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Poor Nutrition Can Lead To Muscle Wasting in Patients With Liver Failure

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New Delhi : Poor nutrition is common in patients with liver failure, or cirrhosis, and it can lead to muscle wasting, weakness, fatigue, and worse outcomes before and after patients undergo liver transplantation.A new review published in Liver Transplantation addresses aspects of nutrition in transplant candidates with cirrhosis and emphasizes the need to screen all patients to identify those with poor nutritional status, especially those suffering from muscle wasting.

“Muscle wasting is frequently overlooked in liver transplant candidates as nutritional assessment is not routinely carried out as part of clinical practice, and an accurate assessment can be complicated by obesity or fluid retention,” said the review’s senior author, Aldo J. Montano-Loza, MD, MSc, PhD, of the University of Alberta. “Muscle wasting is one of the major features of undernutrition in cirrhosis, and currently, high resolution image-based techniques such as computed tomography constitute the best way to evaluate body composition in these patients.”

 
 
Your diet can play a much significant role in your liver health than previously thought. Poor nutrition was found to be a common feature in patients with liver failure or cirrhosis. Poor nutrition can also lead to muscle wasting, weakness, fatigue and worse outcomes before and after the patients undergo liver transplantation, says a new study. The study published in Liver Transplantation journal, revealed the aspects of nutrition in transplant candidates with cirrhosis and spoke in length about the need to screen all patients and identify their nutritional profile, particularly those suffering from muscle wasting.
 

The researchers noted that muscle wasting is frequently overlooked in liver transplant candidates. And one reason for this could be that the nutritional assessment is not routinely carried out. Poor nutrition could be further complicated by obesity or fluid retention.
Currently high resolution image-based techniques such as computed tomography constitute the best way to evaluate body composition in these patients, noted the researchers 
Adequate caloric and protein intake are the foundation of therapy for undernutrition in liver transplant candidates. The researchers noted that these patients should also avoid fasting for longer than six hours in the therapy. 
Consuming branched-chain amino acids or fish oil supplements and taking hormone replacement therapy have also emerged as potential therapies for  muscle wasting caused due to cirrhosis and transplant. However, their potential benefits need to be confirmed in randomized controlled trials. Physical activity and exercise is also forms an essential part of the therapies. 

The researchers further noted that those patients who do not consult dieticians, its is important for their clinicians and doctors to make them aware of the proper dietary guidelines and recommendations, same goes for the physical activity and exercise. 

Corona

Covid toll in Karnataka is a worrying sign for state government

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Even though Karnataka recorded the lowest number of Covid deaths in April since the virus struck first in 2020, the state is recording a rise in the positivity rate (1.50 per cent). Five people died from the Covid infections in April as per the statistics released by the state health department. In March, the positivity rate stood around 0.53 per cent. In the first week of April it came down to 0.38 per cent, second week registered 0.56 per cent, third week it rose to 0.79 per cent and by end of April the Covid positivity rate touched 1.19 per cent.

on an average 500 persons used to succumb everyday in the peak of Covid infection, as per the data. Health experts said that the mutated Coronavirus is losing its fierce characteristics as vaccination, better treatment facilities and awareness among the people have contributed to the lesser number of Covid deaths.

During the 4th and 6th of April two deaths were reported in Bengaluru, one in Gadag district on April 8, two deaths were reported from Belagavi and Vijayapura on April 30. The first Covid case was reported in the state in March 2020 and three Covid deaths were recorded in the month. In the following month 21 people became victims to the deadly virus, and May 2020 recorded 22 deaths. The death toll recorded everyday after May crossed three digits. However, the third wave, which started in January 2

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