Abstract

ROMERO, Gisela; ANDERSON VASQUEZ, Hazel; BAEZ, Mónica  and  ZAMBRANO, Jackeline. Hyperproteic diet: its impact on serum albumin, ascitic fluid and nutritional status in cirrhosis. Gen [online]. 2013, vol.67, n.1, pp.25-31. ISSN 0016-3503.

Introduction: The patients with cirrhosis for all etiology, have malnutrition and more risk of progression of the disease. The objective of this study was to correlate the effect of hyperproteic diet on levels of serum albumin and albumin levels in the ascitic fluid with dietary intake before and after nutritional intervention in patients with cirrhosis of the liver; as well as their impact on nutritional status. Patients and methods: This prospective, experimental and longitudinal study assessed 10 patients with diagnosis of liver cirrhosis Child Pugh B, (8 men and 2 women) (30-70 years). Were practicated an anthropometric evaluation (BMI), serum biochemistry and the ascitic fluid and dietary indicators. The analysis was performed using the program SPSS 15 and Wilcoxon Test (P = < 0,05). Results: Serum albumin at the beginning = 3. 6 + 1.3 g/dl and 3.5 + 1.1gr/dl albumin to the end of the liquid ascitic = 1.4 + 0. 7 g/dl before and 2.5 + 0.8 g/dl then. In terms of nutritional status at the beginning 7 (70%) = normal, 1 (10%) = malnutrition grade I and 2 (20%) obesity. At the end: 6 patients (60%) = normal, 2 (20%) obesity, overweight 1(10%) and 1 (10 per cent) malnutrition grade I. Conclusion: We concluded that hyperproteic diet contributed to increase protein and albumin levels from the ascitic fluid, and also influenced on the nutritional status.

Keywords : albumin; ascites; liver disease; hyperproteic diet; nutritional status.

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