Nutritional status in relation to lifestyle in patients with compensated viral cirrhosis  

作　　者：Fumikazu Hayashi Chika Momoki Miho Yuikawa Yuko Simotani Etsushi Kawamura Atsushi Hagihara Hideki Fujii Sawako Kobayashi Shuji Iwai Hiroyasu Morikawa Masaru Enomoto Akihiro Tamori Norifumi Kawada Satoko Ohfuji Wakaba Fukusima Daiki Habu 

机构地区：[1]Department of Medical Nutrition,Graduate School of Life Science,Osaka City University [2]Department of Hepatology,Graduate School of Medicine,Osaka City University [3]Department of Hepatology,Graduate School of Medicine,Osaka City University,Osaka 545-8585,Japan [4]Department of Public Health,Graduate School of Medicine,Osaka City University

出　　处：《World Journal of Gastroenterology》2012年第40期5759-5770,共12页世界胃肠病学杂志（英文版）

基　　金：Supported by Japan Nutritional Study Group for Liver cirrhosis 2008,No.JNUS2008;Health Labor Sciences Research Grant from the Ministry of Health,Labor and Welfare,Japan, No.H20-Hepatitis-General-005

摘　　要：AIM:To assess the nourishment status and lifestyle of non-hospitalized patients with compensated cirrhosis by using noninvasive methods.METHODS:The subjects for this study consisted of 27 healthy volunteers,59 patients with chronic viral hepatitis,and 74 patients with viral cirrhosis,from urban areas.We assessed the biochemical blood tests,anthropometric parameters,diet,lifestyle and physical activity of the patients.A homeostasis model assessment-insulin resistance(HOMA-IR) value of ≥ 2.5 was considered to indicate insulin resistance.We measured height,weight,waist circumference,arm circumference,triceps skin-fold thickness,and handgrip strength,and calculated body mass index,arm muscle circumference(AMC),and arm muscle area(AMA).We interviewed the subjects about their dietary habits and lifestyle using health assessment computer software.We surveyed daily physical activity using a pedometer.Univariate and multivariate logistic regression modeling were used to identify the relevant factors for insulin resistance.RESULTS:The rate of patients with HOMA-IR ≥ 2.5(which was considered to indicate insulin resistance) was 14(35.9%) in the chronic hepatitis and 17(37.8%) in the cirrhotic patients.AMC(%)(control vs chronic hepatitis,111.9% ± 10.5% vs 104.9% ± 10.7%,P = 0.021;control vs cirrhosis,111.9% ± 10.5% vs 102.7% ± 10.8%,P = 0.001) and AMA(%)(control vs chronic hepatitis,128.2% ± 25.1% vs 112.2% ± 22.9%,P = 0.013;control vs cirrhosis,128.2% ± 25.1% vs 107.5% ± 22.5%,P = 0.001) in patients with chronic hepatitis and liver cirrhosis were significantly lower than in the control subjects.Handgrip strength(%) in the cirrhosis group was significantly lower than in the controls(control vs cirrhosis,92.1% ± 16.2% vs 66.9% ± 17.6%,P < 0.001).The results might reflect a decrease in muscle mass.The total nutrition intake and amounts of carbohydrates,protein and fat were not significantly different amongst the groups.Physical activity levels(kcal/d)(control vs cirrhosis,210 ± 113 kcal/d vs 125 ± 74 kcal/d,P = AIM： To assess the nourishment status and lifestyle of non-hospitalized patients with compensated cirrhosis by using noninvasive methods. METHODS： The subjects for this study consisted of 27 healthy volunteers, 59 patients with chronic viral hepatitis, and 74 patients with viral cirrhosis, from urban areas. We assessed the biochemical blood tests, anthropometric parameters, diet, lifestyle and physical activity of the patients. A homeostasis model assessment-insulin resistance （HOMA-IR） value of ≥ 2.5 was considered to indicate insulin resistance. We measured height, weight, waist circumference, arm cir- cumference, triceps skin-fold thickness, and handgrip strength, and calculated body mass index, arm muscle circumference （AMC）, and arm muscle area （AMA）. We interviewed the subjects about their dietary habits and lifestyle using health assessment computer software. We surveyed daily physical activity using a pedometer. Univariate and multivariate logistic regression modeling were used to identify the relevant factors for insulin resistance. RESULTS： The rate of patients with HOMA-IR ≥ 2.5 （which was considered to indicate insulin resistance） was 14 （35.9%） in the chronic hepatitis and 17 （37.8%） in the cirrhotic patients. AMC （%） （control vs chronic hepatitis, 111.9% ± 10.5% vs 104.9% ± 10.7%, P = 0.021; control vs cirrhosis, 111.9% ± 10.5% vs 102.7% ± 10.8%, P = 0.001） and AMA （%） （control vs chronic hepatitis, 128.2% ± 25.1% vs 112.2% ± 22.9%, P = 0.013; control vs cirrhosis, 128.2% ± 25.1% vs 107.5% ± 22.5%, P = 0.001） in patients with chronic hepatitis and liver cirrhosis were signifi- cantly lower than in the control subjects. Handgrip strength （%） in the cirrhosis group was significantly lower than in the controls （control vs cirrhosis, 92.1% ± 16.2% vs 66.9% ± 17.6%, P 〈 0.001）. The results might reflect a decrease in muscle mass. The total nu- trition intake and amounts of carbohydrates, protein and fat were not significantly different

关 键 词：Hepatitis C virus Insulin resistance LIVERCIRRHOSIS Nutrition assessment Obesity LIFESTYLE Ex-ercise 

分 类 号：R575.2[医药卫生—消化系统]