Screening and assessment of malnutrition in patients with liver cirrhosis

被引：3
作者：
He, Yumei [1 ,2 ]
Wang, Zhiming [2 ]
Wu, Shiyan [3 ]
Li, Lu [3 ]
Li, Jiazhen [4 ]
Zhang, Yexing [2 ]
Chen, Boshi [2 ]
Sun, Xiaobin [2 ]
Sun, Chao [5 ]
Wu, Liping [2 ]
机构：
[1] North Sichuan Med Coll, Nanchong, Peoples R China
[2] Southwest Jiaotong Univ, Affiliated Hosp, Peoples Hosp Chengdu 3, Dept Gastroenterol, Chengdu, Peoples R China
[3] Southwest Med Univ, Dept Gastroenterol, Affiliated Hosp, Luzhou, Peoples R China
[4] Southwest Jiaotong Univ, Peoples Hosp Chengdu 3, Dept Clin Nutr, Affiliated Hosp, Chengdu, Peoples R China
[5] Tianjin Med Univ Gen Hosp, Dept Gastroenterol & Hepatol, Tianjin, Peoples R China
来源：
FRONTIERS IN NUTRITION | 2024年 / 11卷
关键词：
cirrhosis; risk assessment; assessment; malnutrition; prevalence; NUTRITIONAL ASSESSMENT; ESPEN GUIDELINES; DIAGNOSTIC-CRITERIA; GLIM CRITERIA; SARCOPENIA; TOOL; DISEASE; ASSOCIATION; VALIDATION; MANAGEMENT;
D O I：
10.3389/fnut.2024.1398690
中图分类号：
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号：
100403 ;
摘要：
The development and advancement of malnutrition is associated not only with the progression of hepatic dysfunction, but also with cirrhosis-related complications. However, the prevalence of malnutrition reported in different studies varies widely due to differences in diagnostic methods and patient investigation settings. Therefore, we need to identify malnourished patients promptly and accurately. The purpose of this review was to compare the validity and reliability of nutritional screening tools and to select the most appropriate nutritional risk screening for patients with cirrhosis. We compared nutritional risk screening tools such as the Nutritional Risk Screening 2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST), Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) and Liver Disease Undernutrition Screening Tool (LDUST). Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT) is more feasible to screen cirrhotic patients for nutritional risk, and is highly reproducible, considering the impact of sodium and water retention; so it is practical to screen cirrhotic patients via RFH-NPT for nutritional risk, subsequently, to evaluate the nutritional status of patients with nutritional risk via the Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria. L3-SMI (third lumbar-skeletal muscle index) can accurately define sarcopenia in cirrhotic patients and also be used for clinical nutritional status assessment.
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页数：10
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