Bioelectrical Impedance Vector Analysis in Cirrhotic Patients (BIVA)
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Purpose
Protein-energy malnutrition and muscle wasting are a common finding among patients with liver cirrhosis. Its prevalence may range from 50-90% depending on the methods used for nutritional assessment. Even stable cirrhotic patients referred as Child A have muscle depletion and the majority of patients classified as Child C have significant depletion.
Despite the importance of nutritional status in patient's outcome, there is no gold standard for nutritional assessment. Traditional techniques used in healthy subjects to assess nutritional status cannot be used in cirrhotic patients due especially to ascites and peripheral edema, and altered rates of biochemical markers due to liver failure.
Bioelectrical impedance vector analysis has emerged as a useful method to assess body composition and nutritional status especially in patients at the extremes of body weight (fluid overload, excess of adipose tissue, etc.).
The purpose of this study is to validate bioelectrical impedance vector analysis as a useful method for nutritional assessment in cirrhotic patients.
| Condition |
|---|
|
Liver Cirrhosis Malnutrition |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Cross-Sectional |
| Official Title: | Bioelectrical Impedance Vector Analysis is a Better Tool for Assessing Nutritional Status in Cirrhotic Patients |
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The participants will be recruited from the Gastroenterology Department of a tertiary care setting.
Inclusion Criteria:
- Diagnose of liver cirrhosis by two or more of the following criteria:
- Albumin < 3.4 g/dL
- INR ≥ 1.3
- Total bilirubin ≥ 2 mg/dL
- Portal hypertension (esophageal varices, splenomegaly, ascites, etc.)
- Liver biopsy
- Ambulatory patients
Exclusion Criteria:
- Personal history of surgery in the last four weeks
- Thyroid disorders without replacement therapy
- Pregnancy
- Active alcoholism with alcohol ingest in the previous 6 months.
- Acute or chronic renal failure
- Hepatic or renal transplant
Contacts and Locations| Mexico | |
| Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán | |
| Mexico City, Mexico, 14000 | |
| Study Chair: | Aldo Torre Delgadillo, M.D. M.Sc | INCMNSZ |
More Information
No publications provided
| Responsible Party: | ALDO TORRE DELGADILLO, M.D. M.Sc, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran |
| ClinicalTrials.gov Identifier: | NCT01603953 History of Changes |
| Other Study ID Numbers: | Gas-549-09-12-1 |
| Study First Received: | May 20, 2012 |
| Last Updated: | September 18, 2012 |
| Health Authority: | Mexico: Secretaria de Salud |
Additional relevant MeSH terms:
|
Liver Cirrhosis Fibrosis Malnutrition Liver Diseases |
Digestive System Diseases Pathologic Processes Nutrition Disorders |
ClinicalTrials.gov processed this record on May 16, 2013