Nutritional Assessment of Children with Chronic Liver Diseases: The role of Anthropometry and Bioelectrical Impedance. | ||||
Ain Shams Medical Journal | ||||
Volume 74, Issue 4, December 2023, Page 1071-1080 PDF (419.06 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asmj.2023.214191.1127 | ||||
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Authors | ||||
Behairy E. Behairy1; Nermeen M. Adway1; Ola A. Fouad 1; Naglaa M. Hussein2; Eman M. Refaiy3 | ||||
1Department of Pediatric Hepatology, Gastroenterology and Nutrition, National Liver Institute - Menoufia University, Menoufia, Egypt. | ||||
2Department of Anesthesia, National Liver Institute - Menoufia University, Menoufia, Egypt. | ||||
3Pediatric department, Ministry of health, Alexandria, Egypt. | ||||
Abstract | ||||
Background: Malnutrition is considered one of the most serious complications of CLD. Aim Of the Work: The aim of this study was to assess the nutritional status of children with chronic liver diseases (CLD) using bioelectrical impending analysis (BIA) and anthropometric measurements. Patients and methods: This work was conducted as a cross sectional study and included 103 children with CLD. The included children were classified into 2 groups; group (1) which included 62 patients with mid upper arm circumference >5th percentile and group (2): included 41 patients with mid upper arm circumference ≤5th percentile. Each child underwent: full history taking, thorough clinical examination, and anthropometry measuring and bio electrical impedance analysis. Results: There were statistically significant differences between group 1 and group 2 as regard the median of Egyptian Z score of weight, height and body mass index (P-value= 0.006, 0.001 and 0.019, respectively). There were statistically significant differences between group 1 than group 2 as regard the median values of fat range percent, fat mass, fat free mass, body water percent, bone mass and phase angle which were higher in group 1 than group 2 (P-value= 0.001, 0.001, 0.001, 0.001, 0.001 and 0.001, respectively). Conclusion: Anthropometric parameters can be used for assessment of nutritional status in children with CLD .Bioelectrical impedance analysis is an effective tool for evaluation of nutritional state of CLD children. | ||||
Keywords | ||||
Anthropometry; Bioelectrical impedance analysis; chronic Liver diseases; Malnutrition | ||||
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