Show Notes
Liver disease can have major impacts on nutrition status. Join Beth RD, LDN, CNSC, CSSD as she discusses the signs of liver disease, complications that can arise, and how to approach nutrition assessment and management. This is part 1 of a 2 part video set.
Part 2 focuses on nutrition support for liver disease with a case study and can be found here! https://youtu.be/lpY0WhpVumQ
Closed captions provided by Tze Xin Goh, MS, RDN
0:15 Liver functions 1:39 Acute liver disease 2:39 Chronic liver disease 4:09 Complications of liver disease 5:05 High malnutrition risk 6:06 Barriers to PO intake 7:33 Nutrition assessment 8:27 Estimating dry weight 10:44 Nutrition needs 13:45 Goals of nutrition therapy 14:52 Avoiding prolonged fasting 15:50 Vitamin considerations 16:59 Mineral considerations
Resources: Trefts E, Gannon M, Wasserman DH. The liver. Curr Biol. 2017;27(21):R1147-R1151. doi:10.1016/j.cub.2017.09.019
Kozeniecki M, Ludke R, Kerner J, Patterson B. Micronutrients in Liver Disease: Roles, Risk Factors for Deficiency, and Recommendations for Supplementation. Nutr Clin Pract. 2020;35(1):50-62. doi:10.1002/ncp.10451
Ghufran A. Nutrition in Chronic Liver Disease: A Point-of-Care Review. Nutr Clin Pract. 2020;35(2):211-217. doi:10.1002/ncp.10470
Plank LD, Gane EJ, Peng S, et al. Nocturnal nutritional supplementation improves total body protein status of patients with liver cirrhosis: a randomized 12-month trial. Hepatology. 2008;48(2):557-566. doi:10.1002/hep.22367
Johnson TM, Overgard EB, Cohen AE, DiBaise JK. Nutrition assessment and management in advanced liver disease. Nutr Clin Pract. 2013;28(1):15-29. doi:10.1177/0884533612469027
Owen OE, Reichle FA, Mozzoli MA, et al. Hepatic, gut, and renal substrate flux rates in patients with hepatic cirrhosis. J Clin Invest. 1981;68(1):240-252. doi:10.1172/jci110240
Mueller C, Lord LM, Marian M, McClave S, Miller SJ. The Aspen Adult Nutrition Support Core Curriculum. Silver Spring, MD, USA: American Society for Parenteral and Enteral Nutrition; 2017.
Hasse JM, DiCecco SR. Enteral Nutrition in Chronic Liver Disease: Translating Evidence Into Practice. Nutr Clin Pract. 2015;30(4):474-487. doi:10.1177/0884533615591058
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