title: Branched-chain amino acids supplements in the late evening decrease the frequency of muscle cramps with advanced hepatic cirrhosis.
abstract: Eight outpatients with advanced hepatic cirrhosis were tested over 3 months for branched-chain amino acids (BCAA) supplements in the late evening. Serum albumin level (2.8+/-0.3 vs. 3.1+/-0.2 g/dl, P<0.002), serum cholin esterase activity (54+/-13 vs. 67+/-17 IU/l, P<0.02), and plasma Fischer's ratio (1.3+/-0.9 vs. 1.4+/-0.9, P<0.005) increased over the 3 months. The frequency of muscle cramps decreased (7.4+/-2.0 vs. 0.3+/-0.5 times/week, P<0.0001) dramatically. These data suggest that BCAA supplements in the late evening are of benefit to malnourished patients with hepatic cirrhosis. Relief of muscle cramping is an important outcome of BCAA supplements in the late evening.
authors.affiliation: Nanpuh Hospital, Nanpuh, Japan
authors.forename: Katsumi
authors.initials: K
authors.lastname: Sako
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Imamura
authors.forename: Hiroto
authors.initials: H
authors.lastname: Nishimata
authors.forename: Kenji
authors.initials: K
authors.lastname: Tahara
authors.forename: Osamu
authors.initials: O
authors.lastname: Kubozono
authors.forename: Hirohito
authors.initials: H
authors.lastname: Tsubouchi