Recent Progress of Nutritional Management for Liver Cirrhosis

Evidence-based Clinical Practice Guidelines for Liver Cirrhosis were updated in 2021 by The Japanese Society of Gastroenterology/Japan Society of Hepatology. In the guidelines, the flowchart for nutritional therapy was revised based on accumulated evidence. In particular, sarcopenia is incorporated as an assessment for nutritional status. In addition, late evening snack is repositioned as a 1st-line nutritional therapy. Furthermore, recent study demonstrated unforeseen pharmacological actions of branched-chain amino acids including improving sarcopenia and prognosis. In this mini-review, we summarize the updated points for nutritional therapy for patients with liver cirrhosis.