Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Jun 21, 2014; 20(23): 7286-7297
Published online Jun 21, 2014. doi: 10.3748/wjg.v20.i23.7286
Table 1 Methods to assess protein-energy malnutrition and sarcopenia in liver cirrhosis patients
Indirect calorimetryTo calculate energy expenditure and npRQNon-invasive and accurateExpensive
npRQ being a marker for survival
Anthropometric measurementsTo estimate nutritional status and liver functionSimple and inexpensivePossible errors related to the measurements
AMC and TSF serve as markers for survival
%AMC and %AC serve as alternatives to npRQ
Bioimpedance analysisTo estimate body cell massConvenient and inexpensiveLimitations in patients with ascites
PA serves as a measure to estimate nutritional status and as a marker for survivalComparable with the DXA and MRI methods in the assessment of skeletal muscle volume
Imaging methodTo assess skeletal muscle volume
CT and MRIAccurateRadiation-exposed (CT)
DXAComparable with the CT and MRI methods
Less radiation exposure and lower cost than the CT method
Handgrip strengthTo measure muscle strengthSimple and inexpensivePossible errors related to measurements
A marker for nutritional status
A predictor of hepatic decompensation