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Diagnostics
Volume 12
Issue 4
10.3390/diagnostics12040893
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Article

Comparison of Different Nutritional Assessment Tools in Detecting Malnutrition and Sarcopenia among Cirrhotic Patients

by
Mirabela-Madalina Topan
1,
Ioan Sporea
1,2,
Mirela Dănilă
1,2,*,
Alina Popescu
1,2,
Ana-Maria Ghiuchici
1,2,
Raluca Lupușoru
1,3 and
Roxana Șirli
1,2
1
Department of Gastroenterology and Hepatology, “Victor Babeș” University of Medicine and Pharmacy, 30041 Timisoara, Romania
2
Advanced Regional Research Center in Gastroenterology and Hepatology, “Victor Babeș” University of Medicine and Pharmacy, 30041 Timisoara, Romania
3
Center for Modeling Biological Systems and Data Analysis, Department of Functional Science, “Victor Babeș” University of Medicine and Pharmacy, 30041 Timisoara, Romania
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(4), 893; https://doi.org/10.3390/diagnostics12040893
Submission received: 10 February 2022 / Revised: 25 March 2022 / Accepted: 1 April 2022 / Published: 3 April 2022
(This article belongs to the Special Issue Advances in the Diagnosis of Gastrointestinal Diseases)
Review Reports Versions Notes

Abstract

Malnutrition and sarcopenia are common complications of liver cirrhosis. This study compares the performance of different nutritional assessment techniques in detecting malnourished patients. Data from 156 patients with liver cirrhosis were collected. We assessed the nutritional status of these patients according to: Subjective Global Assessment (SGA); Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT), skinfold thickness (TSF), mid-upper arm circumference (MUAC), mid-upper arm muscle circumference (MUMC), handgrip strength (HGS), body mass index (BMI), and skeletal muscle index (SMI) evaluated by Contrast-Enhanced Computed Tomography (CT). According to EWGSOP2 criteria, combining low HGS with low SMI, the prevalence of malnutrition/sarcopenia was 60.2%. RFH-NPT, MUAC, MAMC, and HGS were excellent tests for detecting malnourished patients. Combining RFH-NPT with MUAC or MUMC increased diagnosis accuracy, AUC = 0.89, p < 0.0001. Age, Child-Pugh class C, albumin level, vitamin D deficiency, male gender, and alcoholic etiology were significantly associated with malnutrition. In conclusion, the prevalence of malnutrition among patients with cirrhosis was relatively high. Our study highlights the potential use of a simpler and inexpensive alternative that can be used as a valuable tool in daily practice, the combination between RFH-NPT and MUAC.
Keywords: malnutrition; sarcopenia; liver cirrhosis; nutritional screening tools; anthropometric measurements; handgrip strength; skeletal muscle index malnutrition; sarcopenia; liver cirrhosis; nutritional screening tools; anthropometric measurements; handgrip strength; skeletal muscle index

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MDPI and ACS Style

Topan, M.-M.; Sporea, I.; Dănilă, M.; Popescu, A.; Ghiuchici, A.-M.; Lupușoru, R.; Șirli, R. Comparison of Different Nutritional Assessment Tools in Detecting Malnutrition and Sarcopenia among Cirrhotic Patients. Diagnostics 2022, 12, 893. https://doi.org/10.3390/diagnostics12040893

AMA Style

Topan M-M, Sporea I, Dănilă M, Popescu A, Ghiuchici A-M, Lupușoru R, Șirli R. Comparison of Different Nutritional Assessment Tools in Detecting Malnutrition and Sarcopenia among Cirrhotic Patients. Diagnostics. 2022; 12(4):893. https://doi.org/10.3390/diagnostics12040893

Chicago/Turabian Style

Topan, Mirabela-Madalina, Ioan Sporea, Mirela Dănilă, Alina Popescu, Ana-Maria Ghiuchici, Raluca Lupușoru, and Roxana Șirli. 2022. "Comparison of Different Nutritional Assessment Tools in Detecting Malnutrition and Sarcopenia among Cirrhotic Patients" Diagnostics 12, no. 4: 893. https://doi.org/10.3390/diagnostics12040893

APA Style

Topan, M.-M., Sporea, I., Dănilă, M., Popescu, A., Ghiuchici, A.-M., Lupușoru, R., & Șirli, R. (2022). Comparison of Different Nutritional Assessment Tools in Detecting Malnutrition and Sarcopenia among Cirrhotic Patients. Diagnostics, 12(4), 893. https://doi.org/10.3390/diagnostics12040893

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