dc.contributor | Hospital General de Granollers |
dc.contributor.author | Lira, Alba |
dc.contributor.author | Casas, Meritxell |
dc.contributor.author | Puig-Divi, Valentí |
dc.contributor.author | Llibre-Nieto, Gemma |
dc.contributor.author | Vergara, Mercedes |
dc.contributor.author | Solé, Cristina |
dc.date.accessioned | 2022-03-15T07:33:15Z |
dc.date.available | 2022-03-15T07:33:15Z |
dc.date.issued | 2021-04-10 |
dc.identifier.citation | Llibre-Nieto G, Lira A, Vergara M, Solé C, Casas M, Puig-Diví V, et al. Micronutrient Deficiencies in Patients with Decompensated Liver Cirrhosis. Nutrients. 2021 Apr 10;13(4):1249. |
dc.identifier.issn | 2072-6643 |
dc.identifier.uri | https://hdl.handle.net/11351/7177 |
dc.description | Decompensated cirrhosis; Micronutrient deficiency; Malnutrition |
dc.description.abstract | Patients with cirrhosis often develop malnutrition and micronutrient deficiencies, leading to a worse prognosis and increased mortality. Our main goal was to assess the prevalence of micronutrient deficiencies in patients with decompensated cirrhosis. This was a prospective single-center study including 125 consecutive patients hospitalized for acute decompensation of cirrhosis (mostly of alcoholic etiology). A blood test including trace elements and vitamins was performed on admission. The main micronutrient deficiencies observed were vitamin D (in 94.5%), vitamin A (93.5%), vitamin B6 (60.8%) and zinc (85.6%). Patients in Child-Pugh class C had lower levels of vitamin A (p < 0.0001), vitamin E (p = 0.01) and zinc (p < 0.001), and higher levels of ferritin (p = 0.002) and vitamin B12 (p < 0.001) than those in Child-Pugh class A and B. Patients with a higher model of end-stage liver disease (MELD) score had lower levels of vitamin A (p < 0.0001), vitamin E (p < 0.001), magnesium (p = 0.01) and zinc (p = 0.001), and higher levels of ferritin (p = 0.002) and vitamin B12 (p < 0.0001). Severe hepatic insufficiency correlated with lower levels of zinc, vitamin E and vitamin A, and higher levels of vitamin B12 and ferritin. |
dc.language.iso | eng |
dc.publisher | MDPI |
dc.relation.ispartofseries | Nutrients;13(4) |
dc.rights | Attribution 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.source | Scientia |
dc.subject | Cirrosi hepàtica |
dc.subject | Malnutrició |
dc.subject | Avitaminosi |
dc.subject.mesh | Liver Cirrhosis |
dc.subject.mesh | Avitaminosis |
dc.subject.mesh | Micronutrients |
dc.title | Micronutrient Deficiencies in Patients with Decompensated Liver Cirrhosis |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.3390/nu13041249 |
dc.subject.decs | cirrosis hepática |
dc.subject.decs | avitaminosis |
dc.subject.decs | micronutrientes |
dc.relation.publishversion | https://doi.org/10.3390/nu13041249 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.authoraffiliation | [Llibre-Nieto G] Hepatology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. Hospital General de Granollers, Granollers, Spain. [Lira A, Casas M] Hepatology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. [Vergara M] Hepatology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain. [Solé C] Hepatology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain. [Puig-Diví V] Hepatology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. Gastroenterology Unit, Digestive Disease Department, Hospital Universitari Parc Tauli, Institut d’Investigacio i Innovació Parc Taulí (I3PT), Sabadell, Spain |
dc.identifier.pmid | 33920134 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |