Protein intake has a key role in liver cirrhosis in older adults. However, types and amounts of protein intake in cirrhosis have been controversial. The aim of this paper is to investigate the optimal protein intake for management of cirrhosis and prevention of hepatic encephalopathy in older adults. Protein restriction of 0. However, recent evidence has shown that protein restrictions have many negative consequences for older adults with cirrhosis. Current research indicates protein intakes of 1. Strategies to help increase protein intake and manage cirrhosis include ensuring adequate protein at every meal through either regular intake or supplementation, protein supplementation prior to bedtime or overnight, and supplementation with branched-chain amino acids.
Although the pathogenesis of PCM is multifactorial, alterations in protein metabolism play an important role. This article is based on a selective literature review of protein and sodium recommendations. Daily protein and sodium requirements of patients with cirrhosis have been the subject of many research studies since inadequate amounts of both can contribute to the development of malnutrition. Previous recommendations that limited protein intake should no longer be practiced as protein requirements of patients with cirrhosis are higher than those of healthy individuals. Higher intakes of branched-chain amino acids as well as vegetable proteins have shown benefits in patients with cirrhosis, but more research is needed on both topics. Sodium restrictions are necessary to prevent ascites development, but very strict limitations, which may lead to PCM should be avoided. Although protein calorie malnutrition PCM leads to a poor prognosis for the liver patient, it is commonly undiagnosed due to the complications of liver disease such as edema and ascites, which make weight change detection more difficult in this patient population. Even if PCM is diagnosed in a patient, its importance is often underestimated by the physician and it is not considered a medical problem in need of immediate attention. However, it is important to note that malnutrition is an independent risk factor for predicting clinical outcomes in patients with liver disease 3 and is associated with an increased risk of morbidity, mortality, 1, 2 biochemical dysfunction, compromised immune function, respiratory function, decreased muscle mass, increased recovery time, and delayed wound healing.
As such, if you have this condition, what you eat and drink each day is especially important, particularly as components like protein, sodium, and sugar require your liver to work harder—a demand it may no longer be able to meet. A cirrhosis diet plan should be crafted with the help of your doctor and other members of your healthcare team, such as a registered dietitian, to ensure that you’re adequately nourished and avoiding choices that can worsen your condition and otherwise impact your health. The liver has more than functions, making it one of the most vital organs. A cirrhosis diet can help provide adequate nutrition, reduce the amount of work your liver needs to do, thwart related complications, and prevent further liver damage. Research has shown that people with liver disease who aren’t adequately nourished are more likely to experience complications from cirrhosis, including death. Unfortunately, existing scarring from cirrhosis cannot be reversed.