A scoping review of the methods used in patients with liver cirrhosis to assess body composition and their nutritional findings

Eur J Clin Nutr. 2023 Sep;77(9):845-854. doi: 10.1038/s41430-023-01287-7. Epub 2023 Apr 24.

Abstract

Background and objectives: Body composition (BC) assessment in cirrhosis has a wide variety of methods with no consensus on the best tools for each body component in patients with Liver Cirrhosis (LC). We aimed to conduct a systematic scoping review of the most frequent body composition analysis methods and nutritional findings published in liver cirrhosis patients.

Methods: We searched for articles in PubMed, Scopus, and ISI Web of Science databases. Keywords selected the BC methods and parameters in LC.

Results: Eleven methods were found. The most frequently used were computed tomography (CT) 47.5%, Bioimpedance Analysis 35%, DXA 32.5%, and anthropometry 32.5%. Up to 15 BC parameters were reported from each method.

Conclusions: The vast heterogeneity in the results found during the qualitative analysis and imaging methods must reach a consensus to achieve a better clinical practice and improve nutritional treatment, as the physiopathology in LC compromises the nutritional status directly.

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropometry
  • Body Composition*
  • Electric Impedance
  • Humans
  • Liver Cirrhosis*
  • Nutritional Status