Supplementation with branched-chain amino acids ameliorates hypoalbuminemia, prevents sarcopenia, and reduces fat accumulation in the skeletal muscles of patients with liver cirrhosis

Autor: Yuichiro Eguchi, Hirokazu Takahashi, Kenichi Tanaka, Yoichiro Kitajima, Seiji Kawazoe, Naofumi Ono, Kenichiro Murayama, Shinji Iwane, Takahisa Eguchi, Keizo Anzai, Takuya Kuwashiro, Takumi Akiyama
Rok vydání: 2016
Předmět:
Zdroj: Journal of gastroenterology. 53(3)
ISSN: 1435-5922
Popis: Liver cirrhosis induces marked metabolic disorders, protein-energy malnutrition, and sarcopenia. The objective of the study reported here was to investigate the effects of dietary branched-chain amino acids (BCAAs) on systemic glucose metabolism, skeletal muscle, and prognosis of patients with liver cirrhosis. Japanese patients with liver cirrhosis (n = 21) were enrolled into a longitudinal study in which their diets were supplemented with BCAAs. We evaluated glucose metabolism and analyzed the skeletal muscle area index (SAI) and intramuscular adipose tissue content (IMAC) using computed tomography. After 48 weeks of supplementation with BCAAs, there were no changes in glucose metabolism and skeletal muscle findings. In patients with ameliorated hypoalbuminemia, IMAC was significantly decreased and SAI was preserved concomitant with decreasing 90- and 120-min post-challenge plasma glucose levels (P
Databáze: OpenAIRE