Dietary Management of Liver Diseases
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Questions and Answers

What is one of the unique important tasks performed by the liver?

  • To convert the food we eat into stored energy (correct)
  • To regulate body temperature
  • To produce antibodies
  • To store excess water in the body
  • What is the role of the liver in protein metabolism?

  • Synthesis of insulin
  • Conversion of fats into fatty acids
  • Synthesis of albumin and blood clotting factors (correct)
  • Conversion of glucose into glycogen
  • Which process involves the formation of urea from ammonia?

  • Glycogenolysis
  • Gluconeogenesis
  • Transamination
  • Deamination (correct)
  • What is the function of bile, a substance manufactured and exported by the liver?

    <p>Essential for the digestion of fats in the small intestine</p> Signup and view all the answers

    Which nutrient is stored as glycogen by the liver?

    <p>Carbohydrate</p> Signup and view all the answers

    What is the main process involved in the hydrolysis of triglycerides, cholesterol, and phospholipids by the liver?

    <p>Lipolysis</p> Signup and view all the answers

    Which of the following is a function of the liver related to vitamins and minerals?

    <p>Synthesis of carrier proteins for vitamin A and vitamin B12</p> Signup and view all the answers

    What is a potential consequence of mega-dose intake of vitamin A?

    <p>Development of hepatomegaly and cirrhosis</p> Signup and view all the answers

    Which factor can contribute to liver cirrhosis according to the text?

    <p>Prolonged exposure to environmental toxins</p> Signup and view all the answers

    What is one of the causes of malnutrition in liver disease according to the text?

    <p>Anorexia and early satiety</p> Signup and view all the answers

    What is the recommended protein intake for patients with cirrhosis?

    <p>1 g/kg body weight</p> Signup and view all the answers

    What should be discouraged in certain instances for patients with cirrhosis?

    <p>(Protein intolerance) leading to encephalopathy</p> Signup and view all the answers

    Which type of dietary supplements should be used if dietary intake is poor for patients with liver cirrhosis?

    <p>(Protein and energy) supplements</p> Signup and view all the answers

    What measurement is mainly used for arm anthropometry in the assessment of nutritional status in liver disease?

    <p>(Triceps skin fold thickness)</p> Signup and view all the answers

    What are the energy requirements for malnourished patients with cirrhosis according to the text?

    <p>$35-45$ Kcal/day</p> Signup and view all the answers

    Study Notes

    Unique Tasks of the Liver

    • Performs detoxification of harmful substances, converting them into less toxic compounds.

    Role of the Liver in Protein Metabolism

    • Involved in synthesizing proteins such as albumin and clotting factors.
    • Converts excess amino acids into glucose or fatty acids, contributing to energy production.

    Urea Formation Process

    • The process where ammonia is converted into urea is called the urea cycle, critical for eliminating toxic ammonia from the body.

    Function of Bile

    • Bile aids in the digestion and absorption of fats by emulsifying them, facilitating fat breakdown.

    Glycogen Storage

    • The liver stores glucose as glycogen, acting as a reserve energy source for the body.

    Hydrolysis of Lipids

    • The liver primarily hydrolyzes triglycerides, cholesterol, and phospholipids through lipolysis, releasing fatty acids and glycerol.
    • Acts as a storage facility for fat-soluble vitamins (A, D, E, K) and several important minerals, helping maintain overall nutrient balance.

    Consequence of Mega-Dose Vitamin A Intake

    • High intake can lead to hypervitaminosis A, causing toxicity and serious health issues like liver damage.

    Contributing Factors to Liver Cirrhosis

    • Chronic alcohol abuse is a significant contributor to the development of cirrhosis, leading to extensive liver damage.

    Causes of Malnutrition in Liver Disease

    • Liver disease impairs nutrient absorption and metabolism, often resulting in malnutrition among patients.
    • Protein intake should be moderately restricted and individualized, typically ranging from 1.0 to 1.5 grams per kilogram of body weight.

    Dietary Discouragement for Cirrhosis Patients

    • High sodium intake should be discouraged to manage fluid retention and avoid exacerbating liver-related complications.

    Dietary Supplements for Poor Intake

    • Nutritional supplements that are high in protein and calories should be considered for patients with inadequate dietary intake.

    Arm Anthropometry Measurement

    • Mid-upper arm circumference (MUAC) is primarily used to assess nutritional status in liver disease.

    Energy Requirements for Malnourished Cirrhosis Patients

    • Increased caloric intake is necessary, often ranging between 30-35 calories per kilogram of body weight, to support recovery and maintain weight.

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    Description

    Learn about the role of liver metabolism in processing nutrients and the nutritional management of various liver disorders. Explore the functions of the liver in converting food into energy and filtering toxic substances from the blood.

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