Tình trạng dinh dưỡng và khẩu phần 24h của người bệnh viêm gan mạn tại Bệnh viện Bệnh nhiệt đới Trung ương năm 2020-2021

Abstract

Chronic hepatitis B and C have been an enormous public health problem in our country as well as globally. The prevalence of malnutrition in patients with chronic liver disease ranged from 65 - 90% according to different assessment methods. Patients often reduced dietary intake due to many reasons. The cross-sectional study was performed to assess nutritional status of 166 patients with chronic hepatitis B and C at the Hepatitis Department of the National Hospital of Tropical Diseases and evaluate the 24-hour dietary recall of the study subjects. The results showed that the percentage of malnutrition according to SGA was 38,6%. Patients aged ≥ 65 years old had a higher rate of malnutrition than patients aged < 65 (57,1% and 33,6%, respectively). Patients with decompensated cirrhosis had the highest prevalence of malnutrition, following by those with compensated cirrhosis and without cirrhosis (56,2%; 38,2% and 22%, respectively). Nutritional status is related to the severity of liver damage and age (p < 0,05). The mean 24-hour dietary recall energy of the experimental group was 1129,7 ± 481,1 kcal/day. The mean protein intake was 0,8 ± 0,4 g/kg/day. Most of the patient diets did not meet the recommended requirements for energy, protein and micronutrients (Vitamin A, D, B1, B2, PP, Zinc, Magnesium, Iron, Calcium, Phosphorus).