Nutrition Status of Patients With Chronic Hepatitis B or C

Menta, Penélope Lacrísio dos Reis; Correia, María Isabel Toulson Davisson; Vidigal, Paula Vieira Teixeira; Silva, Luciana Diniz; Teixeira, Rosângela

doi:10.1177/0884533614546168

Cited by 11 publications

(4 citation statements)

References 20 publications

(16 reference statements)

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“…In this present study was possible analyzed the anthropometric parameters of risk identification to cardiovascular diseases in patients diagnosed with hepatitis C. The majority of patients were female, similarly as observed by Menta et al (2015) in which 54.0% of hepatitis C patients were female. Regarding the lifestyle evaluation, this present research evidenced a high rate of physical inactivity.…”

Section: Discussionsupporting

confidence: 53%

“…According to Petta (2017) a pro-inflammatory and pro-fibrogenic environment increases even more the development of cardiovascular lesions. Thus, due to metabolic alterations and extrahepatic manifestations observed in patients, it is common to observe overweight in these individuals (Menta et al, 2015). Alves, Schmidt and Benet (2018) evidence that the high percentage of body fat observed in chronic hepatitis C patients is considered as an important risk factor to the appearance of CVD and other associated complications.…”

Section: Introductionmentioning

confidence: 99%

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Anthropometric parameters as alternatives to identify visceral fat and cardiovascular risk in hepatitis C patients

Carvalhal

Zandonadi

Pereira

et al. 2022

RSD

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Objective: To analyze the anthropometric parameters used as alternatives to identify visceral fat and cardiovascular risk in patients with hepatitis C. Methodology: Study carried out between June to November of 2017, with hepatitis C patients. Social data, lifestyle and biochemical parameters were collected. Anthropometric assessment was carried out, being measured height, weight, waist circumference and hip circumference were measured. Then, body mass index, waist and height ratio, waist-to-hip ratio, visceral adiposity index and Framinghan risk score were calculated. For statistical analysis, chi-square test was applied, and simple and multiple logistic regressions have been performed to explore the correlation between anthropometric parameters and Framingham risk score, adopting a 5% significance level. Statistical Package for Social Science software was used. Results: 55 patients evaluated. It was observed that 56.36% presented cardiovascular risk according to waist circumference and waist-to-hip ratio, 78.18% according to the waist and height ratio, and 74.55% according to the visceral adiposity index. In the relation between Framingham risk score and anthropometric parameters it was observed that waist-to-hip ratio was considered a significant independent predictor (OR=14.7000; CI95% = 3.5360 – 61.1180). Conclusion: For the identification of visceral fat, it is suggested to use the waist-to-hip ratio because it indicated a probability for the development of cardiovascular events in individuals with hepatitis C.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Anthropometric parameters as alternatives to identify visceral fat and cardiovascular risk in hepatitis C patients

Carvalhal

Zandonadi

Pereira

et al. 2022

RSD

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“…Hepatitis C virus (HCV) affects approximately 170 million people worldwide, and complications associated with chronic hepatitis C (CHC) include liver fibrosis, cirrhosis, liver failure, and hepatocellular carcinoma (HCC) . Malnutrition has been identified in 13.0% to >90.0% of patients with liver disease . Altogether, these conditions contribute to loss of muscle mass (MM), an important indicator of malnutrition.…”

mentioning

confidence: 99%

“…Malnutrition has been identified in 13.0% to >90.0% of patients with liver disease. 2,3 Altogether, these conditions contribute to loss of muscle mass (MM), an important indicator of malnutrition. A recent cross-sectional study from National Health Examination and Nutrition (NHANES) demonstrated that low MM, as assessed by mid-upper arm circumference (MUAC) measurements, precedes the development of cirrhosis in patients with CHC.…”

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confidence: 99%

Bioelectrical Impedance Analysis–Derived Measurements in Chronic Hepatitis C: Clinical Relevance of Fat‐Free Mass and Phase Angle Evaluation

et al. 2017

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Objective: Because cirrhotic patients are at high risk of malnutrition and sarcopenia, we evaluated the prevalence of low fat‐free mass index (FFMI) and low phase angle (PhA) among patients with chronic hepatitis C (CHC). Methods: In total, 135 subjects with CHC (50.4% males; mean age, 52.4 ± 11.8 years; 65.9% noncirrhotic and 34.1% compensated cirrhotic patients) were prospectively included and evaluated by bioelectrical impedance analysis. Subjective global assessment was used to evaluate malnutrition. Results: Low FFMI and low PhA were identified in 21.5% and 23.7% of the patients, respectively. Compensated cirrhotic patients had lower PhA values than those without cirrhosis. Low FFMI was associated with male sex (odds ratio [OR], 2.74; 95% confidence interval [CI], 1.00–7.01; P = .04) and malnutrition (OR, 4.27; 95% CI, 1.42–12.90; P = .01). Low PhA was associated with cirrhosis (OR, 3.92; 95% CI, 1.56–9.86; P = .004), malnutrition (OR, 5.52; 95% CI, 1.73–17.62; P = .004), and current alcohol use (OR, 2.77; 95% CI, 1.01–7.58; P = .05). Reactance (Xc) normalized for height (H), an indicator of muscle strength, was independently associated with male sex, age, hypertension, and serum albumin. Conclusion: Host factors, including clinical comorbidities, lifestyle, and nutrition status, are associated with low FFMI and low PhA in noncirrhotic and in compensated cirrhotic patients with CHC. These findings highlight the relevance of evaluating body composition in patients chronically infected by hepatitis C virus independently of the stage of liver disease.

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Malnutrition in Hepatitis C Virus (HCV) Disease

Ismail¹,

Naeem²

2018

Handbook of Famine, Starvation, and Nutrient Deprivation

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Nutrition Status of Patients With Chronic Hepatitis B or C

Abstract: Overweight/obesity is prevalent among patients with hepatitis B and C and can contribute to the development of steatosis. Malnutrition is also observed and is related to the severity of liver disease.

Cited by 11 publications

References 20 publications

Anthropometric parameters as alternatives to identify visceral fat and cardiovascular risk in hepatitis C patients

Anthropometric parameters as alternatives to identify visceral fat and cardiovascular risk in hepatitis C patients

Bioelectrical Impedance Analysis–Derived Measurements in Chronic Hepatitis C: Clinical Relevance of Fat‐Free Mass and Phase Angle Evaluation

Malnutrition in Hepatitis C Virus (HCV) Disease

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