Skip to main content Accessibility help
×
Home
Hostname: page-component-ffbbcc459-gmk6f Total loading time: 0.277 Render date: 2022-03-07T15:24:06.678Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

Patterns of energy intake in patients with cirrhosis and healthy volunteers

Published online by Cambridge University Press:  09 March 2007

Angela M. Madden
Affiliation:
University Department of Medicine, The Royal Free Campus, The Royal Free and University College Medical School, London NW3 2QG, UK
Marsha Y. Morgan*
Affiliation:
University Department of Medicine, The Royal Free Campus, The Royal Free and University College Medical School, London NW3 2QG, UK
*
*Corresponding author: Dr Marsha Morgan, fax +44 (0)171 435 8849.
Rights & Permissions[Opens in a new window]

Abstract

HTML view is not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Fuel utilization and N economy are optimized in patients with cirrhosis by provision of several small meals throughout the day and a late-night snack of complex carbohydrate. Currently, however, only limited information is available on the patterns of energy intake in patients with chronic liver disease. The aims of the present study were to determine the number of days required to undertake such an investigation and to observe the daily distribution of energy intake in this patient population. Eight patients with cirrhosis and eight matched healthy volunteers kept weighed dietary intake records for fifteen separate days over a 6-month period. The records were analysed for energy intake per hour and the number and size of energy intake episodes per 24 h calculated. Intake was verified against resting energy expenditure. Fourteen separate observational days were required to investigate the pattern of energy intake in the cirrhotic patients while 20 d were required for healthy volunteers. Considerable inter- and intrasubject variations in the number and size of energy intake episodes were observed in both the patients and healthy volunteers. However, no significant differences were observed between the mean total number of daily energy intake episodes (6·3 (sd 1·6) v. 7·0 (sd 1·4)) or in the distribution of daily energy intake between the two groups. Most patients and volunteers tended to eat frequent small meals, often including a late-night snack, rather than two or three large meals daily. It should, therefore, be possible to establish optimum patterns of energy intake in these patients in line with recent guidelines.

Type
Research Article
Copyright
Copyright © The Nutrition Society 1999

References

Balogh, M, Kahn, HA & Medalie, JH (1971) Random repeat 24-hour dietary recalls. American Journal of Clinical Nutrition 24, 31043110.CrossRefGoogle ScholarPubMed
Bellisle, F, McDevitt, R & Prentice, AM (1997) Meal frequency and energy balance. British Journal of Nutrition 77, S57S70.CrossRefGoogle ScholarPubMed
Bernstein, IL, Zimmerman, JC, Czeisler, CA & Weitzman, ED (1981) Meal patterning in “free running” humans. Physiology and Behavior 27, 621623.CrossRefGoogle Scholar
Bingham, SA (1987) The dietary assessment of individuals; methods, accuracy, new techniques and recommendations. Nutrition Abstracts and Reviews 57, 705742.Google Scholar
British Nutrition Foundation (1984) Eating in the Early 1980's. Attitudes and Behaviour: Main Findings. London: British Nutrition Foundation.Google Scholar
Brownell, KD & Cohen, LR (1995) Adherence to dietary regimens. 2: Components of effective interventions. Behavioral Medicine 20, 155164.CrossRefGoogle ScholarPubMed
Bursztein, S, Elwyn, DH, Askanazi, J & Kinney, JM (1989) Energy Metabolism, Indirect Calorimetry, and Nutrition. Baltimore, MD: Williams & Wilkins.Google Scholar
Chang, WK, Chao, YC, Tang, HS, Lang, HF & Hsu, CT (1997) Effects of extra-carbohydrate supplementation in the late evening on energy expenditure and substrate oxidation in patients with liver cirrhosis. Journal of Parenteral and Enteral Nutrition 21, 9699.CrossRefGoogle ScholarPubMed
Crawley, H (1988) Food Portion Sizes. London: H.M. Stationery Office.Google Scholar
de Castro, JM (1993) The effects of the spontaneous ingestion of particular foods or beverages on the meal pattern and overall nutrient intake of humans. Physiology and Behavior 53, 11331144.CrossRefGoogle ScholarPubMed
Gatenby, SJ (1997) Eating frequency: methodology and dietary aspects. British Journal of Nutrition 77, S7S20.CrossRefGoogle Scholar
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA & Prentice, AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut off limits to identify under-recording. European Journal of Clinical Nutrition 45, 569581.Google ScholarPubMed
Kant, AK (1995) Frequency of eating occasions and weight changes in NHANES I Epidemiologic Follow-up Study. International Journal of Obesity and Related Metabolic Disorders 19, 468474.Google ScholarPubMed
Larkin, FA, Metzner, HL & Guire, KE (1991) Comparison of three consecutive-day and three random-day records of dietary intake. Journal of the American Dietetic Association 91, 15381542.Google ScholarPubMed
Levine, JA & Morgan, MY (1991) Assessment of dietary intake in man: a review of available methods. Journal of Nutritional Medicine 2, 6581.CrossRefGoogle Scholar
MacKay, EM & MacKay, LL (1927) Concentration of urea in blood of normal individuals. Journal of Clinical Investigation 2, 295.CrossRefGoogle Scholar
Neumann, U & Ziegenhorn, J (1977) Kinetic enzymatic method for the determination of urea in serum with the LKB 8600 reaction rate analyzer. Scandinavian Journal of Clinical and Laboratory Investigation 37, Suppl. 147, 90 Abstr. 97.Google Scholar
Nilsson, LH (1973) Liver glycogen content in man in the postabsorptive state. Scandinavian Journal of Clinical and Laboratory Investigation 32, 317323.CrossRefGoogle ScholarPubMed
Owen, OE, Trapp, VE, Reichard, GA, Mozzoli, MA, Moctezuma, J, Paul, P, Skutches, CL & Boden, G (1983) Nature and quantity of fuels consumed in patients with alcoholic cirrhosis. Journal of Clinical Investigation 72, 18211832.CrossRefGoogle ScholarPubMed
Plauth, M, Merli, M, Kondrup, J, Weimann, A, Ferenci, P & Müller, MJ (1997) ESPEN guidelines for nutrition in liver disease and transplantation. Clinical Nutrition 16, 4355.CrossRefGoogle ScholarPubMed
Pugh, RNH, Murray-Lyon, IM, Dawson, JL, Pietroni, MC & Williams, R (1973) Transection of the oesophagus for bleeding oesophageal varices. British Journal of Surgery 60, 646649.CrossRefGoogle ScholarPubMed
Schlettwein-Gsell, D (1992) Nutrition and the quality of life, a measure for the outcome of nutritional investigation. American Journal of Clinical Nutrition 55, 1263S1266S.CrossRefGoogle Scholar
Steindl, PE, Finn, B, Bendok, B, Rothke, S, Zee, PC & Blei, AT (1995) Disruption of the diurnal rhythm of plasma melatonin in cirrhosis. Annals of Internal Medicine 123, 274277.CrossRefGoogle ScholarPubMed
Summerbell, CD, Moody, RC, Shanks, J, Stock, MJ & Geissler, C (1995) Sources of energy from meals vs snacks in 220 people in four age groups. European Journal of Clinical Nutrition 49, 3341.Google Scholar
Summerbell, CD, Moody, RC, Shanks, J, Stock, MJ & Geissler, C (1996) Relationship between feeding pattern and body mass index in 220 free-living people in four age groups. European Journal of Clinical Nutrition 50, 513519.Google ScholarPubMed
Swart, GR, Zillikens, MC, van Vuure, JK & van den Berg, JWO (1989) Effect of a late evening meal on nitrogen balance in patients with cirrhosis of the liver. British Medical Journal 299, 12021203.CrossRefGoogle ScholarPubMed
Verboeket-van de Venne, WPHG, Westerterp, KR, van Hoek, B & Swart, GR (1993) Habitual pattern of food intake in patients with liver disease. Clinical Nutrition 12, 293297.CrossRefGoogle ScholarPubMed
Verboeket-van de Venne, WPHG, Westerterp, KR, van Hoek, B & Swart, GR (1995) Energy expenditure and substrate metabolism in patients with cirrhosis of the liver: effects of the pattern of food intake. Gut 36, 110116.CrossRefGoogle ScholarPubMed
Zillikens, MC, van den Berg, JWO, Wattimena, JLD, Rietveld, T & Swart, GR (1993) Nocturnal oral glucose supplementation. The effects on protein metabolism in cirrhotic patients and in healthy controls. Journal of Hepatology 17, 377383.CrossRefGoogle ScholarPubMed
You have Access
4
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Patterns of energy intake in patients with cirrhosis and healthy volunteers
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Patterns of energy intake in patients with cirrhosis and healthy volunteers
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Patterns of energy intake in patients with cirrhosis and healthy volunteers
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *