Sarcopenia in the Cirrhotic Patient : Current Knowledge and Future Directions

© 2022 Indian National Association for Study of the Liver. Published by Elsevier B.V. All rights reserved..

Cirrhosis predisposes to abnormalities in energy, hormonal, and immunological homeostasis. Disturbances in these metabolic processes create susceptibility to sarcopenia or pathological muscle wasting. Sarcopenia is prevalent in cirrhosis and its presence portends significant adverse outcomes including the length of hospital stay, infectious complications, and mortality. This highlights the importance of identification of at-risk individuals with early nutritional, therapeutic and physical therapy intervention. This manuscript summarizes literature relevant to sarcopenia in cirrhosis, describes current knowledge, and elucidates possible future directions.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of clinical and experimental hepatology - 13(2023), 1 vom: 01. Jan., Seite 162-177

Sprache:

Englisch

Beteiligte Personen:

Warner Ii, Edgewood R [VerfasserIn]
Satapathy, Sanjaya K [VerfasserIn]

Links:

Volltext

Themen:

ACE, angiotensin-converting enzyme
ACE-I, angiotensin-converting enzyme inhibitor
AKI, acute kidney injury
ALM, appendicular lean mass
ARB, angiotensin receptor blocker
ASM, appendicular skeletal mass
AT1R, angiotensin type 1 receptor
AT2R, angiotensin type 2 receptor
ATP, adenosine-5′-triphosphate
AWGS, Asian Working Group for Sarcopenia
BCAA, branched chained amino acids
BIA, bioelectrical impedance analysis
BMI, body mass index
CART, classification and regression tree
CKD, chronic kidney disease
CRP, C-reactive protein
Cirrhosis
DEXA, dual energy X-ray absorptiometry
EAA, essential amino acids
ESPEN-SIG, European Society for Clinical Nutrition and Metabolism Special Interests Groups
ESRD, end-stage renal disease
EWGSOP, European Working Group on Sarcopenia in Older People
Energy
FAD, flavin adenine dinucleotide
FADH2, flavin adenine dinucleotide +2 hydrogen
FNIH, Foundation for the National Institutes of Health
GTP, guanosine-5′-triphosphate
GnRH, gonadotrophin-releasing hormone
HCC, hepatocellular carcinoma
HPT, hypothalamic-pituitary-testicular
IFN-γ, interferon γ
IGF-1, insulin-like growth factor 1
IL-1, interleukin-1
IL-6, interleukin-6
IWGS, International Working Group on Sarcopenia
Journal Article
LH, luteinizing hormone
MELD, Model for End-Stage Liver Disease
MTOR, mammalian target of rapamycin
Metabolism
MuRF1, muscle RING-finger-1
Muscle
NAD, nicotinamide adenine dinucleotide
NADH, nicotinamide adenine dinucleotide + hydrogen
NADPH, nicotinamide adenine dinucleotide phosphate
NAFLD, non-alcoholic fatty liver disease
NASH, non-alcoholic steatohepatitis
NF-κβ, nuclear factor κβ
NHANES, National Health and Nutritional Examination Survey
PMI, psoas muscle index
PMTH, psoas muscle thickness
RAAS, renin-angiotensin-aldosterone system
ROS, reactive oxygen species
Review
SARC-F, Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls
SHBG, sex hormone binding globulin
SMI, skeletal muscle index
SNS, sympathetic nervous system
SPPB, Short Performance Physical Battery
Sarcopenia
TNF-α, tumor necrosis factor α
UCSF, University of California, San Francisco
UNOS, United Network of Organ Sharing

Anmerkungen:

Date Revised 02.01.2024

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jceh.2022.06.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351582924