Value of L3 skeletal muscle index in nutritional diagnosis of end-stage liver disease
10.3969/j.issn.1001-5256.2021.10.050
- VernacularTitle:第三腰椎骨骼肌指数在终末期肝病营养诊断中的应用价值
- Author:
Nan GENG
1
;
Ming KONG
1
;
Yu CHEN
1
;
Zhongping DUAN
1
Author Information
1. Fourth Department of Liver Disease Center & Beijing Municipal Key Laboratory of Liver Failure and Artificial Liver Treatment Research, Beijing YouAn Hospital, Capital Medical University, Beijing 100069, China
- Publication Type:Reviews
- Keywords:
End Stage Liver Disease;
Malnutrition;
Body Composition;
Diagnosis;
Prognosis
- From:
Journal of Clinical Hepatology
2021;37(10):2493-2496
- CountryChina
- Language:Chinese
-
Abstract:
Patients with end-stage liver disease often have malnutrition caused by reduced nutrient intake, increased energy consumption, impaired fasting adaptability, reduced liver glycogen reserve, and increased protein consumption. L3 skeletal muscle index (L3-SMI) (skeletal muscle cross-sectional area at the level of L3/square of height) is an important indicator for evaluating malnutrition in end-stage liver disease, with the advantages of strong objectivity, little influence by water-sodium retention, and good repeatability. This article reviews the application of L3-SMI in the nutritional diagnosis of liver cirrhosis, liver failure, liver cancer, and liver transplantation. The analysis shows that L3-SMI can effectively evaluate nutritional status and the effect of nutritional intervention in patients with end-stage liver disease, and therefore, it is expected to become an important method for nutritional diagnosis in end-stage liver disease.
