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Assessment and prognostic importance of nutritional status and body composition in liver transplantation
Publicerad 9 september 2020
Assessment and prognostic importance of nutritional status and body composition in liver transplantation Catarina Lindqvist, Karolinska Institutet, 2020
Chronic liver disease and liver cirrhosis are progressive diseases closely linked to metabolism and nutritional status. Weight loss is a result of negative energy balance and is therefore a good measure of risk of malnutrition. Screening and assessment of malnutrition in patients with liver cirrhosis is difficult because ascites and oedema are prevalent in late stages of liver cirrhosis. Accumulated fluid could make weight loss as an indicator of malnutrition inappropriate and malnourishment in obese patients can be challenging to identify. Knowledge about body composition, especially the presence of sarcopenia or sarcopenic obesity, is of great clinical value in the liver transplant setting. The scientific and clinical field is hampered by a lack of consensus on how to assess nutritional status in patients with liver cirrhosis. More research is needed to clarify the first part of the nutrition care process: nutritional assessment.
Thesis Assessment and prognostic importance of nutritional status and body composition in liver transplantation Catarina Lindqvist 2020 (pdf)