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Protein-Energy Malnutrition in Patients with Liver Cirrhosis
http://hdl.handle.net/10069/28546
http://hdl.handle.net/10069/285463ccc9550-39d9-4ff1-b043-ead6db878cfa
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
ActMed57_5.pdf (136.9 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2012-05-16 | |||||
| タイトル | ||||||
| タイトル | Protein-Energy Malnutrition in Patients with Liver Cirrhosis | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Respiratory quotient | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Indirect calorimetry | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Liver cirrhosis | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Protein-energy malnutrition | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
Omagari, Katsuhisa
× Omagari, Katsuhisa× Kaji, Manami× Ishii, Yuka× Iwami, Haruka× Ichimura, Mayuko× Matsutake, Sachiko× Kato, Shigeko× Takeshita, Shigeyuki× Ichikawa, Tatsuki× Nakao, Kazuhiko |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Protein-energy malnutrition (PEM) is frequently seen in patients with liver cirrhosis. This condition is associated with a poor prognosis and reduced survival. We investigated the protein and energy metabolic status, including serum albumin concentration, and resting energy expenditure (REE) and respiratory quotient (RQ) measured by indirect calorimetry in 23 patients with liver cirrhosis (8 men and 15 women; mean age, 60.3 years). The median value of %REE (measured REE / predicted REE) was highest in Child-Pugh grade A and lowest in grade C, and the range of RQ tended to be highest in Child-Pugh grade A and lowest in grade C, although there were not statistically significant (p=0.871 and 0.664, respectively). Serum triglyceride concentration was significantly lower in patients who had an RQ less than 0.85 than in patients who had an RQ of 0.85 or more, and free fatty acid tended to be higher in patients who had an RQ less than 0.85 than in patients who had an RQ of 0.85 or more. Of the 23 patients, 78.3% were in a state of protein and/or energy malnutrition and 47.8% had PEM. Our results suggest that %REE and RQ were not significantly associated with liver function, but the oxidation rate of fat was increased in advanced liver cirrhosis. A longitudinal study in a large population is needed to determine the efficacy of %REE and RQ measurements for adequate nutritional treatment and improvement of patient outcome. | |||||
| 書誌情報 |
Acta Medica Nagasakiensia 巻 57, 号 1, p. 5-12, 発行日 2012-04 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00016055 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00508430 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | Nagasaki University School of Medicine | |||||
| 出版者別言語 | ||||||
| 値 | 長崎大学医学部 | |||||
| sortkey | ||||||
| 値 | 02 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Acta Medica Nagasakiensia, 57(1), pp.5-12; 2012 | |||||
