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Assessment of malnutrition in alcoholic and non alcoholic cirrhotics
L Narayanan1, Y Chawla, A K Bhalla
1Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Objective:
To study the nutritional status in patients with chronic liver disease using anthropometric techniques.
Methods:
A total of 60 cirrhotic patients (30 Alcoholic (AC), 30 Non-alcoholic (NAC) and 30 control (CO) subjects were studied. Nutritional status was assessed using anthropometric measurements such as stature, body weight, body mass index, (BMI), skinfold thickness measurements and mid upper arm muscle circumference. Serum protein, serum albumin and globulin were measured.
Results:
The skinfold thicknesses were significantly lower in NAC group of patients. In contrast the AC group of patients showed significantly lower mid upper arm muscle circumference values. Both groups of cirrhotic patients showed significantly lower total serum protein and serum albumin levels.
Conclusion:
Body fat is relatively more affected in NAC group of patients and muscle mass is more affected in AC group of patients.