New research reports that survivors of childhood liver transplant remain nutritionally compromised over the long-term. Findings published in Liver Transplantation, a journal of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, indicate that the recipients’ return to normal weight post-transplant was due to an increase in fat mass as body cell mass remained low, indicating a slim body composition with little lean muscle mass or “skinny fat.”
Children with end-stage liver disease may be malnourished due to inadequate food consumption, abnormal absorption of nutrients, or excessive increase in metabolism (hypermetabolic state). Previous studies suggest that malnutrition may reduce body fat, protein stores, body cell mass, and cause deficiencies in fat soluble vitamins, iron, zinc, and selenium before transplant; and increase mortality after liver transplantation. The “gold standard” for assessing nutritional status is by measuring body cell mass using the total body potassium measurement.
For the present study Dr. Looi Ee and colleagues from The University of Queensland in Brisbane, Australia recruited 32 children aged less than 18 years, who were scheduled for liver transplant at the Royal Children’s Hospital. Researchers measured total body mass prior to liver transplant and at follow-up on average seven years post-transplant. Patient age at transplant, growth impairment, biliary atresia diagnosis and steroid use were also examined.
Twenty of the participants were male, 62% had biliary atresia, and the average age at transplant was two years. Results showed the patients’ body cell mass for height (BCM/Heightp) was reduced prior to liver transplant, but further reduced after transplant despite height and weight returning to normal. Analyses indicate that older age at transplant predicted reduced post-transplant BCM/Heightp) . Researchers did not find that gender, age at transplant, steroid use, and underlying diagnosis predicted changes in BCM/Heightp).
“Our study found reduced body cell mass in those who underwent childhood liver transplant up to 15 years post-transplant, despite a return to normal height and weight following surgery,” said Dr. Ee. “Likely weight recovery was due to increased fat mass — what would be called “skinny fat” — since body cell mass did not improve.”
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This guitar lesson vid shows you how to improve your fretboard technique with finger dexterity exercises! It shows you the chords, technique and style. Go to…
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How the heck does he get his middle and ring finger so far apart?!
Holding my fingers that far apart hurts a lot. How long does it take before
my fingers reach all four frets at the same time?
my left arm is so fucking sore! great video man! subescribed
damn your guitar would definitely benefit from a pick guard haha
How do you tinker with the tune
Great lesson and great t shirt! :D
How come when I play with these notes, they sound much more closed and
muted?
On the first exercise should I work on the high e string (or any) until I
get it, or should I move on through the whole drill and just keep
repeating? Thanks
My hands are too small 🙁 I need some finger stretching exercises!
my finger tip is aching :(
This is so helpful for beginners like me!
can you play, even though your left handed, on a right handed guitar? and
by the way, i can’t get the sharpie off my fingers :)! Because i really
want to learn, but i doubt my parents will buy me a guitar so i’m kinda
using the guitar that my dad bought for himself but never actually used
i can’t do the second exercise.. i would have to break my finger..
I didn’t know Paul Rudd did guitar lesson videos.
You can stop showing off now lol I’m really glad I found these videos first
not a ton of horrible ones to start with.
Thank u soo much again this is really helping!!
“un”conscience, or “sub”conscience? 🙂 Thanks for all the great ‘n
helpful lessons. You are the best I’ve found to progress at my rate and
level of simplicity. ;)
Tricky
I put this on to help my 14 yr old nephew…………stop using profanity
This is physically impossible for me to do. :/
Subscribed! Thank you, this is helpful.
Great video, very helpful! Thank you!
Wow. Very impressed xD