Exercise Capacity of Patients After Liver Transplantation. A Preliminary Report.

Beyer, Nina; Aadahl, Mette; Strange, Birgit; Mohr, Thomas; M, Kjaer

doi:10.1249/00005768-199505001-00474

Cited by 4 publications

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“…However, exercise is documented not to adversely affect liver function tests or worsen symptoms. In fact, the adverse effects of inactivity and bed rest may not only worsen the complications of reduced physical functioning, muscle wasting and osteopenia, but may also be linked to decreased post-LT success [ 83 , 84 ].…”

Section: Nutritional Therapy Before Liver Transplantationmentioning

confidence: 99%

Nutritional Therapy in Liver Transplantation

et al. 2017

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Protein-energy malnourishment is commonly encountered in patients with end-stage liver disease who undergo liver transplantation. Malnutrition may further increase morbidity, mortality and costs in the post-transplantation setting. The importance of carefully assessing the nutritional status during the work-up of patients who are candidates for liver replacement is widely recognized. The metabolic abnormalities induced by liver failure render the conventional assessment of nutritional status to be challenging. Preoperative loss of skeletal muscle mass, namely, sarcopenia, has a significant detrimental impact on post-transplant outcomes. It is essential to provide sufficient nutritional support during all phases of liver transplantation. Oral nutrition is preferred, but tube enteral nutrition may be required to provide the needed energy intake. Herein, the latest currently employed perioperative nutritional interventions in liver transplant recipients are thoroughly illustrated including synbiotics, micronutrients, branched-chain amino acid supplementation, immunonutrition formulas, fluid and electrolyte balance, the offering of nocturnal meals, dietary counselling, exercise and rehabilitation.

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Section: Nutritional Therapy Before Liver Transplantationmentioning

confidence: 99%

Nutritional Therapy in Liver Transplantation

et al. 2017

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“…L ow-exercise capacity or cardiorespiratory fitness (CRF), muscle strength, and high rates of obesity are well documented in adults following kidney transplantation (KTx) and liver transplantation (LTx) (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). CRF and total body fat are known to be predictors of cardiovascular disease in adults (13,14).…”

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confidence: 99%

The Comprehensive Assessment of Physical Fitness in Children Following Kidney and Liver Transplantation

Krasnoff

Mathias²,

Rosenthal³

et al. 2006

Transplantation

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Pediatric KTx and LTx recipients have significantly reduced CRF, muscle strength, and physical activity. Routine counseling and encouragement for increased physical activity is recommended as a part of routine care. A randomized clinical exercise intervention trial after pediatric solid organ transplantation is warranted to determine the impact of such lifestyle intervention on improving physical fitness and cardiovascular health.

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Perioperative nutritional therapy in liver transplantation

2014

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Protein-energy malnutrition is frequently seen in patients with end-stage liver disease who undergo liver transplantation. This causes a deterioration of the patients' clinical condition and affects their post-transplantation survival. Accurate assessment of the nutritional status and adequate intervention are prerequisites for perioperative nutritional treatment. However, the metabolic abnormalities induced by liver failure make the traditional assessment of the nutritional status difficult. The methods that were recently developed for accurately assessing the nutritional status by body bioelectrical impedance may be implemented in pre-transplant management. Because preoperative malnutrition and the loss of skeletal muscle mass, called sarcopenia, have a significant negative impact on the post-transplantation outcome, it is essential to provide adequate nutritional support during all phases of liver transplantation. Oral nutrition is preferred, but tube enteral nutrition may be required to provide the necessary caloric intake. We herein discuss both bioelectrical impedance and the latest findings in the current perioperative nutritional interventions in liver transplant patients regarding synbiotics, micronutrients, branched-chain amino acid supplementation, the use of immune system modulating formulas, the fluid balance and the offering of nocturnal meals.

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Exercise Capacity of Patients After Liver Transplantation. A Preliminary Report.

Cited by 4 publications

References 0 publications

Nutritional Therapy in Liver Transplantation

Nutritional Therapy in Liver Transplantation

The Comprehensive Assessment of Physical Fitness in Children Following Kidney and Liver Transplantation

Perioperative nutritional therapy in liver transplantation

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