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2013, Number 1

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Rev cubana med 2013; 52 (1)

Nutritional assessment in patients with compensated liver cirrhosis treated at the Mouila Regional Hospital, Gabon, 2009-2010

Hierro GA, Hano GOM, González FL
Full text How to cite this article

Language: Spanish
References: 21
Page: 37-48
PDF size: 144.74 Kb.


Key words:

malnutrition, liver cirrhosis, body mass index, dietary factors.

ABSTRACT

Introduction: some researchers believe that protein energy malnutrition is the most common complication in cirrhotic patients and it is an independent predictor of survival element.
Objectives: To determine the nutritional status and its relationship to the cause, time of evolution and caloric intake in patients with compensated liver cirrhosis.
Methods: A descriptive study of all Gabonese patients of both sexes, between the ages 15 and 60 years, with this diagnosis. Women and the group between 45 and 54 years was found predominant (mean age 45 years (± 7.6)). Additionally, mixed cause and group A in Child-Pugh-Turcotte widely existed. All patients had diagnosis of this disease for less than a year and according to their body mass index, protein-energy malnutrition was observed in 75% of cases; moderate thinness predominated. The arm circumference was less frequently and intensively affected than the body mass index. To the extent that the number of meals reduced per day, the percentage of patients with protein-energy malnutrition increased.
Conclusions: The frequency of malnutrition of compensated cirrhotic population was high, with the highest rate of malnutrition in cases of mixed causes; it also was proved that the nutritional status of cirrhotic patient cannot be valued regardless of dietary factors.


REFERENCES

  1. Schuppan D, Afdhal NH. Liver cirrhosis [archive]. Lancet. 2008;371:838-51. [citado 20 Feb. 2011]. Disponible en: http://www.thelancet.com

  2. Dorta Guridi Z, Castellanos Fernández M, Nodarse Cuní H, Arús Soler E, Pérez Triana F, González Fabián L. Tolerancia del tratamiento con interferón estándar y ribavirina en pacientes cirróticos por virus de la hepatitis C. Rev Cubana Med. 2010;49(2):1-10. [citado 5 Mar. 2011] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232010000200001&lng=es&nrm=iso&tlng=es

  3. Castellanos Fernández M, Santana Porbén S, García Jordá E, Rodríguez de Miranda A, Barreto Penié J, López Díaz Y, Martínez C. Influencia de la desnutrición en la aparición de complicaciones y mortalidad en pacientes cirróticos. Nutr Hosp. 2008;23:54-60

  4. Manfred J Müller. Malnutrition and hypermetabolism in patients with liver cirrhosis. Am J Clin Nut. May. 2007;85(5):1167-8.

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

  6. García Ayala M, Astencio Rodríguez AG, Santana Porbén S, Barreto Penié J, Martínez González C, Espinosa Borrás A. Estado nutricional de los pacientes con cirrosis hepática de causa viral. Influencia sobre la evolución natural de la enfermedad hepática y la respuesta al trasplante. Rev Nutr Clin. 2007;16(1):12-25.

  7. Guex ME, Cheseaux P, Coti Bertrand M, Piquet SA, Bouvry N, Pilon N. Halkic M. Pascual M. Roulet Prévalence de la dénutrition chez 143 adultes en bilan prétransplantation hépatique. Rev Médicale Suisse. 2008;(152). [citado Mar. 2011]. Disponible en: http://titan.medhyg.ch/mh/formation/ article.php3?sid=32253

  8. Santolaria, Pérez-Manzano JL, Milena A, González-Reimers E, Gomez-Rodriguez MA, Martínez-Riera A, Aleman-Valls MR, De la Vega-Prieto MJ. Nutritional assessment in alcoholic patients. Its relationship with alcoholic intake, feeding habits, organic complications and social problems. Drug Alcohol Depend. Jun. 2000;59(3):295-304.

  9. Italian Multicentre Cooperative Project on Nutrition in Liver Cirrhosis. Nutritional status in cirrhosis. J Hepatol. Sep, 1994;21(3):317-25.

  10. Paradoa Pérez M, Marsán Suárez V. Inmunodeficiencias congénitas y adquiridas. En: Suardíaz Pereira JH, Cruz Rodriguez CL, Colina Rodriguez A de J, Alerm González A, Alfonso Valdés ME, Alfonso Valdés Y, et al. Laboratorio Clínico. La Habana: Editorial Ciencias Médicas; 2007. p. 485-95.

  11. Castellanos Fernández M. Estado nutricional en pacientes con cirrosis hepática. Hepatologia. 2008. La Habana, Cuba, 2008. [citado 15 Ene. 2011]. Disponible en: http://www.sld.cu/galerias/ppt/sitios/gastroenterologia/nutricion_y_ch.ppt

  12. Gabon. Ministere de la Santé et de L'hygiene Publique charge de la Famille et de la promotion de la femme. Directives Nacionales de Prises en Charge du Paludismo au Gabon. Programme National de lutte contre le Paludisme.T.l. Libreville: OMS/PNUD/Le Fonds Mondial de Lutte contre le sida, la tuberculosis et le Paludisme; Aut 2008.

  13. Carvajal Pascual M. Cirrosis hepática. En: Matarama Peñate M, Llanio Navarro R, Muñiz Iglesias P, Quintana Setién C, Hernández Zúñiga H, Vicente Peña E. Medicina Interna. Diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2007. p. 321-8.

  14. Arús Soler E. Historia natural de la infección por el virus de la hepatitis C. Rev Cubana Med. 2006;45(1). [citado 5 Mar. 2011] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_issuetoc&pid=0034-752320060001&lng=es&nrm=iso

  15. Barreto P, for the Cuban Group for the Study of Hospital Malnutrition. State of malnutrition in Cuban hospitals. Nutrition. 2005;21:487-97.

  16. Friedman SL. Hepatopatia alcohólica, cirrosis hepática y sus secuelas principales. En: Golman L, Bennett JC, Drazen J, Gill GN, Griggs RC, Kokko JP, et al. Editores. CECIL. Tratado de Medicina Interna. 21a ed. Madrid: Mc Graw-Hill; 2000. p. 888-98.

  17. Espinosa Borrás A, Martínez González C, Barreto Penié J, Santana Porbén S. Esquema para la evaluacion antropométrica del paciente hospitalizado. Rev Cubana Aliment Nutr. 2007;17(1):72-89.

  18. Brauser D. Dietary Nutrient Composition Associated With Cirrhosis, Liver Cancer. Hepatology. 2009;50:175-84. [citado 20 de febrero de 2011]. Disponible en: http://www.medscape.com

  19. Porrata-Maury C. Consumo y preferencias alimentarias de la población cubana con 15 y más años de edad. Rev Cubana Aliment Nutr. 2009;19(1):87-105.

  20. Ioannou GN, Morrow OB, Connole ML, Lee SP. Association between dietary nutrient composition and the incidence of cirrhosis or liver cancer in the united states population. Hepatology. Jul. 2009;50(1):175-84. [citado 20 de febrero del 2011]. Disponible en: http://www.doaj.org/doaj?func=searchArticles

  21. Brauser D. Dietary Nutrient Composition Associated With Cirrhosis, Liver Cancer. Hepatology. 2009;50:175-84. [citado 15 de enero de 2011]. Disponible en: http://www.medscape.com




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Rev cubana med. 2013;52