One-year follow-up of the nutritional status of patients undergoing liver transplantation

One-year follow-up of the nutritional status of patients undergoing liver transplantation

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Background: Choosing the method Waist of nutritional assessment is essential for proper follow-up of the nutritional status of patients undergoing liver transplantation.Objectives: Evaluate and compare the nutritional status of cirrhotic patients before and after liver transplantation over a year by different methods of nutritional assessment.Methods: Patients undergoing liver transplantation were assessed in five phases: pre-transplant, 1, 3, 6 and 12 months after transplantation at the hospital Santa Casa de Misericordia de Porto Alegre, RS, Brazil.The methods used for nutritional assessment were anthropometry, grip strength of the non-dominant hand (HGS) by dynamometry, thickness of the adductor pollicis muscle (APM) and phase angle (PA) by bioelectrical impedance analysis (BIA).

In all evaluations, the same measurements were taken.Results: Evaluations were performed in 22 patients.Methods that showed a higher prevalence of malnourished patients before transplantation were PA by BIA (25%), arm muscle circumference (AMC) (21.9%) and arm circumference (AC) (18.

8%).When comparing the nutritional status of patients during follow-up, there was a significant difference only in the evaluation methods AC, triceps skinfold thickness and PA by BIA.At the end, the methods of nutritional assessment were compared again.They showed a significant statistical difference, with HGS being the best method for detecting malnutrition.

Conclusions: In conclusion, it is suggested that the method PA by BIA could be widely used with this population since Twin/Twin Bunk Bed the results are consistent with other findings in the literature and they are significant, reliable, and reproducible.