Association between Dietary Habits and Sarcopenia in Patients with Liver Cirrhosis

Sarcopenia and sarcopenic obesity are frequent complications of cirrhosis, and the dietary patterns of patients with these diseases significantly impact the development of both conditions. This study aims to evaluate the adequacy of the dietary intake of patients with liver cirrhosis. A total of 201...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-07, Vol.12 (14), p.4693
Main Authors: Topan, Mirabela-Madalina, Sporea, Ioan, Dănilă, Mirela, Popescu, Alina, Ghiuchici, Ana-Maria, Lupușoru, Raluca, Șirli, Roxana
Format: Article
Language:English
Subjects:
Ascites
Body mass index
Care and treatment
Clinical medicine
Complications and side effects
Edema
Food
Food habits
Health aspects
Hepatitis
International organizations
Liver cirrhosis
Liver diseases
Methods
Mortality
Muscle strength
Musculoskeletal system
Normal distribution
Nutrition
Nutrition research
Nutritional status
Obesity
Patient compliance
Patients
Prevention
Product/Service Evaluations
Proteins
Risk factors
Sarcopenia
Software
Statistical analysis
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Summary:Sarcopenia and sarcopenic obesity are frequent complications of cirrhosis, and the dietary patterns of patients with these diseases significantly impact the development of both conditions. This study aims to evaluate the adequacy of the dietary intake of patients with liver cirrhosis. A total of 201 patients with liver cirrhosis were included in this analysis. We evaluated the nutritional status of the patients as stated by EWGSOP2 criteria. Subjects were divided into three groups: non-sarcopenic, sarcopenic, and with sarcopenic obesity. We conducted a dietary assessment three times over nonconsecutive 24 h periods within a month. According to EWGSOP2 criteria, combining low handgrip strength with low skeletal muscle index, the prevalence of sarcopenia was 57.2%. Sarcopenic obesity was found in 25.3% of patients. In the sarcopenic group of patients, the energy intake was lower than the current recommendations. Regarding protein intake, the consumption was relatively low in both sarcopenia and sarcopenic obesity samples of patients (0.85 g/kg body weight and 0.77 g/kg BW, < 0.0001). Patients had a median of 2-3 eating episodes daily, and they often missed late-evening snacks. In conclusion, diet quality in cirrhotic patients was relatively poor, and energy and protein intakes were lower than suggested.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12144693