Impact of lipid profile alterations on the severity of liver cirrhosis

Authors

DOI:

https://doi.org/10.62992/1chz0s74

Keywords:

Child-Pugh score, Liver cirrhosis severity, Lipid profile

Abstract

Background: Lipid derangements are commonly seen in chronic liver diseases. Estimating serum lipid profile allows better assessment of hepatic function and evaluation of the prognosis of patients with hepatic cirrhosis.

Objectives: This study was carried out to determine the lipid profile changes and the severity of liver cirrhosis.

Methods: It is a hospital-based cross-sectional descriptive study. A total of 119 patients who met the inclusion criteria were enrolled. Thorough history taking and physical examination were done. Measurement of serum lipid profile was done. The severity of liver cirrhosis was determined using the Child-Pugh score, and then the lipid profile changes, and the severity of liver cirrhosis were correlated.

Results: The mean age of the study population was 45.8 ± 10.6 years. Most patients were male (91.6%), and the remaining 8.4% were females. Alcohol was the most common underlying cause of liver cirrhosis (70.6%). Half of the participants were Child C (52.1%), followed by Child B (24.4%) and Child A (23.5%). The values of total cholesterol, triglyceride, Low-Density Lipoprotein (LDL), and High-Density Lipoprotein (HDL) cholesterol were decreased with increasing Child grading (P-value < 0.05). There was also a significant association between lipid profile changes and the severity of cirrhosis.

Conclusion: Lipid derangements are commonly seen in cirrhosis of the liver. It helps diagnose the severity of liver disease and acts as a prognostic sign. Therefore, lipid profile assessment should be advised in all cases with cirrhosis.

References

Suman C, Kumar BR, Prabhakar B. Lipid profile in assessing the severity of cirrhosis. J IAIM. 2016;3(6):113-23.

Yoon Y-H, Chen CM. Surveillance report# 114: liver cirrhosis mortality in the United States: national, state, and regional trends, 2000–2017. 2019.

Wang Y, Wang M, Liu C, Hao M, Wang W, Li Y, et al. Global burden of liver cirrhosis 1990–2019 and 20 years forecast: results from the global burden of disease study 2019. J Annals of Medicine. 2024;56(1):2328521.

Gunnarsdottir SA, Olsson R, Olafsson S, Cariglia N, Westin J, Thjódleifsson B, et al. Liver cirrhosis in Iceland and Sweden: incidence, aetiology and outcomes. J Scandinavian journal of gastroenterology. 2009;44(8):984-93.

Jarikre A, Momoh J. Plasma total cholesterol, high density lipoprotein cholesterol and low-density lipoprotein cholesterol levels in liver cirrhosis in Nigerians. J Nigerian Quarterly Journal of Hospital Medicine. 1996;6(3):157-9.

Muhammed HP, Jayaraj K. Correlation of lipid profile in patients with severity of liver disease: a cross sectional study in a tertiary care hospital. J Int J Res Med Sci. 2016;5:326.

Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences: Wiley; 2018.

Mehboob F, Ranjha FJPJMS. Dyslipidemia in chronic liver disease. 2007;1:103-5.

Kyaw Swar L. Association between serum-ascitic albumin concentration gradient and the esophageal variceal bleeding in patients with cirrhosis of liver and ascites in North Okkalarpa General Hospital. Yangon: University of Medicine 2 Yangon; 2006.

Siregar G, Tampubolon S, editors. Comparison of lipid profile between degrees of severity of hepatic cirrhosis in Haji Adam Malik General Hospital Medan. IOP Conference Series: Earth and Environmental Science; 2018: IOP Publishing.

Nway Theint Theint T. Association between serum sodium level and the severity and complications of cirrhosis of liver in Magway General Hospital. Magway: University of Medicine Magway; 2014.

Ko K. A Clinical Study of Patients with Ascites in North Okkalarpa General Hospital. Yangon: University of Medicine 2 Yangon; 1996.

Thandar T. Significance of serum ascites albumin gradient in differential types of ascites in Medical Units of Mandalay General Hospital. Mandalay: University of Medicine Mandalay; 2001.

laxmi Nangliya V, Sharma A, Mishra S. Evaluation of lipid profile in cirrhosis and their associatio the disease. 2015.

Jatav JK, Shakya RK, Singh SJIJOSS. Study of lipid profile changes in cirrhosis of liver. 2018;6(3):108-14.

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30-04-2025

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1.
Impact of lipid profile alterations on the severity of liver cirrhosis. IJPHAP [Internet]. 2025 Apr. 30 [cited 2025 May 19];4(8):44-53. Available from: https://ijphap.com/index.php/home/article/view/107