Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 4 Issue 2

Nutritional Status of the Patients with Chronic Liver Disease are More Often Overlooked During Clinical Observations

Guney Merve1* and Basaranoglu Metin2

1Nutrition and Diet Department, Bezmialem Vakif University, Medical Faculty Hospital, Istanbul, Turkey
2Division of Gastroenterology, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey

*Corresponding Author: Merve Guney, Nutrition and Diet Department, Bezmialem Vakif University, Medical Faculty Hospital, Istanbul, Turkey.

Received: December 18, 2019; Published: January 06, 2020

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Abstract

Background:Chronic liver diseases are one of the major cause of mortality and morbidity in the world. Life style modifications such as diet and physical activity status of the patients are more often overlooked during clinical observations despite the benefits on patients with chronic liver disease. The aim of present study is to assess the nutritional status of patients with chronic liver disease at out-patient clinical setting. We examined whether patients are make any modification on their diet for their chronic liver disease. If yes, are those modifications professional or unprofessional. Use of specific plants and junk foods consumption were specifically evaluated. Physical activity status were determined, too.

Methods and Material:Patients with any chronic liver diseases that we follow in our Hepatology out-patient clinic were included in this study. We used a basic questionnaire. We evaluated anthropometric measurements of 38 patients with chronic liver disease due to any hepatic etiology.

Results:Half of the patients were obese (n=19). Of the 38 patients, 9 (24%) followed special diet and 78% of them were prescribed diet program by doctor who are not qualified in nutrition. Only 18% (n = 7) do regular physical activity 150 mins/week.

Conclusion:We most importantly found that all of the participants of the current study were obese or overweight (84%) and physically inactive (82%). And most of the participants didn’t consult the specialist about diet or any life style intervention. It is well known that weight loss by both Mediterranean diet and increased physical activity could improve hepatic abnormalities such as necroinflammation and hepatic steatosis in patients with chronic liver disease due to any cause. Life style modifications such as diet and physical activity status of the patients are more often overlooked during clinical observations and nutritional consultion is now a necessary issue for the gastroenterology and hepatology out-patient clinics.

Keywords: Nutritional Status; Chronic Liver Disease; Physical Activity

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References

  1. Pimpin L., et al. “Burden of liver disease in Europe: epidemiology and analysis of risk factors to identify prevention policies”. Journal of Hepatology 69.3 (2018): 718-735.
  2. European Association for the Study of the Liver, and European Association for the Study of Diabetes “EASL-EASD-EASO Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease”. Obesity Facts 9.2 (2016): 65-90.
  3. Osland EJ., et al. “Obesity management in liver clinics: translation of research into clinical practice”. Journal of Gastroenterology and Hepatology 22.4 (2007): 504-509. 
  4. Jin X., et al. “Green tea consumption and liver disease: a systematic review”. Liver International 28.7 (2008): 990-996.
  5. Basaranoglu M., et al. “Fructose as a key player in the development of fatty liver disease”. World Journal of Gastroenterology 19.8 (2013): 1166-1172. 
  6. WHO. Body Mass Index Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation (2008).
  7. Kobayashi H., et al. “The antioxidant effect of green tea catechin ameliorates experimental liver injury”. Phytomedicine 17 (2010): 197-202.
  8. Neveen M., et al. “The Possible Anti-fibrotic Effect of Artichoke on the Liver and Heart of Bile Duct Ligation Rat Model”. Anatomy Physiology and Biochemistry International Journal 2.1 (2017): 555577
  9. Yang X., et al. “Compositional characterisation of soluble apple polysaccharides, and their antioxidant and hepatoprotective effects on acute CCl4-caused liver damage in mice”. Food Chemistry 138 (2013): 1256-1264.
  10. Shimoda H., et al. “Walnut polyphenols prevent liver damage induced by carbon tetrachloride and d-galactosamine: hepatoprotective hydrolyzable tannins in the kernel pellicles of walnut”. Journal of Agricultural and Food Chemistry 56.12 (2008): 4444-4449.
  11. Bruck R., et al. “Prevention of liver cirrhosis in rats by curcumin”. Liver International 27.3 (2007): 373-383. 
  12. Shu JC., et al. “Curcumin prevents liver fibrosis by inducing apoptosis and suppressing activation of hepatic stellate cells”. Journal of Natural Medicines 63.4 (2009): 415-420. 
  13. Sağlık Araştırmaları Genel Müdürlüğü and Sağlık Bakanlığı. Türkiye Beslenme ve Sağlık Araştırması (2010).
  14. Basaranoglu M and Basaranoglu G. “Pathophysiology of insulin resistance and steatosis in patients with chronic viral hepatitis”. World Journal of Gastroenterology 17 (2010): 4055-4062.
  15. Tetri LH., et al. “Severe NAFLD with hepatic necroinflammatory changes in mice fed trans fats and a high-fructose corn syrup equivalent”. The American Journal of Physiology-Gastrointestinal and Liver Physiology 295.5 (2008): G987-995.
  16. Chalasani N., et al. “The diagnosis and management of non‐alcoholic fatty liver disease: Practice Guideline by the American Association for the Study of Liver Diseases, American College of Gastroenterology, and the American Gastroenterological Association”. Hepatology 55.6 (2012): 2005-2023.
  17. Hickman IJ., et al. “Modest weight loss and physical activity in overweight patients with chronic liver disease results in sustained improvements in alanine aminotransferase, fasting insulin, and quality of life”. Gut 53.3 (2004): 413-419.
  18. Hickman IJ., et al. “Effect of weight reduction on liver histology and biochemistry in patients with chronic hepatitis C”. Gut 51.1 (2002): 89-94.
  19. St. George A., et al. “Effect of a lifestyle intervention in patients with abnormal liver enzymes and metabolic risk factors”. Journal of Gastroenterology and Hepatology 24.3 (2009): 399-407.
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Citation

Citation: Guney Merve and Basaranoglu Metin. “Nutritional Status of the Patients with Chronic Liver Disease are More Often Overlooked During Clinical Observations". Acta Scientific Nutritional Health 4.2 (2020): 01-05.




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