Theme |
Cutting-edge Nutrition Therapy for Supporting the Treatment of Gastrointestinal Disorders |
Title |
Nutritional Management of Liver Disease |
Author |
Ryujin Endo |
Division of Hepatology, Department of Internal Medicine, Iwate Medical University, School of Medicine |
Author |
Kei Sawara |
Division of Hepatology, Department of Internal Medicine, Iwate Medical University, School of Medicine |
Author |
Kei Endo |
Division of Hepatology, Department of Internal Medicine, Iwate Medical University, School of Medicine |
Author |
Yasuhiro Takikawa |
Division of Hepatology, Department of Internal Medicine, Iwate Medical University, School of Medicine |
Author |
Akinobu Kato |
Division of Hepatology, Department of Internal Medicine, Iwate Medical University, School of Medicine |
Author |
Kazuyuki Suzuki |
Department of Nutritional Science, Morioka University |
[ Summary ] |
The liver is a primary organ, involved in nutritional metabolism. Therefore, metabolic abnormalities related to nutritional elements gradually develop in line with the severity of liver damage. For nutritional management of liver disease, it is necessary to evaluate liver functions and to understand the patientʼs nutritional status including protein-energy malnutrition (PEM), impaired glucose metabolism and protein intolerance. These are determined by referring to anthropometric values and various biomarkers. It should be recognized that nutritional therapy for patients with liver disease can decrease the progression of hepatic failure and improve patient QOL. |