Nutritional status assessment by anthropometry in children with chronic liver disease aged 6 months to 12 years


  • P. Sudhakar Department of Pediatrics, Institute of Child Health and Hospital for Children, Egmore, Chennai, Tamil Nadu, India
  • P. V. Dhaarani Giri Department of Pediatrics, Soorya Hospital, Saligrammam, Chennai, Tamil Nadu, India



Anthropometry indices, Children, Chronic liver disease, Nutritional status


Background: In spite of distinctive improvements in nutritional therapy, malnutrition and growth retardation remained as challenging significances of chronic liver disease (CLD) in children. The present study was done to evaluate the severity and frequency of malnutrition using anthropometry in CLD children.

Methods: The study included 50 children with CLD attending the OPD of Institute of Child Health and Hospital for Children, Egmore, Chennai during the period from April 2016 to September 2016. Physical growth and nutritional status in the patients were evaluated using anthropometric parameters and Z-scores.

Results: The incidence of malnutrition in the children using height for age was found to be 90%, weight for age- 84%, BMI for age- 40%, MAC for age- 88%, TST for age- 88%. SGA showed 96% malnutrition. Weight for age and body mass index were influenced by this fluid retention (P=0.002 and P=0.007 respectively). Whereas height for age, MAC and TST were not influenced by fluid retention (P=0.321, P=0.371 and P=0.031 respectively).

Conclusions: Assessment of nutritional status in CLD children can be easily diagnosed by anthropometric measurements. Early diagnosis of malnutrition will decrease the related morbidity and mortality in children.


Vieira PM, De-Souza DA, Oliveira LC. Nutritional assessment in hepatic cirrhosis; clinical, anthropometric, biochemical and hematological parameters. Nutr Hosp. 2013;28:1615-21.

Nunes G, Santos CA, Barosa R, Fonseca C, Barata AT, Fonseca J. Outcome and nutritional assessment of chronic liver disease patients using anthropometry and subjective global assessment. Arq Gastroenterol. 2017.

Huynh DK, Selvanderan SP, Harley HA, Holloway RH, Nguyen NQ. Nutritional care in hospitalized patients with chronic liver disease. World J Gastroenterol. 2015;21:12835-42.

Silva M, Gomes S, Peixoto A, Torres-Ramalho P, Cardoso H, Azevedo R, et al. Nutrition in chronic liver disease. GE Port J Gastroenterol. 2015;22:268-76.

Fernandes SA, Bassani L, Nunes FF, Aydos ME, Alves AV, Marroni CA. Nutritional assessment in patients with cirrhosis. Arq Gastroenterol. 2012;49:19-27.

Detsky A, McLaughlin J, Baker J, Johnston N, Whittaker S, Mendelson R, et al. What is subjective global assessment of nutritional status?. J Parenter Enter Nutr. 1987;11:8-13.

Romeiro FG, Augusti L. Nutritional assessment in cirrhotic patients with hepatic encephalopathy. World J Hepatol. 2015;7:2940-54.

Thuluvath PJ, Triger DR. Evaluation of nutritional status by using anthropometry in adults with alcoholic and nonalcoholic liver disease. Am J Clin Nutr. 1994;602:269-73.

Widodo AD, Soelaeman EJ, Dwinand N, Narendraswari PP, Purnomo B. Chronic liver disease is a risk factor for malnutrition and growth retardation in children. Asia Pac J Clin Nutr. 2017;26(1):57-60.

Rodriguez-Baez N, Wayman KI, Cox KL. Growth and development in chronic liver disease. Neoreviews. 2001;2:6.

Roggero P, Cataliotti E, Ulla L, Stuflesser S, Nebbia G, Bracaloni D, et al. Factors influencing malnutrition in children waiting for liver transplants. Am J Clin Nutr. 1997;65(6):1852-7.

Zamberlan P, Leone C, Tannuri U, de Carvalho WB, Delgado AF. Nutritional risk and anthropometric evaluation in pediatric liver transplantation. Clinics. 2012;67(12):1387-92.

Sokol RJ, Stall C. Anthropometric evaluation of children with chronic liver disease. Am J Clin Nutr. 1990;52(2):203-8.

Shepherd RW, Chin SE, Cleghorn GJ, Patrick M, Ong TH, Lynch SV, et al. Malnutrition in children with chronic liver disease accepted for liver transplantation: clinical profile and effect on outcome. J Paediatr Child Health. 1991;27(5):295-9.

Ramaccioni V, Soriano HE, Arumugam R, Klish WJ. Nutritional aspects of chronic liver disease and liver transplantation in children. J Pediatr Gastroenterol Nutr. 2000;30:361-7.






Original Research Articles