For dietary advice in end-stage liver cirrhosis resting metabolic rate should be measured, not estimated  

作　　者：Daphne Bot Anneke Droop Maarten E.Tushuizen Bart van Hoek 

机构地区：[1]Department of Dietetics,Leiden University Medical Center,Leiden 2300 RC,The Netherlands [2]Department of Gastroenterology and Hepatology,and Transplantation Center,Leiden University Medical Center,Leiden 2300 RC,The Netherlands.

出　　处：《Hepatoma Research》2020年第7期86-87,共2页肝癌研究（英文版）

摘　　要：Dear Editor,We read with great interest the article“Frailty and Liver resection:where do we stand?”by Sioutas et al.[1]in Hepatoma Research.In this review,the authors summarized the available frailty tools and their impact on postoperative outcomes in patients undergoing liver resection,in particular elderly patients(>60 years).In addition to this review,we would like to provide extra information regarding this topic based on own research.One of the variables included in most frailty assessments is nutritional status,e.g.,loss of body weight or muscle mass.It is well known that malnutrition has a negative impact on clinical outcome of patients with end-stage liver cirrhosis.Insufficient nutrient intake,impaired digestion or absorption of nutrients,and disturbances in macronutrient metabolism contribute to malnutrition in these patients.The total energy expenditure consists of resting metabolic rate(RMR)and expenditure for physical activity.

关 键 词：CIRRHOSIS METABOLISM IMPAIRED 

分 类 号：R73[医药卫生—肿瘤]