الفهرس 
Aim ofthe work
Altered Macronutrient MetabolismOnly 14 pages are availabe for public view
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Abstract
The study conducted in NLI on (30) Cirrhotic patient vist one nutritional state assessted by: Protein energy Malnutrition (PEM) is a common nutritional defect in Cirrhotic patients, with increased risk of mortality and morbidity. Simple bedside tools to identify malnutrition are essential to improve the prognosis and quality of. The main objective of this study is to improve the functional status of patients with chronic liver disease by using a high protein meal followed by planned exercises, to increase muscle mass., Determine the effect of this technique assisted by Bio electrical Impedance Analysis (BIA) 30 Cases are rolled in National Liver Institute, Menoufia University ( 2017-2019) child (A-B) cirrhotic parameters were collected using the results indicated that: Both groups were assessed by: (NRS)Nutritional risk screening, (SGA) Subjective global assessment, (ALT)Alanine Amino Transferase, (AST) Aspartate Amino Transferase, (AlB)Albumin, (WR) Water, (T-BIL)Total Bilirubin, (D-BIL) Direct Bilirubin, (Ht) Height, (Wt)Weight,(BMI) Body mass index, (BIA) Bio Electrical Impedance Analysis, (CARB)Carbohydrate, (P)Protein, (CRIT) Creatine, (F)FAT, (Fat M) Fat Mass, (V FatL)Visceral Fat Level, (FFM)Fat Free Mass, (TBW) Body Water, (BMR) Basal Metabolic Rate, (MAC) Mid arm circumference, (TSF) Triceps skin fold, (WL) Waist Circumference, (6 MWT) 6 min wake test.
Aim of the Study:
The main objective of this study is to improve the functional status of patients with chronic liver disease by using a high protein meal followed by exercises, planned to increase muscle mass., Determine the effect of this technique assisted by Bio electrical Impedance Analysis (BIA). Cases are rolled in National Liver Institute, Menoufia University.
Patients and Methods
work plan:
1. The study is conducted on chronic liver disease patients National Liver Institute, Menoufia University using BIA device.
2. Measurement state of nutrition, Muscle mass using: