Sarcopenia in Chronic Liver Disease

被引:0
作者
Seo, Kwang Il [1 ,2 ,3 ]
机构
[1] Kosin Univ, Coll Med, Dept Internal Med, 262 Gamcheon ro, Busan 49267, South Korea
[2] Kosin Univ, Coll Med, Chang Kee Ryo Mem Liver Inst, Busan, South Korea
[3] Kosin Univ, Gospel Hosp, Nutr Support Team, Busan, South Korea
关键词
Sarcopenia; Ammonia; Psoas muscle; Nutrition status; PORTAL-HYPERTENSION; ENERGY-EXPENDITURE; NUTRITIONAL-STATUS; BODY-COMPOSITION; SKELETAL-MUSCLE; CIRRHOSIS; MALNUTRITION; INCREASES; MEN; PREVALENCE;
D O I
10.4166/kjg.2023.127
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Sarcopenia is a crucial factor in assessing the nutritional status of chronic liver disease patients and predicting their prognosis and survival. The serum ammonia level is closely associated with sarcopenia regarding ammonia, a key regulator in the liver-muscle axis. In addition, various changes in energy metabolism and hormones are also involved in sarcopenia. The psoas muscle area can represent the overall skeletal muscle mass in liver disease patients. Therefore, measuring the psoas muscle area with computed tomography or magnetic resonance imaging is considered an objective and reliable method for assessing muscle mass. Providing sufficient calorie and protein intake is crucial for preventing and treating sarcopenia. In addition, engaging in appropriate exercise and addressing concurrent hormonal and metabolic changes can be helpful.
引用
收藏
页码:233 / 238
页数:6
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