Journal
CLINICS IN LIVER DISEASE
Volume 16, Issue 1, Pages 95-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cld.2011.12.009
Keywords
Malnutrition; Cirrhosis; Sarcopenia; Metabolism
Categories
Funding
- NCRR NIH HHS [UL1 RR024989] Funding Source: Medline
- NIDDK NIH HHS [R01 DK083414, U01 DK061732] Funding Source: Medline
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Malnutrition is the most common, reversible complication of cirrhosis that adversely affects survival, response to other complications, and quality of life. Sarcopenia, or loss of skeletal muscle mass, and loss of adipose tissue and altered substrate use as a source of energy are the 2 major components of malnutrition in cirrhosis. Current therapies include high protein supplementation especially as a late evening snack. Exercise protocols have the potential of aggravating hyperammonemia and portal hypertension. Recent advances in understanding the molecular regulation of muscle mass has helped identify potential novel therapeutic targets including myostatin antagonists, and mTOR resistance.
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