Objective: To describe the metabolic and nutritional repercussions of chronic liver disease (CLD), proposing strategies that optimize nutritional therapy in the pre- and post-liver transplantation (LT) period, in order to promote favorable clinical outcomes and adequate growth and development, respectively. Data sources: Bibliographic search in the PubMed, Lilacs and SciELO databases of the last 12 years, in English and Portuguese; target population: children from early childhood to adolescence; keywords in Portuguese and their correlates in English: “Liver Transplant,” “Biliary Atresia,” “Nutrition Therapy,” “Nutritional Status,” and “Child”; in addition to Boolean logics “and” and “or,” and the manual search of articles. Data synthesis: Malnutrition in children with CLD is a very common condition and an important risk factor for morbidity and mortality. There is an increase in energy and protein demand, as well as difficulties in the absorption of carbohydrates, lipids and micronutrients such as fat-soluble vitamins and some minerals. An increase in the supply of energy, carbohydrates and proteins and micronutrients, especially fat-soluble vitamins, iron, zinc and calcium, is suggested, except in cases of hepatic encephalopathy (this restriction is indicated for a short period). Conclusions: Based on metabolic changes and anthropometric and body composition monitoring, a treatment plan should be developed, following the nutritional recommendations available, in order to minimize the negative impact of malnutrition on clinical outcomes during and after LT.

Decorrente a transição epidemiológica brasileira, com a crescente prevalência de doenças crônicas-degenerativas, a população em geral tem se interessado por questões de saúde inclusive a alimentação. Dessa forma, o presente trabalho teve o objetivo de pesquisar os hábitos alimentares e o perfil sócio-epidemiológico e nutricional dos agricultores e familiares, da Fazenda Pereiras e da Comunidade Yamaghishi, produtoras de alimentos orgânicos, no estado de São Paulo. Como resultados parciais, notou-se um consumo frequente de refinados, embutidos, gordura saturada e açúcares, assim como também, o consumo insuficiente de frutas e verduras. O ambiente rural pode proporcionar menos fatores que desencadeiem a obesidade, entretanto, ressalva-se a importância de uma alimentação saudável e equilibrada assim como a reflexão individual sobre o que é saúde.