Karaciğer Sirozu Olan Hastalarda, Malnütrisyon, Vücut Bileşimi, Enerji ve Besin Ögeleri Alımının Değerlendirilmesi

Abstract

The study, conducted to assess malnutrition, body composition and dietary intakes in patients with liver cirrhosis, was carried out among total of 58 patients (42 males and 16 females) with liver cirrhosis, mean of ages 56.8±12.76 at the Gazi University, Medical Faculty, Gastroenterology Clinic. Socio-demographic characteristics of the patients were determined by means of questionnaire and anthropometric measurements, hand grip strengths and 24 hour recall food intakes were assessed and some blood parameters were recorded. CTP (Child-Turcotte-Pugh) and MELD (Model for End-Stage Liver Disease) scores were calculated to diagnose the severity of disease. Energy and dietary intakes and anthropometric measurements of the patients were compared according to malnutrition classification by triceps skin-fold thickness. Mean weights of the men was 74.7±12.97 kg and the women was 79.4±18.22 kg, 97.6 % of the men and 93.8 % of the women have inadequate energy intakes. In comparison of anthropometric measurements according to MELD score, the weight increased in parallel with increasing score(p>0.05). Means of left and right hand grip strengths in both sexes decreased with increasing severity of cirrhosis, according to MELD Score and CTP Stages (p>0.05). In comparison with CTP A Stage, in both men and women in CTP C stage, energy, protein, fat and carbohydrate intakes reduced, but any significance couldn’t be found statistically (p>0.05). According to CTP, while severity of cirrhosis increased, albumin scores decreased (p<0.05).In classification according to triceps skin-fold thickness, degree of mulnutration in the men increased, energy intake decraesedin paralel (p>0.05).In the men patients, according to triceps skin-fold thickness, while malnutration status increase, levels of weight decreased and difference between each other is statistically found as significant(p<0.05).The energy and nutrient intake of patients should be controlled in order to slow down the progression of the cirrhosis stage and not to decrease the complications.