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    NUTRITIONAL STATUS IN PATIENTS WITH LIVER DISEASE: EPIDEMIOLOGY AND PROGNOSIS

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    Malnutrition is generally defined as protein-energy malnutrition (PEM) in patients with chronic liver disease because the depletion of muscle mass and body fat is associated with protein depletion. Deficiencies of vitamins and minerals often cohexist. PEM represents a common complication of advanced liver disease, both of alcoholic and nonalcoholic etiology. It is related to the severity of the liver disease more than to its etiology. Malnutrition negatively affects liver function, complications of the liver disease, and survival. Malnourished patients have an increased surgical risk and decreased survival after liver transplantation. The assessment of nutritional status in patients with chronic liver disease may be helpful to provide better prognostic information and more precise targeting of potential nutrition intervention
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