Nutritional Status and Dietary Intake in Non-cirrhotic Adult Chronic Hepatitis C Patients.
نویسندگان
چکیده
BACKGROUND The hepatitis C virus is one of the main causes of liver disease worldwide and may develop nutritional deficiencies. OBJECTIVE The objective of this study was to assess and compare different nutritional status methods of adult patients with chronic hepatitis C virus, and to describe inadequacies in dietary intake. METHODS A cross-sectional study was conducted with adult outpatients with hepatitis C virus at a Brazilian hospital. Nutritional assessment included the 24-hour dietary recall, anthropometry (body weight, height, body mass index, triceps skinfold, mid-upper arm circumference, mid-arm muscle circumference, mid-upper arm muscle area, adductor policis muscle), Subjective Global Assessment, Royal Free Hospital Global Assessment and handgrip strength. RESULTS A total of 94 outpatients (ages 30 to 76 years), was included, 46 were men. The prevalence of malnutrition as measured by the different methods was 6.4% (body mass index); 60.6% (handgrip strength), and 53.2% (Royal Free Hospital Global Assessment). There was correlation between mid-upper arm circumference and mid-arm muscle circumference (r=0.821), mid-upper arm circumference and triceps skinfold (r=0.575) and mid-upper arm circumference and mid-upper arm muscle area (r=0.781). Energy and protein intakes were below recommended levels in 49 (52.1%) and 44 (46.8%) of patients, respectively. Inadequate calcium, potassium, zinc and vitamin C intakes occurred in 92.6%, 97.9%, 63.8% and 60.6% of patients. There was an association between dietary energy and protein intake with Royal Free Hospital Global Assessment (P<0.001) and a tendency for them to be associated with handgrip strength (P=0.076 and P=0.054). CONCLUSION 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.
منابع مشابه
Expression of Human Cytokine Genes Associated with Chronic Hepatitis B Disease Progression
Background: Hepatitis viruses are non-cytopathic viruses that lead to the infection and pathogenesis of liver diseases as a result of immunologically mediated event. Objective: To investigate the expression of human inflammatory cytokines in chronic hepatitis B patients according to the severity of the infection. Methods: We recruited a total of 120 patients, 40 of whom from cirrhotic, 40 non-c...
متن کاملDietary Intake of Antioxidants and Serum Levels of Total Antioxidant Status (TAS) in MS Patients with that of Normal Subjects
Hejazi E1, Amaani R2, Sharafodin-zadeh N3 1. M.sc Student of Nutritional Sciences, Department of Nutritional, Faculty of Para-Medicine, Jondi-shapour University of Medical Sciences 2. Associate Professor, Department of Nutritional, Faculty of Para-Medicine, Jondi-shapour University of Medical Sciences 3. Assistant Professor, Department of Neurology, Faculty of Medicine, Jondi-shapour University...
متن کاملNutrition Therapy for Liver Diseases Based on the Status of Nutritional Intake
The dietary intake of patients with nonalcoholic fatty liver disease (NAFLD) is generally characterized by high levels of carbohydrate, fat, and/or cholesterol, and these dietary patterns influence hepatic lipid metabolism in the patients. Therefore, careful investigation of dietary habits could lead to better nutrition therapy in NAFLD patients. The main treatment for chronic hepatitis C (CHC)...
متن کاملEvaluation of the relationship between growth status and dietary intake in 10 children with thalassemia major
Introduction: Thalassemia major is the most common inheritable disease in Iran with high prevalence in Fars province. Growth retardation is prevalent in this patients, mainly due to malnutrition. The aim Goal of this study was to determine the relationship between growth status and nutritional intake. Patients under 10 years old with thalassemia major. Methods: In this cross-sectional stu...
متن کاملNutritional requirements and actual dietary intake of adult burn patients
Background: Nutritional support of the burn patient is essential to optimize, host immune defenses and to promote prompt wound healing. Furthermore, the increased needs in calorie requirement of burned patients, the composition of proteins, carbohydrates and fats in their diet is important. The purpose of this study was to evaluate energy, macronutrient and micronutrient intake and comparing wi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Arquivos de gastroenterologia
دوره 52 3 شماره
صفحات -
تاریخ انتشار 2015