Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study
Abstract Background Hepatocellular carcinoma (HCC) patients are vulnerable to malnutrition. Despite its importance in enhancing clinical outcomes, management, and prognosis of HCC patients, few studies assessed their nutritional status. Our study aimed to evaluate the nutritional status of HCC patie...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-06-01
|
| Series: | Egyptian Liver Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43066-025-00423-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849725496179294208 |
|---|---|
| author | Shimaa Ahmed Gamal Wesam Saber Morad Gasser El-Azab Sania Ali Yehia |
| author_facet | Shimaa Ahmed Gamal Wesam Saber Morad Gasser El-Azab Sania Ali Yehia |
| author_sort | Shimaa Ahmed Gamal |
| collection | DOAJ |
| description | Abstract Background Hepatocellular carcinoma (HCC) patients are vulnerable to malnutrition. Despite its importance in enhancing clinical outcomes, management, and prognosis of HCC patients, few studies assessed their nutritional status. Our study aimed to evaluate the nutritional status of HCC patients using various nutritional assessment methods and their correlation with disease severity. Patients and methods This is a cross-sectional hospital-based study of 200 HCC patients who visited outpatient clinics at the National Liver Institute. Methods used for assessment of their nutritional status included body mass index (BMI), mid-arm circumference (MAC), mid muscle arm circumference (MMAC), calf circumference (CC), hand grip strength (HGS), adductor pollicis muscle (APM) thickness, subjective global assessment (SGA), and mini-nutritional assessment (MNA) questionnaire. Results The mean age of study participants was 61.51 ± 8.68 years. There was a wide variation in the diagnosis of malnutrition in HCC patients using different nutritional assessment methods. There was substantial agreement between MAC and MNA with SGA. There was a negative correlation between child class and MAC, MMAC, and MNA scores. There was a negative correlation between BCLC and MNA scores. SGA was positively correlated with both child class and BCLC staging. Conclusions There was a great variation in the prevalence of malnutrition in HCC patients using different nutritional assessment methods. MAC and MNA scores showed a substantial agreement with SGA. SGA, MNA, MAC, and MMAC correlated with disease severity. Assessing the nutritional status is necessary to improve patients’ clinical outcomes. |
| format | Article |
| id | doaj-art-c0693f2cc3e24169bc89a810aa79da56 |
| institution | DOAJ |
| issn | 2090-6226 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Liver Journal |
| spelling | doaj-art-c0693f2cc3e24169bc89a810aa79da562025-08-20T03:10:27ZengSpringerOpenEgyptian Liver Journal2090-62262025-06-011511810.1186/s43066-025-00423-1Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional studyShimaa Ahmed Gamal0Wesam Saber Morad1Gasser El-Azab2Sania Ali Yehia3Department of Epidemiology and Preventive Medicine, National Liver Institute, Menoufia UniversityDepartment of Epidemiology and Preventive Medicine, National Liver Institute, Menoufia UniversityDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia UniversityDepartment of Epidemiology and Preventive Medicine, National Liver Institute, Menoufia UniversityAbstract Background Hepatocellular carcinoma (HCC) patients are vulnerable to malnutrition. Despite its importance in enhancing clinical outcomes, management, and prognosis of HCC patients, few studies assessed their nutritional status. Our study aimed to evaluate the nutritional status of HCC patients using various nutritional assessment methods and their correlation with disease severity. Patients and methods This is a cross-sectional hospital-based study of 200 HCC patients who visited outpatient clinics at the National Liver Institute. Methods used for assessment of their nutritional status included body mass index (BMI), mid-arm circumference (MAC), mid muscle arm circumference (MMAC), calf circumference (CC), hand grip strength (HGS), adductor pollicis muscle (APM) thickness, subjective global assessment (SGA), and mini-nutritional assessment (MNA) questionnaire. Results The mean age of study participants was 61.51 ± 8.68 years. There was a wide variation in the diagnosis of malnutrition in HCC patients using different nutritional assessment methods. There was substantial agreement between MAC and MNA with SGA. There was a negative correlation between child class and MAC, MMAC, and MNA scores. There was a negative correlation between BCLC and MNA scores. SGA was positively correlated with both child class and BCLC staging. Conclusions There was a great variation in the prevalence of malnutrition in HCC patients using different nutritional assessment methods. MAC and MNA scores showed a substantial agreement with SGA. SGA, MNA, MAC, and MMAC correlated with disease severity. Assessing the nutritional status is necessary to improve patients’ clinical outcomes.https://doi.org/10.1186/s43066-025-00423-1Nutritional assessmentNutrition statusMalnutritionHepatocellular carcinoma |
| spellingShingle | Shimaa Ahmed Gamal Wesam Saber Morad Gasser El-Azab Sania Ali Yehia Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study Egyptian Liver Journal Nutritional assessment Nutrition status Malnutrition Hepatocellular carcinoma |
| title | Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study |
| title_full | Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study |
| title_fullStr | Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study |
| title_full_unstemmed | Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study |
| title_short | Assessment of the Nutritional Status of Hepatocellular Carcinoma Patients: Evaluating methods and correlation with disease severity— cross-sectional study |
| title_sort | assessment of the nutritional status of hepatocellular carcinoma patients evaluating methods and correlation with disease severity cross sectional study |
| topic | Nutritional assessment Nutrition status Malnutrition Hepatocellular carcinoma |
| url | https://doi.org/10.1186/s43066-025-00423-1 |
| work_keys_str_mv | AT shimaaahmedgamal assessmentofthenutritionalstatusofhepatocellularcarcinomapatientsevaluatingmethodsandcorrelationwithdiseaseseveritycrosssectionalstudy AT wesamsabermorad assessmentofthenutritionalstatusofhepatocellularcarcinomapatientsevaluatingmethodsandcorrelationwithdiseaseseveritycrosssectionalstudy AT gasserelazab assessmentofthenutritionalstatusofhepatocellularcarcinomapatientsevaluatingmethodsandcorrelationwithdiseaseseveritycrosssectionalstudy AT saniaaliyehia assessmentofthenutritionalstatusofhepatocellularcarcinomapatientsevaluatingmethodsandcorrelationwithdiseaseseveritycrosssectionalstudy |