Abstract

NUTRITIONAL ASSESSMENT AND MANAGEMENT IN CHRONIC LIVER DISEASE

Dr. Naveen Polavarapu*, Dr. A. V. Kishore Babu, Dr. Divya Reddy, Dr. Sneha Reddy, Dr. Rafia Naveed and Dr. Srinivasa Rao

ABSTRACT

Liver plays major role in metabolism of nutrients their distribution and absorption. Malnutrition is common in patients with chronic liver disease and it is an important prognostic indicator. The aim of the study was to assess the nutritional status of the patients with chronic liver disease by using Assessment parameters like MNA (mini nutrition assessment tool that classify nutritional status of the patient into three: normal nutritional status, at risk of malnutrition, malnourished, and also based Anthropometric measurements (BMI, MAC, calf circumference), laboratory and cinical findings. The present study is prospective observational study. The patients are recruited from gastroenterology department Apollo hospitals, jubilee hills from October to march 2018. The sample of study composed of 70 patients who fulfilled inclusion criteria. The study revealed that 25.7% of the patients have good nutritional status, 54.5% of the patients are at risk of malnutrition, 20% of the patients were malnourished based on MNA Screening score. 21.4% of the patients have good nutritional status, 54.3% are at risk of malnutrition and 24.3% are malnourished based on MNA Indicator score. Based on the BMI 1.75% of males and 23.07 percent of females were underweight, 52.63% males and30.79 females were normal weight, 26.31% males and others were less likely overweight and obese. Based on MUAC and Calf circumference most of their nutritional status was well nourished and moderately nourished. Assessment of nutritional statuus based on laboratory parameters showed that serum Albumin, Pre albumin, total bilirubin, total protein, ALT were more sensitive in detecting deterioration of chronic liver disease.

Keywords: Liver, Malnutrition, Assessment parameters, MNA, Deterioration.