Malnutrition and non-compliance to nutritional recommendations in patients with cirrhosis are associated with a lower survival.

Decompensated cirrhosis Malnutrition Protein intake Subjective global assessment Survival

Journal

World journal of hepatology
ISSN: 1948-5182
Titre abrégé: World J Hepatol
Pays: United States
ID NLM: 101532469

Informations de publication

Date de publication:
27 Oct 2020
Historique:
received: 25 05 2020
revised: 06 07 2020
accepted: 04 09 2020
entrez: 17 11 2020
pubmed: 18 11 2020
medline: 18 11 2020
Statut: ppublish

Résumé

Malnutrition is frequently encountered in patients with cirrhosis and appears to significantly impact their prognosis. While evaluating the burden of malnutrition in cirrhosis is gathering momentum, as suggested by multiple recently published reports, there is still a persistent scarcity of solid data in the field, especially with regards to the role of nutritional interventions. To assess the prevalence of malnutrition in patients with advanced cirrhosis and to evaluate its impact on survival. One hundred and one consecutive patients with advanced cirrhosis were screened for malnutrition using the Subjective Global Assessment (SGA) criteria and the mid-arm circumference (MAC). Malnutrition was defined as SGA class B and C and MAC < 10 54/79 patients (68.4%) in the decompensated group had malnutrition, while only 3/22 patients (13.6%) were malnourished in the compensated group. After a median follow-up time of 27 mo (0-53), the overall mortality was 70%. Survival was significantly lower among patients with malnutrition. The mortality rates were 50% at 1 year and 63% at 2 years for the patients with malnutrition, compared to 21% at 1 year and 30% at 2 years for patients without malnutrition ( The prevalence of malnutrition is high among patients with advanced cirrhosis and might be related in part to a low adherence to nutritional recommendations, especially with regards to protein intake.

Sections du résumé

BACKGROUND BACKGROUND
Malnutrition is frequently encountered in patients with cirrhosis and appears to significantly impact their prognosis. While evaluating the burden of malnutrition in cirrhosis is gathering momentum, as suggested by multiple recently published reports, there is still a persistent scarcity of solid data in the field, especially with regards to the role of nutritional interventions.
AIM OBJECTIVE
To assess the prevalence of malnutrition in patients with advanced cirrhosis and to evaluate its impact on survival.
METHODS METHODS
One hundred and one consecutive patients with advanced cirrhosis were screened for malnutrition using the Subjective Global Assessment (SGA) criteria and the mid-arm circumference (MAC). Malnutrition was defined as SGA class B and C and MAC < 10
RESULTS RESULTS
54/79 patients (68.4%) in the decompensated group had malnutrition, while only 3/22 patients (13.6%) were malnourished in the compensated group. After a median follow-up time of 27 mo (0-53), the overall mortality was 70%. Survival was significantly lower among patients with malnutrition. The mortality rates were 50% at 1 year and 63% at 2 years for the patients with malnutrition, compared to 21% at 1 year and 30% at 2 years for patients without malnutrition (
CONCLUSION CONCLUSIONS
The prevalence of malnutrition is high among patients with advanced cirrhosis and might be related in part to a low adherence to nutritional recommendations, especially with regards to protein intake.

Identifiants

pubmed: 33200020
doi: 10.4254/wjh.v12.i10.829
pmc: PMC7643216
doi:

Types de publication

Journal Article

Langues

eng

Pagination

829-840

Informations de copyright

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: There are no conflicts of interest to report.

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Auteurs

Dana Crisan (D)

Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Bogdan Procopet (B)

3 Medical Clinic, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Alexandra Epure (A)

3 Medical Clinic, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Horia Stefanescu (H)

Hepatology Unit, "Prof. Dr. Octavian Fodor" Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca 400162, Romania.

Alina Suciu (A)

3 Medical Clinic, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Andreea Fodor (A)

3 Medical Clinic, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Emil Mois (E)

Surgery Department, "Prof. Dr. Octavian Fodor" Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca 400126, Romania.

Rares Craciun (R)

Hepatology Unit , "Prof. Dr. Octavian Fodor" Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca 400126, Romania.

Nicolae Crisan (N)

Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400126, Romania.

Classifications MeSH