ESPEN practical guideline: clinical nutrition in liver disease
Abstract
Background The Practical guideline is based on the current scientific ESPEN guideline on Clinical Nutrition in Liver Disease.Methods It has been shortened and transformed into flow charts for easier use in clinical practice. The guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with chronic liver disease.Results A total of 103 statements and recommendations are presented with short commentaries for the nutritional and metabolic management of patients with (i) acute liver failure, (ii) alcoholic steatohepatitis, (iii) non-alcoholic fatty liver disease, (iv) liver cirrhosis, and (v) liver surgery/transplantation. The disease-related recommendations are preceded by general recommendations on the diagnostics of nutritional status in liver patients and on liver complications associated with medical nutrition.Conclusion This practical guideline gives guidance to health care providers involved in the management of liver disease to offer optimal nutritional care.
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The synergistic benefits of weight loss are contingent on the adoption of a combined dietary and exercise approach.
“Notably, the synergistic benefits of weight loss are contingent on the adoption of a combined dietary and exercise approach (8).”
From Diet and physical exercise as key players to tackle MASLD through improvement of insulin resistance and metabolic flexibility (2024) · cites this paper as [8]
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- Authors
- Bischoff, S. C., Bernal, W., Dasarathy, S., Merli, M., Plank, L. D., Schütz, T., & Plauth, M.
- Affiliations
- University of Hohenheim (DE)
- King's College Hospital (GB)
- Cleveland Clinic (US)
- Sapienza University of Rome (IT)
- University of Auckland (NZ)
- IFB Adiposity Diseases (DE)
- Städtisches Klinikum Dessau (DE)
- Corresponding author
- Bischoff, Stephan C.
- ORCID
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 39
- Issue
- 12
- Pages
- 3533-3562
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W3097207116
- Cited by
- 383
- References
- 303
- Citations by year
- 2026: 63 · 2025: 70 · 2024: 76 · 2023: 80 · 2022: 59 · 2021: 33 · 2013: 1
- FWCI
- 27.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Funders
- European Society for Clinical Nutrition and Metabolism
- United European Gastroenterology
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Keywords
- chronic liver disease, acute liver failure, alcoholic steatohepatitis, non-alcoholic fatty liver disease, liver cirrhosis, liver transplantation, liver surgery, nutritional assessment, metabolic control, dietary management
- MeSH terms
- Europe, Humans, Liver Diseases, Societies, Scientific, Nutritional Support, Malnutrition
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