The nature of malnutrition in children with end-stage liver disease awaiting orthotopic liver transplantation
To evaluate malnutrition in chronic liver disease, and its relationship to nutrient deficiencies and hepatic dysfunction, 27 children with end-stage liver disease were studied. Mean protein-energy intakes were 70% of recommended daily intakes. The patients were underweight and stunted with reduced m...
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| Veröffentlicht in: | The American journal of clinical nutrition 1992-07, Vol.56 (1), p.164-168 |
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| creator | Chin, SE Shepherd, RW Thomas, BJ Cleghorn, GJ Patrick, MK Wilcox, JA Ong, TH Lynch, SV Strong, R |
| description | To evaluate malnutrition in chronic liver disease, and its relationship to nutrient deficiencies and hepatic dysfunction, 27 children with end-stage liver disease were studied. Mean protein-energy intakes were 70% of recommended daily intakes. The patients were underweight and stunted with reduced mean triceps and subscapular skinfold thicknesses and midupper arm circumference. Mean total body potassium was only 63 ± 18% of that expected for age and sex. Deficiency of essential fatty acids (32%), and low concentrations of fat-soluble vitamins (A, 92%; E, 32%), iron (32%), zinc (42%), and selenium (13%) were common. Serum ammonia concentrations were raised in all patients, and increased methionine, tyrosine, and glutamic acid, and reduced glutamine concentrations were noted. There was no correlation between the degree of malnutrition and the degree of liver synthetic function, the degree of cholestasis, or the degree of liver injury. We suggest that potentially correctable factors in addition to liver failure (eg, inadequate absorbed intake) were important determinants of malnutrition in these patients. |
| doi_str_mv | 10.1093/ajcn/56.1.164 |
| format | Article |
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Mean protein-energy intakes were 70% of recommended daily intakes. The patients were underweight and stunted with reduced mean triceps and subscapular skinfold thicknesses and midupper arm circumference. Mean total body potassium was only 63 ± 18% of that expected for age and sex. Deficiency of essential fatty acids (32%), and low concentrations of fat-soluble vitamins (A, 92%; E, 32%), iron (32%), zinc (42%), and selenium (13%) were common. Serum ammonia concentrations were raised in all patients, and increased methionine, tyrosine, and glutamic acid, and reduced glutamine concentrations were noted. There was no correlation between the degree of malnutrition and the degree of liver synthetic function, the degree of cholestasis, or the degree of liver injury. We suggest that potentially correctable factors in addition to liver failure (eg, inadequate absorbed intake) were important determinants of malnutrition in these patients.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/56.1.164</identifier><identifier>PMID: 1609754</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>BETHESDA: Elsevier Inc</publisher><subject>ABSORCION DE SUBSTANCIAS NUTRITIVAS ; ABSORPTION DE SUBSTANCES NUTRITIVES ; ACIDE AMINE ; Amino Acids - blood ; AMINOACIDOS ; Ammonia - blood ; AMMONIAC ; AMONIACO ; Anthropometry ; AUSTRALIA ; AUSTRALIE ; Biological and medical sciences ; Body Composition ; DIAGNOSTIC ; DIAGNOSTICO ; ENFANT ; ENFERMEDADES CARENCIALES ; ENFERMEDADES HEPATICAS ; ESTADO NUTRICIONAL ; ETAT NUTRITIONNEL ; Fatty Acids, Essential - blood ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Iron - blood ; Life Sciences & Biomedicine ; liver disease ; Liver Diseases - complications ; Liver Diseases - surgery ; Liver Transplantation ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; MALADIE DE CARENCE ; MALADIE DU FOIE ; MALNUTRICION ; MALNUTRITION ; Medical sciences ; MEDICION DEL CUERPO ; MENSURATION CORPORELLE ; NINOS ; Nutrition ; Nutrition & Dietetics ; Other diseases. Semiology ; POTASIO ; POTASSIUM ; Potassium - analysis ; PROCESO CRONICA ; PROCESSUS CHRONIQUE ; Protein-Energy Malnutrition - etiology ; Protein-Energy Malnutrition - pathology ; Science & Technology ; Selenium - blood ; SERUM SANGUIN ; SUERO SANGUINEO ; Vitamins - blood ; Zinc - blood</subject><ispartof>The American journal of clinical nutrition, 1992-07, Vol.56 (1), p.164-168</ispartof><rights>1992 American Society for Nutrition.</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>87</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wosA1992JB79900024</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c423t-44d764a2fedc29089ddb3ae52eafd27480b5fd0a264151a2102a1836c2d4e88b3</citedby><cites>FETCH-LOGICAL-c423t-44d764a2fedc29089ddb3ae52eafd27480b5fd0a264151a2102a1836c2d4e88b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27199,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5432671$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1609754$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chin, SE</creatorcontrib><creatorcontrib>Shepherd, RW</creatorcontrib><creatorcontrib>Thomas, BJ</creatorcontrib><creatorcontrib>Cleghorn, GJ</creatorcontrib><creatorcontrib>Patrick, MK</creatorcontrib><creatorcontrib>Wilcox, JA</creatorcontrib><creatorcontrib>Ong, TH</creatorcontrib><creatorcontrib>Lynch, SV</creatorcontrib><creatorcontrib>Strong, R</creatorcontrib><title>The nature of malnutrition in children with end-stage liver disease awaiting orthotopic liver transplantation</title><title>The American journal of clinical nutrition</title><addtitle>AM J CLIN NUTR</addtitle><addtitle>Am J Clin Nutr</addtitle><description>To evaluate malnutrition in chronic liver disease, and its relationship to nutrient deficiencies and hepatic dysfunction, 27 children with end-stage liver disease were studied. Mean protein-energy intakes were 70% of recommended daily intakes. The patients were underweight and stunted with reduced mean triceps and subscapular skinfold thicknesses and midupper arm circumference. Mean total body potassium was only 63 ± 18% of that expected for age and sex. Deficiency of essential fatty acids (32%), and low concentrations of fat-soluble vitamins (A, 92%; E, 32%), iron (32%), zinc (42%), and selenium (13%) were common. Serum ammonia concentrations were raised in all patients, and increased methionine, tyrosine, and glutamic acid, and reduced glutamine concentrations were noted. There was no correlation between the degree of malnutrition and the degree of liver synthetic function, the degree of cholestasis, or the degree of liver injury. We suggest that potentially correctable factors in addition to liver failure (eg, inadequate absorbed intake) were important determinants of malnutrition in these patients.</description><subject>ABSORCION DE SUBSTANCIAS NUTRITIVAS</subject><subject>ABSORPTION DE SUBSTANCES NUTRITIVES</subject><subject>ACIDE AMINE</subject><subject>Amino Acids - blood</subject><subject>AMINOACIDOS</subject><subject>Ammonia - blood</subject><subject>AMMONIAC</subject><subject>AMONIACO</subject><subject>Anthropometry</subject><subject>AUSTRALIA</subject><subject>AUSTRALIE</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>DIAGNOSTIC</subject><subject>DIAGNOSTICO</subject><subject>ENFANT</subject><subject>ENFERMEDADES CARENCIALES</subject><subject>ENFERMEDADES HEPATICAS</subject><subject>ESTADO NUTRICIONAL</subject><subject>ETAT NUTRITIONNEL</subject><subject>Fatty Acids, Essential - blood</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Iron - blood</subject><subject>Life Sciences & Biomedicine</subject><subject>liver disease</subject><subject>Liver Diseases - complications</subject><subject>Liver Diseases - surgery</subject><subject>Liver Transplantation</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>MALADIE DE CARENCE</subject><subject>MALADIE DU FOIE</subject><subject>MALNUTRICION</subject><subject>MALNUTRITION</subject><subject>Medical sciences</subject><subject>MEDICION DEL CUERPO</subject><subject>MENSURATION CORPORELLE</subject><subject>NINOS</subject><subject>Nutrition</subject><subject>Nutrition & Dietetics</subject><subject>Other diseases. Semiology</subject><subject>POTASIO</subject><subject>POTASSIUM</subject><subject>Potassium - analysis</subject><subject>PROCESO CRONICA</subject><subject>PROCESSUS CHRONIQUE</subject><subject>Protein-Energy Malnutrition - etiology</subject><subject>Protein-Energy Malnutrition - pathology</subject><subject>Science & Technology</subject><subject>Selenium - blood</subject><subject>SERUM SANGUIN</subject><subject>SUERO SANGUINEO</subject><subject>Vitamins - blood</subject><subject>Zinc - blood</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EZCTM</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc2LFDEQxYMo6zp69CIIOYgX6dkknf7IcR38ZMGDu-dQk1TPZOlJxiS9g_-9aXpYT4KnOrzfe1S9IuQ1Z2vOVH0F98ZfNe2ar3krn5BLruq-qgXrnpJLxpioFG-b5-RFSveMcSH79oJc8JaprpGX5HC7R-ohTxFpGOgBRj_l6LILnjpPzd6NNqKnJ5f3FL2tUoYd0tE9YKTWJYSEFE5QHH5HQ8z7kMPRmTORI_h0HMFnmCNfkmcDjAlfneeK3H3-dLv5Wt38-PJtc31TGSnqXElpu1aCGNAaoVivrN3WgI1AGKzoZM-2zWAZiFbyhoPgTADv69YIK7Hvt_WKvF9yjzH8mjBlfXDJ4FgWwTAl3dVMCFksK1ItoIkhpYiDPkZ3gPhbc6bnevVcr25azXWpt_Bvz8HT9oD2L730WfR3Zx2SgXEo5xuXHrFCiLbjBfuwYCfchiEZh97gI3XNlRLfP3ZKzf-bQ_v_pzduqXoTJp-L9c1iHSBo2MWyy91PVRdSzcd3i4jlFQ8Ooz5nWxfRZG2D-0cNfwDb-sGV</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Chin, SE</creator><creator>Shepherd, RW</creator><creator>Thomas, BJ</creator><creator>Cleghorn, GJ</creator><creator>Patrick, MK</creator><creator>Wilcox, JA</creator><creator>Ong, TH</creator><creator>Lynch, SV</creator><creator>Strong, R</creator><general>Elsevier Inc</general><general>Amer Soc Clinical Nutrition</general><general>American Society for Clinical Nutrition</general><scope>FBQ</scope><scope>BLEPL</scope><scope>DTL</scope><scope>EZCTM</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>The nature of malnutrition in children with end-stage liver disease awaiting orthotopic liver transplantation</title><author>Chin, SE ; Shepherd, RW ; Thomas, BJ ; Cleghorn, GJ ; Patrick, MK ; Wilcox, JA ; Ong, TH ; Lynch, SV ; Strong, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-44d764a2fedc29089ddb3ae52eafd27480b5fd0a264151a2102a1836c2d4e88b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>ABSORCION DE SUBSTANCIAS NUTRITIVAS</topic><topic>ABSORPTION DE SUBSTANCES NUTRITIVES</topic><topic>ACIDE AMINE</topic><topic>Amino Acids - blood</topic><topic>AMINOACIDOS</topic><topic>Ammonia - blood</topic><topic>AMMONIAC</topic><topic>AMONIACO</topic><topic>Anthropometry</topic><topic>AUSTRALIA</topic><topic>AUSTRALIE</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>DIAGNOSTIC</topic><topic>DIAGNOSTICO</topic><topic>ENFANT</topic><topic>ENFERMEDADES CARENCIALES</topic><topic>ENFERMEDADES HEPATICAS</topic><topic>ESTADO NUTRICIONAL</topic><topic>ETAT NUTRITIONNEL</topic><topic>Fatty Acids, Essential - blood</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Iron - blood</topic><topic>Life Sciences & Biomedicine</topic><topic>liver disease</topic><topic>Liver Diseases - complications</topic><topic>Liver Diseases - surgery</topic><topic>Liver Transplantation</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>MALADIE DE CARENCE</topic><topic>MALADIE DU FOIE</topic><topic>MALNUTRICION</topic><topic>MALNUTRITION</topic><topic>Medical sciences</topic><topic>MEDICION DEL CUERPO</topic><topic>MENSURATION CORPORELLE</topic><topic>NINOS</topic><topic>Nutrition</topic><topic>Nutrition & Dietetics</topic><topic>Other diseases. Semiology</topic><topic>POTASIO</topic><topic>POTASSIUM</topic><topic>Potassium - analysis</topic><topic>PROCESO CRONICA</topic><topic>PROCESSUS CHRONIQUE</topic><topic>Protein-Energy Malnutrition - etiology</topic><topic>Protein-Energy Malnutrition - pathology</topic><topic>Science & Technology</topic><topic>Selenium - blood</topic><topic>SERUM SANGUIN</topic><topic>SUERO SANGUINEO</topic><topic>Vitamins - blood</topic><topic>Zinc - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chin, SE</creatorcontrib><creatorcontrib>Shepherd, RW</creatorcontrib><creatorcontrib>Thomas, BJ</creatorcontrib><creatorcontrib>Cleghorn, GJ</creatorcontrib><creatorcontrib>Patrick, MK</creatorcontrib><creatorcontrib>Wilcox, JA</creatorcontrib><creatorcontrib>Ong, TH</creatorcontrib><creatorcontrib>Lynch, SV</creatorcontrib><creatorcontrib>Strong, R</creatorcontrib><collection>AGRIS</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 1992</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chin, SE</au><au>Shepherd, RW</au><au>Thomas, BJ</au><au>Cleghorn, GJ</au><au>Patrick, MK</au><au>Wilcox, JA</au><au>Ong, TH</au><au>Lynch, SV</au><au>Strong, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The nature of malnutrition in children with end-stage liver disease awaiting orthotopic liver transplantation</atitle><jtitle>The American journal of clinical nutrition</jtitle><stitle>AM J CLIN NUTR</stitle><addtitle>Am J Clin Nutr</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>56</volume><issue>1</issue><spage>164</spage><epage>168</epage><pages>164-168</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>To evaluate malnutrition in chronic liver disease, and its relationship to nutrient deficiencies and hepatic dysfunction, 27 children with end-stage liver disease were studied. Mean protein-energy intakes were 70% of recommended daily intakes. The patients were underweight and stunted with reduced mean triceps and subscapular skinfold thicknesses and midupper arm circumference. Mean total body potassium was only 63 ± 18% of that expected for age and sex. Deficiency of essential fatty acids (32%), and low concentrations of fat-soluble vitamins (A, 92%; E, 32%), iron (32%), zinc (42%), and selenium (13%) were common. Serum ammonia concentrations were raised in all patients, and increased methionine, tyrosine, and glutamic acid, and reduced glutamine concentrations were noted. There was no correlation between the degree of malnutrition and the degree of liver synthetic function, the degree of cholestasis, or the degree of liver injury. We suggest that potentially correctable factors in addition to liver failure (eg, inadequate absorbed intake) were important determinants of malnutrition in these patients.</abstract><cop>BETHESDA</cop><pub>Elsevier Inc</pub><pmid>1609754</pmid><doi>10.1093/ajcn/56.1.164</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of clinical nutrition, 1992-07, Vol.56 (1), p.164-168 |
| issn | 0002-9165 1938-3207 |
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| source | Web of Science - Science Citation Index Expanded - 1992<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; MEDLINE; Alma/SFX Local Collection |
| subjects | ABSORCION DE SUBSTANCIAS NUTRITIVAS ABSORPTION DE SUBSTANCES NUTRITIVES ACIDE AMINE Amino Acids - blood AMINOACIDOS Ammonia - blood AMMONIAC AMONIACO Anthropometry AUSTRALIA AUSTRALIE Biological and medical sciences Body Composition DIAGNOSTIC DIAGNOSTICO ENFANT ENFERMEDADES CARENCIALES ENFERMEDADES HEPATICAS ESTADO NUTRICIONAL ETAT NUTRITIONNEL Fatty Acids, Essential - blood Gastroenterology. Liver. Pancreas. Abdomen Humans Iron - blood Life Sciences & Biomedicine liver disease Liver Diseases - complications Liver Diseases - surgery Liver Transplantation Liver. Biliary tract. Portal circulation. Exocrine pancreas MALADIE DE CARENCE MALADIE DU FOIE MALNUTRICION MALNUTRITION Medical sciences MEDICION DEL CUERPO MENSURATION CORPORELLE NINOS Nutrition Nutrition & Dietetics Other diseases. Semiology POTASIO POTASSIUM Potassium - analysis PROCESO CRONICA PROCESSUS CHRONIQUE Protein-Energy Malnutrition - etiology Protein-Energy Malnutrition - pathology Science & Technology Selenium - blood SERUM SANGUIN SUERO SANGUINEO Vitamins - blood Zinc - blood |
| title | The nature of malnutrition in children with end-stage liver disease awaiting orthotopic liver transplantation |
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