Short-term effect of whey protein supplementation on the quality of life of patients waiting for liver transplantation : a double blinded randomized clinical trial.
dc.contributor.author | D´Alessandro, Michelle Carvalho de Oliveira | |
dc.contributor.author | Gomes, Amanda Dias | |
dc.contributor.author | Morais, Jéssica França | |
dc.contributor.author | Mizubuti, Yani Glaúcia Gomide | |
dc.contributor.author | Silva, Thales Antônio da | |
dc.contributor.author | Mauricio, Silvia Fernandes | |
dc.contributor.author | Mendes, Larissa Loures | |
dc.contributor.author | Correia, Maria Isabel Toulson Davisson | |
dc.contributor.author | Generoso, Simone de Vasconcelos | |
dc.date.accessioned | 2023-03-20T13:06:58Z | |
dc.date.available | 2023-03-20T13:06:58Z | |
dc.date.issued | 2021 | pt_BR |
dc.description.abstract | Background: Chronic liver disease is associated with malnutrition that negatively impacts a patient’s health-related quality of life (HRQoL). Aim: To evaluate the short-term effect of whey protein supplementation on the HRQoL and nutritional and functional status of patients waiting for liver transplantation. Methods: This was a double-blind randomized clinical trial with patients waiting for liver transplantation who were randomized into two groups: WP (whey protein supplementation) and the control (casein supplementation). Both groups received 40 g (20 g in the morning and 20 g in the evening) for 15 days. Nutritional and functional status were evaluated. Energy balance was calculated as the difference between energy intake (24-hour recall) and total energy expenditure (assessed by indirect calorimetry). The chronic liver disease questionnaire was used to assess HRQoL. All measurements were performed before and after the intervention. Results: Fifty-six patients were evaluated. Malnutrition was present in 56.9%, and it was directly associated with a poor HRQoL (p<0.05). No improvement on the nutritional and functional status was observed, in either group after protein supplementation. HRQoL improved after WP and casein supplementation, with no differences between groups (p>0.05). Patients who met protein requirements and had a positive energy balance demonstrated a higher HRQoL score (4.9, p<0.05), without between-group differences. Conclusion: Malnutrition substantially reduces HRQoL. Short-term WP or casein supplementation improved similarly the HRQoL. | pt_BR |
dc.description.abstracten | Racional: A doença hepática crônica está associada à desnutrição que afeta negativamente a qualidade de vida relacionada à saúde (QVRS). Objetivo: Avaliar o efeito da suplementação aguda de proteína do soro de leite na QVRS e no estado nutricional e funcional dos pacientes em lista de espera para o transplante hepático. Métodos: Ensaio clínico randomizado com pacientes à espera do transplante hepático que foram randomizados em dois grupos: PS (suplementação com proteína do soro de leite) e Controle (suplementação com caseína). Ambos os grupos receberam 40 g das proteínas (20 g pela manhã e 20 g à noite) por 15 dias. O estado nutricional e funcional foi avaliado. O balanço energético foi calculado como a diferença entre a ingestão energética (recordatório de 24 horas) e o gasto energético total (avaliado por calorimetria indireta). O questionário de doença hepática crônica (CDLQ) foi utilizado para avaliar a QVRS. Todas as medidas foram realizadas antes e após a intervenção. Resultados: Cinquenta e seis pacientes foram avaliados. A desnutrição esteve presente em 56,9% e, diretamente associada à baixa QVRS (p<0,05). A suplementação, com ambas as proteínas, não alterou o estado nutricional e funcional dos pacientes (p>0,05). Entretanto, a QVRS melhorou após a suplementação com PS e caseína, sem diferenças entre os grupos (p>0,05). Pacientes que alcançaram as necessidades proteicas e com balanço energético positivo tiveram maior escore de QVRS (4,9; p<0,05), sem diferenças entre os grupos (p>0,05). Conclusão: A desnutrição reduz substancialmente a QVRS. A suplementação aguda com PS ou caseína melhorou de forma similar a QVRS. | pt_BR |
dc.identifier.citation | D’ALESSANDRO, M. C. de O. et al. Short-term effect of whey protein supplementation on the quality of life of patients waiting for liver transplantation: a double blinded randomized clinical trial. ABCD - Arquivos Brasileiros de Cirurgia Digestiva, v. 34, n. s, artigo e1596, 2021. Disponível em: <https://www.scielo.br/j/abcd/a/kbWK7FzqL44DX565prbvm9n/>. Acesso em: 11 out. 2022. | pt_BR |
dc.identifier.doi | https://doi.org/10.1590/0102-672020210002e1596 | pt_BR |
dc.identifier.issn | 2317-6326 | |
dc.identifier.uri | http://www.repositorio.ufop.br/jspui/handle/123456789/16390 | |
dc.language.iso | en_US | pt_BR |
dc.rights | aberto | pt_BR |
dc.rights.license | This is an open-access article distributed under the terms of the Creative Commons Attribution License. Fonte: o PDF do artigo. | pt_BR |
dc.subject | Nutritional status | pt_BR |
dc.title | Short-term effect of whey protein supplementation on the quality of life of patients waiting for liver transplantation : a double blinded randomized clinical trial. | pt_BR |
dc.type | Artigo publicado em periodico | pt_BR |
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