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Preoperative Metabolic Status Is Associated with Different Evolution of Resting Energy Expenditure after Liver Transplant in Adults

2017Journal article Open access
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dc.contributor.authorBrito-Costa, A
dc.contributor.authorPereira-da-Silva, L
dc.contributor.authorPapoila, AL
dc.contributor.authorAlves, M
dc.contributor.authorMateus, E
dc.contributor.authorNolasco, F
dc.contributor.authorBarroso, E
dc.date.accessioned2022-06-17T14:23:04Z
dc.date.available2022-06-17T14:23:04Z
dc.date.issued2017
dc.description.abstractIntroduction: The resting energy expenditure (REE) evolution after liver transplantation is not fully understood. Objective: To assess longitudinally the REE evolution in adults undergoing liver transplantation, in association with other nutritional measurements that characterize the metabolic profile. Methods: A single-center cohort of consecutive end-stage liver disease patients with indication for liver transplantation was recruited. REE, subjective global assessment (SGA), handgrip strength and body composition measurements were assessed before transplantation (T0) and at median nine (T1) and 36 (T2) days after transplantation. Mixed effects regression models were used for analysis. Results: Fifty-six patients with a mean age of 53.7 (8.5) years were included; 87.5% were males. In T0, 41% of patients were normometabolic, 37.5% were hypometabolic and 21.4% were hypermetabolic. After transplantation, the mean REE decreased progressively in patients initially hypermetabolic and the opposite occurred in those initially hypometabolic. The REE evolution was positively associated with body weight (β = 9.6, p < 0.001) and energy intake (β= 13.6, p = 0.005) in the whole sample; it was positively associated with body weight (β= 7.1, p = 0.018) and percentage of energy intake from lipids (β= 18.9, p = 0.003) in initially hypometabolic patients, and positively associated with body weight (β= 14.1, p < 0.001) and negatively associated with SGA-undernourishment (β = -171, p = 0.007) in initially normometabolic patients. Conclusion: Different REE evolutions after liver transplantation are associated with the preoperative metabolic status. In patients initially hypometabolic, the REE evolution is positively associated with body weight and percentage of energy intake from lipids, and in those initially normometabolic, it is positively associated with body weight and negatively associated with SGA-undernourishment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNutr Hosp. 2017 Oct 24;34(5):1024-1032.pt_PT
dc.identifier.doi10.20960/nh.1051.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4122
dc.language.isoengpt_PT
dc.publisherArán Edicionespt_PT
dc.subjectHCC DIEpt_PT
dc.subjectCHLC CINVpt_PT
dc.subjectHCC CHBPTpt_PT
dc.subjectMalept_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectBody Compositionpt_PT
dc.subjectCohort Studiespt_PT
dc.subjectEnd Stage Liver Disease / metabolismpt_PT
dc.subjectEnd Stage Liver Disease / surgerypt_PT
dc.subjectEnergy Metabolism / physiology*pt_PT
dc.subjectLiver Transplantation*pt_PT
dc.subjectLongitudinal Studiespt_PT
dc.subjectNutrition Assessmentpt_PT
dc.subjectNutritional Status*pt_PT
dc.subjectNutritional Supportpt_PT
dc.subjectPreoperative Periodpt_PT
dc.titlePreoperative Metabolic Status Is Associated with Different Evolution of Resting Energy Expenditure after Liver Transplant in Adultspt_PT
dc.title.alternativeInfluencia del Estado Metabólico Preoperatorio sobre los Cambios en el Gasto Energético en Reposo después del Transplante Hepático en Adultos
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1032pt_PT
oaire.citation.startPage1024pt_PT
oaire.citation.titleNutrición Hospitalariapt_PT
oaire.citation.volume34pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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