Nutrition Support of Children With Chronic Liver Diseases

1. Beyond weight and height measurements, clinicians should monitor mid-upper arm circumference (MUAC) and triceps skin folds (TSF) serially in patients with chronic liver disease. The frequency of the measurements depends on the nutritional status and can range from every 2 weeks to 3 months.

2. A careful, nutrition focused, physical examination is recommended in every clinic visit.

3. Clinicians should familiarize themselves with the limitations of nutritional biomarkers in the context of chronic liver disease.

Nutrition support of cholestatic infants should be optimized to prevent and treat nutritional deficiencies.