Evaluation of the nutritional status of patients with liver cirrhosis

Table 1 Causes of liver fibrosis leading to cirrhosis

Etiological factor	Diseases causing liver fibrosis
Viral infections	Chronic hepatitis B
	Chronic hepatitis D
	Chronic hepatitis C
	Chronic hepatitis E
Autoimmune	Autoimmune hepatitis
	Primary biliary cirrhosis
	Primary sclerosing cholangitis
	Autoimmune cholangitis
Metabolic	Nonalcoholic fatty liver disease
	Hemochromatosis
	Wilson's disease
	a1-antitrypsin deficiency
Toxic	Alcoholic liver disease
	Drugs, industrial toxins

Table 2 Mean values of anthropometric measurements in groups according to Child–Pugh classification (n = 118)

Parameter	A	B	C
	n = 52	n = 34	n = 32
Body weight (kg)	76.41	64.11	68.91
BMI (kg/m²)	26.71	21.91	23.91
Myocardial circumference (cm)	27.61	25.91	25.21

¹Mean values are significantly different at P < 0.05.

BMI: Body mass index.

Table 3 Nutritional status expressed by body mass index in relation to standards (n = 118)

BMI	A		B		C
	n = 52	%	n = 34	%	n = 32	%
Underweight	2	3.8	8	24	3	9.3
Correct body weight	18	35	20	59	17	53
Overweight	21	40	6	18	11	35
Obesity	11	21	0	0	1	3.1

BMI: Body mass index.

Table 4 Mean measurement values of body composition components (n = 118) in groups according to Child–Pugh classification

Component	A	B	C
	n = 52	n = 34	n = 32
FFMI (kg/m²)	18.51	16.61	16.61
MMI (kg/m²)	10.11	8.81	8.551
FMI (kg/m²)	7.91	5.251	6.71
ECW (l)	0.3881	0.3961	0.4061
PA (Xc/R)	51	4.41	3.91

¹Mean values are significantly different at P < 0.05.

FFMI: Fat free mass index; MMI: Muscle mass index; FMI: Fat mass index; ECW: Extracellular water; SGA: Subjective global assessment; PA: Phase angle.

Table 5 Nutritional status expressed by body composition results in relation to standards (n = 118)

Component		A		B		C
		n = 52	%	n = 34	%	n = 32	%
FFMI (kg/m²)	Below standard	7	13.4	22	64.7	15	46.8
	Standard	45	86.5	12	35.2	17	53.1
MMI (kg/m²)	Below standard	1	1.9	10	29.4	18	56.2
	Standard	51	98	24	70.5	14	43.7
FMI (kg/m²)	Below standard	22	42.3	18	52.9	19	59.7
	Standard	16	30.7	12	35.2	9	28.1
	Above standard	14	26.9	4	11.7	4	12.5
ECW (L)	Normal	26	50	10	29.4	3	9.3
	Above standard	20	38.4	14	41.1	7	21.8
	Much above standard	6	11.5	10	29.4	22	68.7
PA (Xc/R)	Below standard	38	73	27	74.6	32	100
	Standard	14	26.9	7	20.5	0	0

FFMI: Fat free mass index; MMI: Muscle mass index; FMI: Fat mass index; ECW: Extracellular water; SGA: Subjective global assessment; PA: Phase angle.

Table 6 Mean serum albumin values according to Child–Pugh classification (n = 118)

Factor	A	B	C
Albumin concentration (g/dL)	4.181	3.281	2.711

¹Mean values are significantly different at P < 0.05.

Table 7 Nutritional status expressed by the obtained results of albumin concentration in relation to the standards (n = 118)

Albumin concentration (g/dL)	A		B		C
	n	%	n	%	n	%
Below standard	4	7.6	27	79	32	100
Standard	48	92.3	7	21	0	0

Table 8 Nutritional status expressed by the results of the subjective global assessment scale (n = 118)

SGA	A		B		C
	n = 52	%	n = 34	%	n = 32	%
Proper nutritional status	41	78.8	14	41.1	6	18.7
Risk of malnutrition	8	15.3	11	32.3	12	37.5
Malnutrition	3	5.7	9	26.4	14	43.7

SGA: Subjective global assessment.