1Research scholar, Department of Amity Institute of Food Technology, Amity University, Noida, UP
2Lecturer (Home Science), HES(II), Department of Secondary Education, Haryana
3Assistant Professor-III, Department of Amity Institute of Food Technology, Amity University, Noida, UP
Online published on 21 July, 2018.
Malnutrition is an increasingly recognized as complication in both alcoholic liver disease and non-alcoholic liver diseases. It has been considered as an important predictive factor, which greatly affect the short and long-term outcomes of the disease. Malnutrition is very profound and more severe in patients having chronic liver diseases due to alcoholism. Patients with alcoholic liver diseases exhibited a wide range of nutritional deficiencies.
To assess the nutritional status of alcoholic liver disease patients.
120 subjects suffering from liver disease attended OPD were taken for study purpose and were divided into two groups. Group-A: 60 patients having ALD and Group-B: patients having NALD. Assessment of nutritional status was done by Child-Pugh classification (scores) to assess severity of the diseases, anthropometric and dietary methods to evaluate nutritional status.
The mean age of ALD patients was 48.8 and non-alcoholic liver disease was 52.1 years. 73.33% of the total patients were suffering from deficiency of both energy and proteins to some extent alongwith 41.67% of them presented with both moderate and severe PCM. There was insignificant difference between both groups in daily food intake in terms of energy, proteins, carbohydrates and fats. All patients were taking less calories and more protein than RDA. According to MAMC, observed that ALD sufferers showed more signs of malnutrition in terms of frequency rather than non-alcoholic liver disease sufferers. But when both groups were compared according to reasons behind the diseases, there was no significant difference was observed between alcoholic and non-alcoholic disease patients.
The analyzed data highlights the protein calorie malnutrition in both groups of ALD and NALD patients. The more suitable measures should be taken to address the problem.
Nutritional status, alcoholics, protein calorie malnutrition (PCM), outpatients, alcoholic liver disease (ALD). Non-alcoholic liver disease (NALD), Mid arm muscle circumference (MAMC), Child-Pugh scores, Malnutrition, Recommend Dietary Allowances (RDA)