Nutritional Assessment of Liver Cirrhosis Patients Visiting Public Hospital, Lahore

Nutritional Assessment of Liver Cirrhosis Patients


  • Ishrat Fatima University Institute of Dietetics and Nutritional Sciences, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Maria Aslam University Institute of Dietetics and Nutritional Sciences, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Hina Asif Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
  • Mahvish Kabir Department of Biotechnology, University of Management and Technology, Lahore, Pakistan
  • Sara Hayee Government Graduate College for Women, Samanabad, Lahore, Pakistan



liver cirrhosis, hepatitis C, nutrition


Cirrhosis is defined as the development of regenerative nodules surrounded by fibrous bands and inflammation of liver, which can cause portal hypertension or hepatic insufficiency that causes jaundice, hepatic encephalopathy or various complications. The important function of liver is to maintain the body metabolic homeostasis. It also helps in protein, carbohydrate, and fat metabolism, due to which the diet of a person is fully affected Objective: To assess the nutritional status of liver cirrhosis patients, visiting Public Hospitals, Lahore Methods: A cross-sectional study was performed at Sir Ganga Ram Hospital Lahore, for a period of 4 months and 100 patients of liver cirrhosis were selected by non-probability convenient sampling to conduct the study. Results: Of total 100 patients, 53% were males and 47% were females. The mean of age, body mass index and calories intake were (53.17±18.414), (19.12±4.743) and (544.88±437.195). Out of 100 patients only 7% of the patients were nourished, 58% are malnourished, and 35% patients were severely malnourished. Mostly patients were malnourished and lost weight due to disease. The mean BMI of patients was19.12±4.743, which shows that mostly patients were malnourished and undernourished. Sarcopenia was common in patients suffering from liver cirrhosis.  Conclusions:  Cirrhosis is complication of liver disease that involves loss of liver cells and irreversible scarring of the liver. It is more prevalent in males as compared to females.


Merli M. Nutrition and Chronic Liver Disease. Sherlock's Diseases of the Liver and Biliary System. 2018 :561-71

Schuppan D, Afdhal NH. Liver cirrhosis. Lancet. 2008 Mar 8;371(9615):838-51. doi: 10.1016/S0140-6736(08)60383-9.

Scaglione S, Kliethermes S, Cao G, Shoham D, Durazo R, Luke A, Volk ML. The Epidemiology of Cirrhosis in the United States: A Population-based Study. J Clin Gastroenterol. 2015;49(8):690-6. doi: 10.1097/MCG.0000000000000208.

Jensen EE, Baltzer R, Bjerg SH, Bager P. Supportive care in end-stage liver disease: a clinical review. Gastrointestinal Nursing. 2018;16(6):38-43.

Ruiz-Margáin A, Macías-Rodríguez RU, Ríos-Torres SL, Román-Calleja BM, Méndez-Guerrero O, Rodríguez-Córdova P, Torre A. Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis. Rev Gastroenterol Mex (Engl Ed). 2018;83(1):9-15. English, Spanish. doi: 10.1016/j.rgmx.2017.02.005.

Kalafateli M, Konstantakis C, Thomopoulos K, Triantos C. Impact of muscle wasting on survival in patients with liver cirrhosis. World J Gastroenterol. 2015;21(24):7357-61. doi: 10.3748/wjg.v21.i24.7357.

Dharmalingam M, Yamasandhi PG. Nonalcoholic fatty liver disease and Type 2 diabetes mellitus. Indian journal of endocrinology and metabolism. 2018;22(3):421. doi:10.4103/ijem.IJEM_585_17

Berentzen TL, Gamborg M, Holst C, Sørensen TI, Baker JL. Body mass index in childhood and adult risk of primary liver cancer. J Hepatol. 2014 Feb;60(2):325-30. doi: 10.1016/j.jhep.2013.09.015.

Shiraki M, Nishiguchi S, Saito M, Fukuzawa Y, Mizuta T, Kaibori M, Hanai T, Nishimura K, Shimizu M, Tsurumi H, Moriwaki H. Nutritional status and quality of life in current patients with liver cirrhosis as assessed in 2007-2011. Hepatol Res. 2013;43(2):106-12. doi: 10.1111/hepr.12004.

Liu B, Balkwill A, Reeves G, Beral V. Body mass index and risk of liver cirrhosis in middle aged UK women: prospective study. BMJ. 2010;340:c912.

Hyder MA, Hasan M, Mohieldein AH. Comparative levels of ALT, AST, ALP and GGT in liver associated diseases. European journal of experimental biology. 2013;3(2):280-4.

Lisman T, Porte RJ. Rebalanced hemostasis in patients with liver disease: evidence and clinical consequences. Blood. 2010;116(6):878-85.

Emami MH, Hashemi M, Kouhestani S, Taheri H, Karimi S. Should We Look for Celiac Disease among all Patients with Liver Function Test Abnormalities? Int J Prev Med. 2012;3(3):167-72.

Schiavo L, Busetto L, Cesaretti M, Zelber-Sagi S, Deutsch L, Iannelli A. Nutritional issues in patients with obesity and cirrhosis. World J Gastroenterol. 2018 Aug 14;24(30):3330-3346. doi: 10.3748/wjg.v24.i30.3330.

Mundi MS, Velapati S, Patel J, Kellogg TA, Abu Dayyeh BK, Hurt RT. Evolution of NAFLD and Its Management. Nutr Clin Pract. 2020 Feb;35(1):72-84. doi: 10.1002/ncp.10449.

Yki-Järvinen H. Non-alcoholic fatty liver disease as a cause and a consequence of metabolic syndrome. Lancet Diabetes Endocrinol. 2014 Nov;2(11):901-10. doi: 10.1016/S2213-8587(14)70032-4.

Li B, Zhang C, Zhan YT. Nonalcoholic Fatty Liver Disease Cirrhosis: A Review of Its Epidemiology, Risk Factors, Clinical Presentation, Diagnosis, Management, and Prognosis. Can J Gastroenterol Hepatol. 2018;2018:2784537. doi: 10.1155/2018/2784537.

Perumpail BJ, Li AA, Cholankeril G, Kumari R, Ahmed A. Optimizing the Nutritional Support of Adult Patients in the Setting of Cirrhosis. Nutrients. 2017 Oct 13;9(10):1114. doi: 10.3390/nu9101114.

McClain CJ. Nutrition in patients with cirrhosis. Gastroenterology & hepatology. 2016;12(8):507-510.

Arteh J, Narra S, Nair S. Prevalence of vitamin D deficiency in chronic liver disease. Dig Dis Sci. 2010 Sep;55(9):2624-8. doi: 10.1007/s10620-009-1069-9.

Anastácio LR, Ferreira SC. Nutrition, dietary intake, and eating behavior after liver transplantation. Curr Opin Clin Nutr Metab Care. 2018 Sep;21(5):381-387. doi: 10.1097/MCO.0000000000000491.



DOI: 10.54393/df.v1i02.33
Published: 2020-12-30

How to Cite

Fatima, I., Aslam, M., Asif, H., Kabir, M., & Hayee, S. (2020). Nutritional Assessment of Liver Cirrhosis Patients Visiting Public Hospital, Lahore: Nutritional Assessment of Liver Cirrhosis Patients. DIET FACTOR (Journal of Nutritional and Food Sciences), 1(02), 44–47.



Original Article


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