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. 2023 Sep;77(9):845-854.
doi: 10.1038/s41430-023-01287-7. Epub 2023 Apr 24.

A scoping review of the methods used in patients with liver cirrhosis to assess body composition and their nutritional findings

Aranza-Jhosadara Espinosa-Flores  1 , Elizabeth Guzman-Ortiz  2 , Guillermo Melendez-Mier  3 , Sergey K Ternovoy  4   5 , Nallely Bueno-Hernandez  6 , Ernesto Roldan-Valadez  7   8
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A scoping review of the methods used in patients with liver cirrhosis to assess body composition and their nutritional findings

Aranza-Jhosadara Espinosa-Flores et al. Eur J Clin Nutr. 2023 Sep.

Abstract

Background and objectives: Body composition (BC) assessment in cirrhosis has a wide variety of methods with no consensus on the best tools for each body component in patients with Liver Cirrhosis (LC). We aimed to conduct a systematic scoping review of the most frequent body composition analysis methods and nutritional findings published in liver cirrhosis patients.

Methods: We searched for articles in PubMed, Scopus, and ISI Web of Science databases. Keywords selected the BC methods and parameters in LC.

Results: Eleven methods were found. The most frequently used were computed tomography (CT) 47.5%, Bioimpedance Analysis 35%, DXA 32.5%, and anthropometry 32.5%. Up to 15 BC parameters were reported from each method.

Conclusions: The vast heterogeneity in the results found during the qualitative analysis and imaging methods must reach a consensus to achieve a better clinical practice and improve nutritional treatment, as the physiopathology in LC compromises the nutritional status directly.

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