Nutritional Status and Dietary Intake in Non-Cirrhotic Adult Chronic Hepatitis C Patients

Gottschall, Carlos Santos; Pereira, Thainá Gattermann; Rabito, Estela Iraci; Álvares‐da‐Silva, Mário Reis

doi:10.1590/s0004-28032015000300010

Cited by 16 publications

(13 citation statements)

References 17 publications

(30 reference statements)

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“…When considering the BMI as a method of assessment of nutritional status, we did not find any significant differences between the three studied groups (p=0.916), but an important observation was a higher than expected prevalence of overweight among the chronic HCV (62.5%) and the compensated liver cirrhosis groups (67.5%). This was in accordance with a Brazilian study by Gottschall et al assessing the nutritional status in non-cirrhotic chronic hepatitis C patients which also reported an increase in the prevalence of overweight among the studied population [42] and explained that this could be a consequence of unfavourable changes in the dietary patterns such as an increased consumption of processed food or a decrease in the occupational energy expenditure [43].…”

Section: Discussionsupporting

confidence: 92%

“…They had expected, however, to find the nutritional status of patients with chronic hepatitis C to be closely matched to the healthy control subjects but this was not the case and they suggested that this was most probably a result of restricted protein and caloric intake. Similarly a study by Gottschall et al found a significant risk of malnutrition in the chronic hepatitis C group which was found to be 16% [42].…”

Section: Discussionmentioning

confidence: 79%

“…Assessing the nutritional status and dietary intake patterns in patients with chronic hepatitis C and compensated liver cirrhosis may, therefore, substantiate nutrition education strategies as preventive measures in the development of malnutrition in patients with chronic liver disease [42].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Nutritional Status of Patients with Chronic Hepatitis C and HCV-Related Cirrhosis in the Compensated Stage

Amin¹

2016

AJIM

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Background and Aim: Malnutrition is prevalent among patients with chronic liver disease. We aimed to assess the nutritional status of HCV-related compensated cirrhosis and chronic HCV-infected patients compared to healthy control subjects and to compare the different methods used for nutritional assessment namely the anthropometric measures and the Subjective Global Assessment (SGA). Patients and Methods: A total of 120 subjects were recruited. 40 patients with hepatitis C-related compensated liver cirrhosis in Group I, 40 patients with chronic hepatitis C in Group II and 40 age-and sexmatched healthy Egyptian volunteers in Group III. Thorough history taking, physical examination and detailed nutritional assessment were performed including a 24-hour dietary recall. Evaluation of nutritional status was done using different anthropometric measures and the Subjective Global Assessment (SGA). Results: Chronic HCV patients were found to have lower mean daily caloric intake (1858.70±630.2 Kcal/day) as compared to patients with compensated cirrhosis (1923.75±595.8 Kcal/day). The diagnosis of severely malnourished was detected with an increased frequency in the cirrhotic patients by the triceps skin fold thickness (TST) method (52.5%) as compared to mid-arm muscle circumference (MAMC) (30%) and the sub-scapular skin fold thickness (15%). In the chronic HCV patients, an increased frequency of diagnosis of malnutrition was detected by the MAMC% (57.5%) as compared to the other anthropometric indices. Based on the SGA rating, moderate degree of malnutrition was detected in 37.5% of cirrhotic patients and only 27.5% of chronic HCV patients, however, severe degree of malnutrition was not diagnosed in any of the subjects. The majority of the patients with compensated HCV related cirrhosis and chronic HCV group as well as controls were found to be overweight 67.5%, 62.5% and 62.5% respectively. There was a highly significant positive correlation between the BMI and the TST, MAC, MAMC, and sub-scapular skin fold thickness in the three studied groups. Conclusion: Overweight was prevalent among patients with chronic HCV and compensated cirrhosis. SGA underestimated the degree and prevalence of malnutrition as compared to TST, MAMC and sub-scapular skin fold thickness in the liver cirrhosis, chronic hepatitis C and healthy control groups.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 79%

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Assessment of Nutritional Status of Patients with Chronic Hepatitis C and HCV-Related Cirrhosis in the Compensated Stage

Amin¹

2016

AJIM

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“…Another study found APMT to be significantly associated only with disease severity (p < 0.05), but also showed a low prevalence of malnutrition, a weak association with GSA (ƙ = 0.222) and no association with the diagnosis of malnutrition and inadequate dietary intake 21 . Two studies conducted in 2015 and 2016 with non-cirrhotic hepatitis C patients and patients before and after hepatic transplantation, respectively, did not identify any individuals with malnutrition and, therefore, APMT presented poor performance 22 , 23 .…”

Section: Resultsmentioning

confidence: 99%

Use of adductor pollicis muscle thickness in hospitalized or ambulatory patients: a systematic review

Soares

Vicentini

2018

Rev. Latino-Am. Enfermagem

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Objective: to analyze the use of the Adductor Pollicis Muscle Thickness (APMT) as an anthropometric parameter and prognostic indicator in hospitalized or ambulatory patients. Method: systematic review carried out the Web of Science, SCOPUS and Lilacs databases. Results: Twenty-three studies were performed on critical, surgical, oncological, nephropathic and hepatopathic patients, collecting data on bibliographic reference, study site, objectives, number of patients, age group, methodology, main results and conclusion. APMT proved to be a good anthropometric parameter for evaluation of nutritional status in critical patients without edema, and surgical, oncological and nephropathic patients, but presented poor performance for diagnosis of malnutrition in hepatopathic patients. It was a good prognostic indicator for mortality in critical, nephropathic and oncological patients, and also a good predictor of hospitalization in nephropathic patients. There was an association with neurological complications in Hepatic Encephalopathy (HE) in the case of hepatophatic patients, but it was not a predictor of postoperative complications in surgical patients. Conclusion: APTM was considered a good anthropometric parameter in most clinical conditions, except in patients with liver disease and a good prognostic indicator for mortality in critical, oncological and nephropathic patients, and a predictor of neurological complications in HE. Further prognostic investigation, standardization of cutoff points and evaluation of sensitivity and specificity are required.

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“…The dynapenia, decreased muscle strength without neurological or muscular disease, have been studied beyond aging [45]. The HGS had greater capacity to detect malnutrition in people with chronic liver disease, besides the capacity to predict morbimortality [15,46,47]. Hiraoka et al have shown that an isolated HGS reduction was more prevalent than isolated skeletal muscular volume in patients with chronic liver disease.…”

Section: Discussionmentioning

confidence: 99%

Nutritional assessment, handgrip strength and adductor pollicis muscle thickness in patients with chronic viral hepatitis

Cortez

Almeida

Corrêa

et al. 2020

Clinical Nutrition Experimental

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Results: According to the SGA, one-third were considered at nutritional risk (SGA-B). Nutritional risk was found in 59.4%, 65.2% and 88% based on HGS, mid-arm muscle circumference (MAMC) and APMT, respectively. The dominant APMT obtained a mean of 17.2 ± 5.4 mm vs 16.2 ± 4.6 mm of the non-dominant hand. On the other hand, the dominant HGS had a mean of 27.3 ± 11.2 vs 24.2 ± 11.0 of the nondominant HGS. APMT and HGS values for any limb were significantly higher in males, but below thresholds patterns described for any gender. The HGS of both hands were correlated with sex, age, weight, height, MAMC, tricipital skinfold and APMT (p < 0.05). In multivariate linear regression, the model that best fit an exploratory analysis included: age, sex, height, MAMC, tricipital skinfold, and dominant APMT. Conclusion: There was a higher nutritional risk in patients with stable CVH when variables dependent of muscle mass were analyzed. APMT was an independent parameter to predict HGS value. We encourage malnutrition screening based on anthropometry, HGS and APMT, since SGA is not such a reliable tool for CVH.

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Nutritional Status and Dietary Intake in Non-Cirrhotic Adult Chronic Hepatitis C Patients

Abstract: Malnutrition is frequently in hepatitis C virus patients. They have high prevalence of inadequate energy, protein and micronutrients intake, even in the absence of cirrhosis.

Cited by 16 publications

References 17 publications

Assessment of Nutritional Status of Patients with Chronic Hepatitis C and HCV-Related Cirrhosis in the Compensated Stage

Assessment of Nutritional Status of Patients with Chronic Hepatitis C and HCV-Related Cirrhosis in the Compensated Stage

Use of adductor pollicis muscle thickness in hospitalized or ambulatory patients: a systematic review

Nutritional assessment, handgrip strength and adductor pollicis muscle thickness in patients with chronic viral hepatitis

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