Comparison of Malnutrition Risk between Patients with Liver Cirrhosis and Viral Hepatitis Carrier: A Single Center Study.
10.4166/kjg.2014.64.5.284
- Author:
Joo Ah LEE
1
;
Tae Hee LEE
;
Ji Yeong KIM
;
Min Gyu SEOK
;
Min Gyu KANG
;
Ji Hyun JEONG
;
Hoon Sup KOO
;
Kyung Ho SONG
;
Yong Seok KIM
;
Sun Moon KIM
;
Kyu Chan HUH
;
Young Woo CHOI
;
Young Woo KANG
Author Information
1. Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. green740@naver.com
- Publication Type:Comparative Study ; English Abstract ; Original Article
- Keywords:
Hepatitis, viral, human;
Liver cirrhosis;
Malnutrition
- MeSH:
Adult;
Aged;
Body Mass Index;
Cholesterol/blood;
Female;
Hemoglobins/analysis;
Hepatitis, Viral, Human/*pathology;
Hospitals, University;
Humans;
Liver Cirrhosis/*pathology;
Lymphocyte Count;
Male;
*Malnutrition;
Middle Aged;
Nutritional Status;
Retrospective Studies;
Risk;
Serum Albumin/analysis;
Severity of Illness Index
- From:The Korean Journal of Gastroenterology
2014;64(5):284-289
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: It is well-known that patients with chronic liver disease commonly have nutritional deficiency. In the present study, we investigated the differences in malnutrition risk between patients with liver cirrhosis and viral hepatitis carrier. METHODS: Patients with chronic liver disease who have been hospitalized at Konyang University Hospital from May 2012 to April 2013 were analyzed retrospectively. The malnutrition risk was divided into three categories (low, intermediate, and high) according to Konyang University Hospital Malnutrition Screening, which include BMI, serum albumin, total lymphocyte count (TLC), hemoglobin, weight change, appetite, and dysphagia, within 24 hours of hospitalization. RESULTS: Among a total of 460 patients, 313 had liver cirrhosis (LC), and 147 were viral hepatitis carriers. Age (p<0.001), serum albumin level (p<0.001), TLC (p=0.011), hemoglobin (p<0.001) and serum cholesterol level (p=0.005) were significant different between the two groups. However, there were no difference in height, weight, and BMI. The malnutrition risk of the patients with viral hepatitis carrier was significantly lower than that of the patients with LC (p<0.001). In addition, among 313 patients with LC, malnutrition risk of the patients with Child-Pugh class A (n=150) was significantly lower than that of the patients with class B (n=90) or C (n=73) (p<0.001). CONCLUSIONS: Viral hepatitis carrier group had significantly lower malnutrition risk than LC group. The risk of malnutrition in Child-Pugh class A group was significantly lower than that in class B or C group.
