valuation of nutritional habits in patients with liver cirrhosis

        According to the 03 year in June published the "nutrition" magazine reported that the incidence of malnutrition in patients with cirrhosis of the liver is high.

        Dr. Campillo Bernard of France and colleagues evaluated the effects of malnutrition and nutritional habits in 396 patients with liver cirrhosis. The research team measured the admission of patients with triceps skinfold thickness and arm muscle circumference. They also evaluated the patient's own dietary intake during admission and in the course of hospitalization.

        The researchers found that ascites was associated with impaired nutritional status. They confirmed that there were 49% and 30% of the patients without ascites upper arm muscle circumference and triceps skinfold thickness below the fifth percentile of the control group. 49% and 41%, 66% and 48% patients with mild ascites ascites in patients with tension arm muscle circumference and triceps skinfold thickness decreased.

Reduction of dietary intake and increased liver failure. In patients with grade Child, 48% of the patients were less than 30 kcal/ kg of body weight, 34% of the patients with a protein intake of less than 1 kg of body weight of kg of body weight of kg. The corresponding proportions of patients with B Child were 52% and 36%, respectively, and C Child were 80% and 63%, respectively.

        Mortality during hospitalization was 15%. Child-Pugh score, age, severe septic complications, and decreased calorie intake during hospitalization were independently associated with mortality.

24 patients, although the oral supplement, but the calorie intake is still low (kcal/kg <25), the need for intestinal feeding. Among them, 4 patients in the hospital before admission, 20 patients in the average hospital for 12.4 days to start feeding. The age of patients receiving enteral feeding was larger, and the Child-Pugh score was higher. Their mortality was also higher than that of other patients.

        Dr. Campillo et al. "The incidence of malnutrition in patients with cirrhosis is high, and most of the patients are not in nutritional needs. Reduction in caloric intake is an independent risk factor for short-term mortality. Parenteral nutrition with no clinical effect, should be applied in the early course of the disease."