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Nutritional therapy for clients with alcoholic liver disease

Publication at Faculty of Physical Education and Sport, First Faculty of Medicine |
2013

Abstract

BACKGROUD: Czech Republic has long been the largest consumers of beer in the world, as well as the total consumption of pure alcohol per person to hold among the highest in the world – total adult per capita consumption of pure alcohol is 16.45 liters. Alcohol has a negative effect on the whole organism, from somatic damage is most significant effect on the liver and the development of liver disease.

Due consumption may develop a wide range of illnesses, from mild forms such as hepatic steatosis to serious, life-threatening liver cirrhosis. OBJECTIVE: The aim is to identify the optimal recommended daily intake of protein, carbohydrates, fat and energy and on this basis to determine the basic nutritional recommendations for clients with liver disease related to alcohol use.

METHODS: Descriptive analysis of the literature based on the predefined criteria identified in EBSCO, MEDLINE / Pubmed and Proques databases 18 original studies reflecting the objectives of this study. RESULTS: The results indicate lipid intake should ideally be around 30% of total daily energy intake.

Very important is the protein intake, which should reach about 1.2 to 1.5 g per kg body weight per day. Essential amino acids also showed a positive effect, their use is rather in a hospital setting under professional supervision.

Results of carbohydrate intake were not homogeneous, it can be recommended as an intake for the general population, ie 55-60% of total daily energy intake. An important role is also sufficient energy intake, which should be 35-40 kcal per kg body weight.

CONCLUSIONS: Identified recommended values of the food can be used to optimize the diet composition for clients who suffer from alcoholic liver disease and have a positive influence on the process of treatment and recovery.