Nutritional status in patients with alcoholic liver disease

  • Nguyen Ngoc Khanh 103 Military Hospital
  • Duong Quang Huy

Main Article Content

Keywords

Malnutrition, alcoholic liver disease, subjective global assessment

Abstract

Summary


Objective: To evaluate the nutritional status of patients with alcoholic liver disease (ALD) through body mass index (BMI), serum prealbumin and subjective global assessment (SGA) method. Subject and method: Prospective, cross-sectional descriptive study was carried out on 77 patients with ALD in Digestive Department of No.103 Military Hospital. Measurement of body mass index, serum prealbumin concentration and assessment of the malnutrition risk by using SGA tool. Result: The prevalence of malnutrition in patients with ALD according to BMI and serum prealbumin was 25.9% and 46.8% with moderate malnutrition in 70.0% and 44.5% of them, respectively. The malnutrition risk assessed by SGA method was 66.3% and 22.1% of these patients were classified as severely malnourished. There was a relationship between nutritional assessment according to SGA method with BMI and serum prealbumin in patients with ALD. Conclusion: The malnutrition was common in patients with ALD and should be assessed with multiple methods.


              Keywords: Malnutrition, alcoholic liver disease, subjective global assessment.

Article Details

References

1. Detsky AS et al (1984) Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: Methodology and comparisons. JPEN J Parenter Enteral Nutr 8(2): 153-159.
2. Chao A et al (2016) Malnutrition and nutritional support in alcoholic liver disease: A review. Curr Gastroenterol Rep 18(12): 65.
3. Marr JK et al (2017) Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience. Clin Nutr ESPEN 17: 68-74.
4. Nunes G et al (2017) Outcome and nutritional assessment of chronic liver disease patients using anthropometry and subjective global assessment. ARQ Gastroenterol 54(3): 225-231.
5. Rossi RE et al (2015) Diagnosis and treatment of nutritional deficiencies in alcoholic liver disease: Overview of available evidence and open issues. Dig Liver Dis 47(10): 819-825.
6. Saleh MA et al (2014) Assessment of nutritional status of patients with chronic liver diseases admitted to Gastroenterology Department al-azhar University Hospital, assiut. 2011. AAMJ 12(3).
7. Singal AK et al (2018) ACG clinical guideline: Alcoholic liver disease. Am J Gastroenterol: 1-20.
8. World Health Organization expert consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363: 157-163.