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Anthropometry of Malnutrition in End Stage Liver Disease

  • E. T. Tsiaousi
  • A. I. Hatzitolios
Chapter

Abstract

One of the most common encountered clinical complications in end stage liver disease (ESLD) is macro- and micronutrient deficiency. Clinically evident malnutrition is strongly ­correlated with the degree of the disease progression reflected in the Child Pugh classification. The pathogenesis of malnutrition in ESLD is multifactorial. The use of anthropometry has provided us with an efficient but simple method for the assessment of malnutrition in cirrhosis. Most common anthropometric indices are triceps skinfold thickness (TST) and mid arm muscle circumference (MAMC). Both parameters are of great prognostic value and are recommended, along with subjective global assessment (SGA), by the European Society for Clinical Nutrition and Metabolism (ESPEN) for the evaluation of malnutrition in cirrhotic patients and patients awaiting liver transplantation.

Keywords

Hepatitis Hydration Bromide Calorimetry Tritium 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

BCM

Body Cell Mass

BMI

Body Mass Index

CP classification

Child Pugh classification

ESLD

End Stage Liver Disease

ESPEN

European Society for Clinical Nutrition and Metabolism

FFM

Free Fat Mass

MAA

Mid Arm Area

MAC

Mid Arm Circumference

MAFA

Mid Arm Fat Area

MAMA

Mid Arm Muscle Area

MAMC

Mid Arm Muscle Circumference

PEM

Protein Energy Malnutrition

REE

Resting Energy Expenditure

SGA

Subjective Global Assessment

TST

Triceps Skinfold Thickness

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.1st Medical Propedeutic Department, AHEPA HospitalAristotle University of ThessalonikiThessalonikiGreece

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