{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:37:21Z","timestamp":1773247041811,"version":"3.50.1"},"reference-count":46,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p>RACIONAL: A desnutri\u00e7\u00e3o \u00e9 freq\u00fcente em cirr\u00f3ticos, mas sua avalia\u00e7\u00e3o \u00e9 dif\u00edcil. A predi\u00e7\u00e3o do gasto energ\u00e9tico basal pela equa\u00e7\u00e3o de Harris-Benedict n\u00e3o est\u00e1 validada neste grupo. A alternativa seria mensur\u00e1-la atrav\u00e9s da calorimetria indireta. OBJETIVOS: Realizar avalia\u00e7\u00e3o nutricional em cirr\u00f3ticos, aferir o gasto energ\u00e9tico basal pela calorimetria indireta e compar\u00e1-lo ao estimado pela equa\u00e7\u00e3o de Harris-Benedict. MATERIAL E M\u00c9TODOS: Estudaram-se 34 adultos com cirrose pelo v\u00edrus da hepatite C, em acompanhamento ambulatorial, classificados de acordo com Child-Pugh e escore \"model of end-stage liver disease\". O gasto energ\u00e9tico basal foi estimado pela equa\u00e7\u00e3o de Harris-Benedict e medido pela calorimetria indireta. Avalia\u00e7\u00e3o nutricional foi realizada por antropometria, avalia\u00e7\u00e3o nutricional subjetiva global, dinamometria e inqu\u00e9rito recordat\u00f3rio. RESULTADOS: Em rela\u00e7\u00e3o \u00e0 classifica\u00e7\u00e3o de Child-Pugh, 15 (44,2%) eram A, 12 (35,3%) B e 7 (20,6%) C e 33 (97,1%) apresentaram valores inferiores a 20 no escore \"model of end-stage liver disease\". O gasto energ\u00e9tico basal estimado foi maior do que o medido (Harris-Benedict 1404,5 \u00b1 150,3 kcal; calorimetria indireta 1059,9 \u00b1 309,6 kcal). A preval\u00eancia de desnutri\u00e7\u00e3o variou entre os m\u00e9todos (\u00edndice de massa corp\u00f3rea, circunfer\u00eancia muscular do bra\u00e7o, avalia\u00e7\u00e3o nutricional subjetiva global, prega cut\u00e2nea do tr\u00edceps e dinamometria: 0%; 5,9%; 17,6%; 35,3% e 79,4%, respectivamente). A ingest\u00e3o cal\u00f3rica e prot\u00e9ica foi de 80% e 85% do recomendado, com inadequa\u00e7\u00e3o na ingest\u00e3o de c\u00e1lcio, magn\u00e9sio, ferro e zinco. CONCLUS\u00d5ES: A desnutri\u00e7\u00e3o foi freq\u00fcente. A dinamometria parece ser o melhor m\u00e9todo para o diagn\u00f3stico. A ingest\u00e3o foi inadequada. Considerando que o gasto energ\u00e9tico basal estimado foi superior ao medido e a necessidade de maior aporte cal\u00f3rico, a utiliza\u00e7\u00e3o da equa\u00e7\u00e3o de predi\u00e7\u00e3o talvez possa substituir a calorimetria indireta.<\/jats:p>","DOI":"10.1590\/s0004-28032004000400004","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:21:51Z","timestamp":1113574911000},"page":"220-224","source":"Crossref","is-referenced-by-count":26,"title":["Avalia\u00e7\u00e3o nutricional de pacientes com cirrose pelo v\u00edrus da hepatite C: a aplica\u00e7\u00e3o da calorimetria indireta"],"prefix":"10.1590","volume":"41","author":[{"given":"Catarina Bertaso Andreatta","family":"Gottschall","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio Reis","family":"\u00c1lvares-da-Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Cristina Riehs","family":"Camargo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata Medeiros","family":"Burtett","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Themis Reverbel da","family":"Silveira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"823","article-title":"Child-Pugh class, nutritional indicators and early liver transplant outcomes","volume":"48","author":"Abbott 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