Acta clinica Croatica, Vol. 56. No. 4., 2017.
Original scientific paper
https://doi.org/10.20471/acc.2017.56.04.07
Nutritional Status and Nutrition Quality in Patients with Non-Alcoholic Fatty Liver Disease
Darija Vranešić Bender
orcid.org/0000-0001-7153-4753
; Zagreb University Hospital Center, Unit of Clinical Nutrition, Zagreb, Croatia
Marinela Nutrizio
; Faculty of Food Technology and Biotechnology, Zagreb, Croatia
Mirja Jošić
; Vitaminoteka d.o.o., Zagreb, Croatia
Dina Ljubas Kelečić
; Faculty of Food Technology and Biotechnology, Zagreb, Croatia
Irena Karas
; Faculty of Food Technology and Biotechnology, Zagreb, Croatia
Marina Premužić
; Zagreb University Hospital Center, Division of Gastroenterology, Zagreb, Croatia
Viktor Domislović
; Zagreb University Hospital Center, Division of Gastroenterology, Zagreb, Croatia
Cecilija Rotim
; Dr Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Željko Krznarić
; Faculty of Food Technology and Biotechnology, Zagreb, Croatia; Zagreb University Hospital Center, Division of Gastroenterology, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Non-alcoholic fatty liver disease (NAFLD) is becoming a major health burden with increasing prevalence worldwide due to its close association with the epidemic of obesity. Currently there is no standardized pharmacological treatment, and the only proven effective therapeutic strategy is lifestyle modification, therefore it is important to determine the potential dietary targets for the prevention and treatment of NAFLD. We assessed nutritional status in 30 patients diagnosed with NAFLD using anthropometric parameters, hand grip strength, and lifestyle and dietetic parameters (physical activity, NRS2002 form and three-day food diary). The mean body mass index was 29.62±4.61 kg/m2, yielding 86.67% of obese or overweight patients. Physical activity results indicat-ed poorly active subjects. Excessive energy intake was recorded in 27.78% of patients. The mean in-take of macronutrients was as follows: 15.5% of proteins, 42.3% of carbohydrates and 42.2% of fat, with deficient micronutrient intake of calcium, magnesium, iron, zinc, and vitamins A, B1 and B2. The results showed that the quality of nutrition in study subjects was not accordant to current rec-ommendations and that they consumed a high proportion of fat, especially saturated fatty acids, along with low micronutrient intake. The results obtained might point to the importance of unbalanced diet as a contributing factor in NAFLD development.
Keywords
Nutritional assessment; Non-alcoholic fatty liver disease; Healthy diet; Diet therapy; Anthropometry
Hrčak ID:
195427
URI
Publication date:
15.12.2017.
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