIA) method, significant associations with Child-Pugh (P = 0.008), age group and gender were observed. The ROC (receiver operator characteristic) curve was generated to determine the best cutoff point of the phase angle of cirrhotic patients, serving as one of the reference parameters for the nutritional assessment with bioimpedance in this study, considering the classification through Child-Pugh score as the reference standard for the clinical conditions of patients with cirrhosis. CONCLUSIONS: The assessment through bioelectrical impedance presented a statistically significant correlation with Child-Pugh score. The identification of phase angle of 5.44º is the new parameter suggested for the classification of the nutritional conditions of cirrhotic patients. |
| first_indexed | 2024-12-22T20:58:07Z |
| format | Article |
| id | doaj.art-0086a7f6aa754ba3910be1a8d6d12e53 |
| institution | Directory Open Access Journal |
| issn | 1678-4219 |
| language | English |
| last_indexed | 2024-12-22T20:58:07Z |
| publishDate | 2012-03-01 |
| publisher | Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) |
| record_format | Article |
| series | Arquivos de Gastroenterologia |
| spelling | doaj.art-0086a7f6aa754ba3910be1a8d6d12e532022-12-21T18:12:53ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-42192012-03-01491192710.1590/S0004-28032012000100005S0004-28032012000100005Nutritional assessment in patients with cirrhosisSabrina Alves Fernandes0Lilian Bassani1Flávia Feijó Nunes2Maria Eugênia Deutrich Aydos3Alexandro Vaesken Alves4Cláudio Augusto Marroni5Universidade Federal de Ciências da Saúde de Porto AlegreUniversidade Federal de Ciências da Saúde de Porto AlegreUniversidade Federal de Ciências da Saúde de Porto AlegreUniversidade Federal de Ciências da Saúde de Porto AlegreUniversidade Federal de Ciências da Saúde de Porto AlegreUniversidade Federal de Ciências da Saúde de Porto AlegreCONTEXT: Malnutrition in cirrhotic patients with end-stage disease is common, and the degree of nutritional debilitation can play an important role in the pathogenesis of complications and cause a negative impact on prognosis. However, it involves difficulties and controversies regarding the identification of the best nutritional assessment method. OBJECTIVE: To identify a method that provides a safe and effective nutritional diagnosis. METHODS: Cross-sectional study with 129 cirrhotic patients. Anthropometric measurements, subjective global assessment, hand grip strength and bioelectrical impedance. RESULTS: Through phase angle of bioelectrical impedance analysis (BIA) method, significant associations with Child-Pugh (P = 0.008), age group and gender were observed. The ROC (receiver operator characteristic) curve was generated to determine the best cutoff point of the phase angle of cirrhotic patients, serving as one of the reference parameters for the nutritional assessment with bioimpedance in this study, considering the classification through Child-Pugh score as the reference standard for the clinical conditions of patients with cirrhosis. CONCLUSIONS: The assessment through bioelectrical impedance presented a statistically significant correlation with Child-Pugh score. The identification of phase angle of 5.44º is the new parameter suggested for the classification of the nutritional conditions of cirrhotic patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032012000100005&lng=en&tlng=enCirrose hepáticaImpedância elétricaDesnutriçãoAvaliação nutricional |
| spellingShingle | Sabrina Alves Fernandes Lilian Bassani Flávia Feijó Nunes Maria Eugênia Deutrich Aydos Alexandro Vaesken Alves Cláudio Augusto Marroni Nutritional assessment in patients with cirrhosis Arquivos de Gastroenterologia Cirrose hepática Impedância elétrica Desnutrição Avaliação nutricional |
| title | Nutritional assessment in patients with cirrhosis |
| title_full | Nutritional assessment in patients with cirrhosis |
| title_fullStr | Nutritional assessment in patients with cirrhosis |
| title_full_unstemmed | Nutritional assessment in patients with cirrhosis |
| title_short | Nutritional assessment in patients with cirrhosis |
| title_sort | nutritional assessment in patients with cirrhosis |
| topic | Cirrose hepática Impedância elétrica Desnutrição Avaliação nutricional |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032012000100005&lng=en&tlng=en |
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