medigraphic.com
ISSN 1561-3046 (Electronic)

2012, Number 4

<< Back Next >>

Rev Cub Med Mil 2012; 41 (4)

Variability of anthropometric indicators in cirrhotic patients

Infante VM, Hernández AM, González PÁ, Rosado VFC, Pérez LM, de la Rosa OM

Language: Spanish
References: 18
Page: 341-351
PDF size: 74.28 Kb.


ABSTRACT

Introduction: anthropometric measurements, being within reach of medical care, are used to assess the nutritional status of the cirrhotic patient.
Objective: To describe changes in anthropometric indicators identifying patterns of malnutrition in cirrhotic patients in relation to their degree of involvement.
Methods: A descriptive, cross-sectional study in 61 patients in whom anthropometric measurements were used to estimate body composition (fat and muscle) was conducted. We compared these parameters according to Child classification, presence of ascites, alcoholic cause, and age group.
Results: The sample mean age was 56.59 ± 13.49 years, male gender predominated. The prevalence of malnutrition with anthropometric measurements ranged 24 to 49 %. There was higher percentage of muscle compartment involvement in females and this percentage decreased significantly in men with ascites (p= 0.001) and Child stage C (p= 0.006). The higher involvement of fat component occurred in men (36 %) according to percentage of body fat and 50.8 % according to percentage of triceps skinfold fat, particularly in those with ascites (p= 0.030).
Conclusions: Decreased fat compartment was identified by calculating the percentage of triceps skinfold, while the decreased muscle was evident by measuring arm circumference and triceps skinfold. These changes were associated with the presence of ascites and with high severity of underlying liver disease.


REFERENCES

  1. Caregaro L, Alberino F, Amodio P, Merkel C, Bolognesi M, Angeli P, et al. Malnutrition in alcoholic and virus-related cirrhosis. Am J Clin Nutr. 1996;63(4):602-9.

  2. Alberino F, Gatta A, Amodio P, Merkel C, Di Pascoli L, Boffo G, et al. Nutrition and survival in patients with liver cirrhosis. Nutrition. 2001;17(6):445-50.

  3. Castellanos Fernández MI. Nutrición y cirrosis hepática. Acta Médica. 2003;11(1):26-37.

  4. Santana S. Algunos problemas metodológicos en la evaluación nutricional del paciente cirrótico. En: Hernández JC, Samada M, editores. Hepatología 2006. La Habana: CIMEQ; 2006 [citado 3 Abr 2007]. Disponible en: http://bvs.sld.cu/libros/hepatologia/indice_p.htm

  5. Berdasco Gómez A. Evaluación del estado nutricional del adulto mediante la antropometría. Rev Cub Aliment Nutr. 2002;16:146-52.

  6. Chang RWS, Richardson R. Nutritional assessment using a microcomputer. Clin Nutr. 1984;3:67-82.

  7. Carvalho L, Parise E. Evaluation of nutritional status of nonhospitalized patients with liver cirrhosis. Arq Gastroenterol. 2006;43(4):269-74.

  8. Castellanos M. Nutrición y hepatopatías. En: Hernández JC, Samada M, editores. Hepatología 2006. La Habana: CIMEQ; 2006 [citado 3 Abr 2007]. Disponible en: http://bvs.sld.cu/libros/hepatologia/indice_p.htm

  9. Romero Saqui G, Anderson Vázquez HE, Lizarzabal de Belloso M. Evaluación Antropométrica: un instrumento útil en pacientes con enfermedad hepática crónica. Gen. 2009;63(3):201-11.

  10. Castellanos Fernández M, Santana Porbén S, García Jordá E, Rodríguez de Miranda A, Barreto Penié J, López Díaz Y, et al. Influencia de la desnutrición en la aparición de complicaciones y mortalidad en pacientes cirróticos. Nutrición Hospitalaria. 2008;23:68-74.

  11. Becerra F. Tendencias actuales en la valoración antropométrica del anciano. Rev Fac Medicina Unal. 2006 [citado 3 Abr 2007];54(4). Disponible en: http://www.scielo.unal.edu.co/scielo.php?script=sci_arttext&pid=S0120-00112006000400007&lng=es&nrm=

  12. Carvalho L, Parise ER. Evaluation of nutritional status of nonhospitalized patients with liver cirrhosis. Arq Gastroenterol. 2006;43(4):269-74.

  13. Panagaria N, Varma K, Nijhawan S, Mathur A, Rai RR. Comparison of nutritional status between patients with alcoholic and non-alcoholic liver cirrhosis. Trop Gastroenterol. 2006;27(2):75-9.

  14. Caly WR, Strauss E, Carrilho FJ, Laudanna AA. Different degrees of malnutrition and immunological alterations according to the aetiology of cirrhosis: a prospective and sequential study. Nutr J. 2003;2:10.

  15. Aqel BA, Scolapio JS, Dickson RC, Burton DD, Bouras EP. Contribution of ascites to impaired gastric function and nutritional intake in patients with cirrhosis and ascites. Clin Gastroenterol Hepatol. 2005;3(11):1095-100.

  16. Reisman Y, Gips CH, Lavelle SM. Assessment of liver cirrhosis severity in 1015 patients of the Euricterus database with Campbell-Child, Pugh-Child and with ascites and ascites-nutritional state (ANS) related classifications. Euricterus Project Management Group. Hepatogastroenterology. 1997;44(17):1376-84.

  17. Mesejo A, Juan M, Serrano A. Cirrosis y encefalopatía hepáticas: consecuencias clínico-metabólicas y soporte nutricional. Nutrición Hospitalaria. 2008;23:8-18.

  18. Buyse S, Durand F, Joly F. Nutritional assessment in cirrhosis. Gastroenterol Clin Biol. 2008;32(3):265-73.




2020     |     www.medigraphic.com