Optimal nutritional indexes in chronic liver disease

JPEN J Parenter Enteral Nutr. 1987 Sep-Oct;11(5 Suppl):130S-134S. doi: 10.1177/014860718701100521.

Abstract

A population of 70 patients with liver cirrhosis, most of whom were nonalcoholic, was studied. Distribution of ideal body weight and body mass index was below the median of controls, but very few patients were below the cut-off points for normalcy. Distribution of triceps skinfold and arm muscle circumference was also below the median and, in most patients, was also below the cut-off points. Serum visceral protein concentrations and anthropometric parameters each were reciprocally correlated with one another, but no correlation was observed between visceral proteins and anthropometric parameters. Serum visceral proteins appeared to correlate better with the degree of liver damage than with the degree of malnutrition. Therefore, anthropometric parameters seem preferable to serum visceral proteins for the assessment of nutritional status in patients with liver cirrhosis.

MeSH terms

  • Aged
  • Basal Metabolism
  • Body Weight
  • Female
  • Humans
  • Liver Cirrhosis* / blood
  • Male
  • Middle Aged
  • Nutritional Status*
  • Prealbumin / analysis
  • Serum Albumin / analysis
  • Skinfold Thickness
  • Transferrin / analysis

Substances

  • Prealbumin
  • Serum Albumin
  • Transferrin