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Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2026 / Cilt: 23 Sayı: 2

Evaluation of Nutritional Status in Patients with Cirrhosis

Sirozlu Hastalarda Beslenme Durumunun Değerlendirilmesi

Ahmet Konca(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ)0000-0003-1363-4128
İdris Kırhan(HARRAN ÜNİVERSİTESİ)0000-0001-6606-6078
Ahmet Uyanıkoğlu(HARRAN ÜNİVERSİTESİ)0000-0003-4881-5244
Pages
230–234
Publication Date
2026-06-26
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

All cirrhotic patients should be screened for malnutrition, irrespective of ascites, Child-Pugh class, or MELD score.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: Nutritional deficiencies are common in patients with cirrhosis; there is no standard test to assess nutritional status in patients with cirrhosis.
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Key Findings & Data:Results: Of 80 cirrhotic patients, 46 were male (57.5%), and the mean age was 54.40±11.77 years (range: 18-75).
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Conclusion & Impact:All cirrhotic patients should be screened for malnutrition, irrespective of ascites, Child-Pugh class, or MELD score.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Karaciğer Sirozu · Malnütrisyon · SGA

Abstract

Background: Nutritional deficiencies are common in patients with cirrhosis; there is no standard test to assess nutritional status in patients with cirrhosis. This study investigated the prevalence of malnutrition in patients with cirrhosis and examined the association of malnutrition with ascites, Child-Pugh classification, and model of end stage liver disease (MELD) score. Materials and Methods: Nutritional status in cirrhosis was assessed using the Subjective Global Assessment (SGA), the Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT), and the Mini Nutritional Assessment (MNA) prospectively. Results: Of 80 cirrhotic patients, 46 were male (57.5%), and the mean age was 54.40±11.77 years (range: 18-75). In the control group, 44 of 80 were male (55%), and the mean age was 53.85±9.59 years (range: 18-75). Compared with controls according to SGA, RFH-NPT and MNA tests, malnutrition prevalence was significantly higher in cirrhotic patients than in controls (p<0.001, p<0.001, and p<0.003, respectively). No correlation was found between malnutrition risk and MELD score, Child-Pugh score, or the presence of ascites in the patient group. Conclusion: Malnutrition is frequent in patients with cirrhosis. All cirrhotic patients should be screened for malnutrition, irrespective of ascites, Child-Pugh class, or MELD score.

Özet

Amaç: Sirozlu hastalarda beslenme bozukluğu sık olup, beslenme durumunun değerlendirildiği standart bir test yoktur. Sirozlu hastalarda malnütrisyon sıklığı ve malnütrisyonun asit, Child-Pugh skoru ve Model for End Stage Liver Disease (MELD) skoru ile ilişkisi araştırılmıştır. Materyal ve metod: Bu prospektif çalışmada sirozda beslenme durumunun değerlendirilmesinde Subjektif Global Değerlendirme (SGA), Royal Free Hospital nutrisyonel önceliklendirme aracı (RFH-NPT) ve Mini Nütrisyonel Değerlendirme (MNA) testleri kullanılmıştır. Bulgular: Sirotik 80 hastanın, 46’sı erkek (%57,5), yaş ortalaması 54,40±11,77, yaş aralığı 18-75, kontrol grubunun 44’ü erkek (%55), yaş ortalaması 53,85±9,59, yaş dağılımı 18-75 idi. SGA, RFH-NPT ve MNA testine göre sirozlu hastalarda kontrol grubuna göre malnütrisyon sıklığı ileri derecede anlamlı olarak yüksek oranda saptandı (sırasıyla p<0,001, p=0,001, p<0,003). Hasta grubunda MELD skoru, Child-Pugh skoru ve asit varlığı ile malnütrisyon gelişimi riski arasında kolerasyon saptanmadı. Sonuç: Sirozlu hastalarda kontrol grubuna göre malnütrisyon daha sıktır. Sirotik tüm hastalarda asit, Child-Pugh ve MELD skorundan bağımsız malnütrisyon taraması yapılmalıdır.

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Cite This Article

Konca, A., Kırhan, İ., Uyanıkoğlu, A. (2026). Evaluation of Nutritional Status in Patients with Cirrhosis. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 23 Sayı: 2, 230–234. https://ajindex.com/articles/1080797

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