Table 2.

Recommended tools for assessment of nutritional status in patients with liver disease by the European Society of Clinical Nutrition and Metabolism (ESPEN)

Tool	Method	Strengths	Limitations
Subjective global assessment (SGA)	Questionnaire collecting information on dietary intake, weight change, and gastrointestinal symptoms	Reliable Validated in patients with liver disease Cost-effective	Self-reported
Hand-grip strength	Hand dynamometer is used to assess grip strength	Objective Superior to SGA to predict of complications of cirrhosis	Hand dynamometer required
Anthropometric parameters	Mid-arm muscle circumference Triceps skin thickness	Objective Not affected by ascites or volume overload	Requires experienced providers