ISSN 2394-5125
 

Review Article 


A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R.

Abstract
Frailty is an unstable phenomenon affecting multiple physiological systems, resulting in decreased reserve and vulnerable outcomes. With ageing the prevalence of frailty seems to be increasing general population as well as with cirrhosis patients. Though research are undergoing on prognostic markers, gut microbes or pharmacology in hepatology, it should be extended to a proper definition for frailty its diagnostic tool and management. Frailty score should be considered along with MELD score as a routine assessment in patients waiting for liver transplantation.Malnutrition is a common complication of cirrhosis patients which may leads to frailty, even though frailty is seen in well-nourished patients. When normal dietary supplements become ineffective the need for nutritional supplements like Branched chain amino acids (BCAA) become necessary. Combining BCAAs along with exercise therapy have shown significant improvements for lower limb muscle strength and balance ability in frail and pre-frail cirrhotic patients since muscle wasting is a major concern for them.

Key words: Frailty, Cirrhosis, Malnutrition, Sarcopenia , Branched Chain Amino Acids


 
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How to Cite this Article
Pubmed Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. JCR. 2020; 7(17): 1790-1800. doi:10.31838/jcr.07.17.226


Web Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. http://www.jcreview.com/?mno=39688 [Access: August 17, 2021]. doi:10.31838/jcr.07.17.226


AMA (American Medical Association) Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. JCR. 2020; 7(17): 1790-1800. doi:10.31838/jcr.07.17.226



Vancouver/ICMJE Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. JCR. (2020), [cited August 17, 2021]; 7(17): 1790-1800. doi:10.31838/jcr.07.17.226



Harvard Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R (2020) A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. JCR, 7 (17), 1790-1800. doi:10.31838/jcr.07.17.226



Turabian Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. 2020. A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. Journal of Critical Reviews, 7 (17), 1790-1800. doi:10.31838/jcr.07.17.226



Chicago Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. "A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT." Journal of Critical Reviews 7 (2020), 1790-1800. doi:10.31838/jcr.07.17.226



MLA (The Modern Language Association) Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R. "A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT." Journal of Critical Reviews 7.17 (2020), 1790-1800. Print. doi:10.31838/jcr.07.17.226



APA (American Psychological Association) Style

Thasneem.S, Yedu Krishnan SS, Dr.Shine Sadasivan, Roshni P R (2020) A REVIEW ON FRAILTY IN PATIENT WITH LIVER CIRRHOSIS AND ITS MANAGEMENT. Journal of Critical Reviews, 7 (17), 1790-1800. doi:10.31838/jcr.07.17.226