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Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study
Background and Aims: Clinical evidence for the benefits of branched-chain amino acids (BCAAs) is lacking in advanced liver disease. We evaluated the potential benefits of long-term oral BCAA supplementation in patients with advanced liver disease. Methods: Liver cirrhosis patients with Child–Pugh (C...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284598/ https://www.ncbi.nlm.nih.gov/pubmed/32429077 http://dx.doi.org/10.3390/nu12051429 |
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author | Park, Jung Gil Tak, Won Young Park, Soo Young Kweon, Young Oh Chung, Woo Jin Jang, Byoung Kuk Bae, Si Hyun Lee, Heon Ju Jang, Jae Young Suk, Ki Tae Oh, Myung Jin Heo, Jeong Woo, Hyun Young Jang, Se Young Lee, Yu Rim Lee, June Sung Kim, Do Young Kim, Seok Hyun Suh, Jeong Ill Kim, In Hee Kang, Min Kyu Lee, Won Kee |
author_facet | Park, Jung Gil Tak, Won Young Park, Soo Young Kweon, Young Oh Chung, Woo Jin Jang, Byoung Kuk Bae, Si Hyun Lee, Heon Ju Jang, Jae Young Suk, Ki Tae Oh, Myung Jin Heo, Jeong Woo, Hyun Young Jang, Se Young Lee, Yu Rim Lee, June Sung Kim, Do Young Kim, Seok Hyun Suh, Jeong Ill Kim, In Hee Kang, Min Kyu Lee, Won Kee |
author_sort | Park, Jung Gil |
collection | PubMed |
description | Background and Aims: Clinical evidence for the benefits of branched-chain amino acids (BCAAs) is lacking in advanced liver disease. We evaluated the potential benefits of long-term oral BCAA supplementation in patients with advanced liver disease. Methods: Liver cirrhosis patients with Child–Pugh (CP) scores from 8 to 10 were prospectively recruited from 13 medical centers. Patients supplemented with 12.45 g of daily BCAA granules over 6 months, and patients consuming a regular diet were assigned to the BCAA and control groups, respectively. The effects of BCAA supplementation were evaluated using the model for end-stage liver disease (MELD) score, CP score, serum albumin, serum bilirubin, incidence of cirrhosis-related events, and event-free survival for 24 months. Results: A total of 124 patients was analyzed: 63 in the BCAA group and 61 in the control group. The MELD score (p = 0.009) and CP score (p = 0.011) significantly improved in the BCAA group compared to the control group over time. However, the levels of serum albumin and bilirubin in the BCAA group did not improve during the study period. The cumulative event-free survival was significantly improved in the BCAA group compared to the control group (HR = 0.389, 95% CI = 0.221–0.684, p < 0.001). Conclusion: Long-term supplementation with oral BCAAs can potentially improve liver function and reduce major complications of cirrhosis in patients with advanced liver disease. |
format | Online Article Text |
id | pubmed-7284598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72845982020-06-19 Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study Park, Jung Gil Tak, Won Young Park, Soo Young Kweon, Young Oh Chung, Woo Jin Jang, Byoung Kuk Bae, Si Hyun Lee, Heon Ju Jang, Jae Young Suk, Ki Tae Oh, Myung Jin Heo, Jeong Woo, Hyun Young Jang, Se Young Lee, Yu Rim Lee, June Sung Kim, Do Young Kim, Seok Hyun Suh, Jeong Ill Kim, In Hee Kang, Min Kyu Lee, Won Kee Nutrients Article Background and Aims: Clinical evidence for the benefits of branched-chain amino acids (BCAAs) is lacking in advanced liver disease. We evaluated the potential benefits of long-term oral BCAA supplementation in patients with advanced liver disease. Methods: Liver cirrhosis patients with Child–Pugh (CP) scores from 8 to 10 were prospectively recruited from 13 medical centers. Patients supplemented with 12.45 g of daily BCAA granules over 6 months, and patients consuming a regular diet were assigned to the BCAA and control groups, respectively. The effects of BCAA supplementation were evaluated using the model for end-stage liver disease (MELD) score, CP score, serum albumin, serum bilirubin, incidence of cirrhosis-related events, and event-free survival for 24 months. Results: A total of 124 patients was analyzed: 63 in the BCAA group and 61 in the control group. The MELD score (p = 0.009) and CP score (p = 0.011) significantly improved in the BCAA group compared to the control group over time. However, the levels of serum albumin and bilirubin in the BCAA group did not improve during the study period. The cumulative event-free survival was significantly improved in the BCAA group compared to the control group (HR = 0.389, 95% CI = 0.221–0.684, p < 0.001). Conclusion: Long-term supplementation with oral BCAAs can potentially improve liver function and reduce major complications of cirrhosis in patients with advanced liver disease. MDPI 2020-05-15 /pmc/articles/PMC7284598/ /pubmed/32429077 http://dx.doi.org/10.3390/nu12051429 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Park, Jung Gil Tak, Won Young Park, Soo Young Kweon, Young Oh Chung, Woo Jin Jang, Byoung Kuk Bae, Si Hyun Lee, Heon Ju Jang, Jae Young Suk, Ki Tae Oh, Myung Jin Heo, Jeong Woo, Hyun Young Jang, Se Young Lee, Yu Rim Lee, June Sung Kim, Do Young Kim, Seok Hyun Suh, Jeong Ill Kim, In Hee Kang, Min Kyu Lee, Won Kee Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title | Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title_full | Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title_fullStr | Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title_full_unstemmed | Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title_short | Effects of Branched-Chain Amino Acid (BCAA) Supplementation on the Progression of Advanced Liver Disease: A Korean Nationwide, Multicenter, Prospective, Observational, Cohort Study |
title_sort | effects of branched-chain amino acid (bcaa) supplementation on the progression of advanced liver disease: a korean nationwide, multicenter, prospective, observational, cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284598/ https://www.ncbi.nlm.nih.gov/pubmed/32429077 http://dx.doi.org/10.3390/nu12051429 |
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