Exercise Interventions for Cirrhosis

Abstract Purpose of ReviewPoor physical fitness is a common finding in patients with cirrhosis and is associated with increased morbidity and mortality. This review aims to summarize the existing literature on the impact of exercise interventions in cirrhosis and guiding the healthcare providers in determining the optimal exercise program in this population.Recent FindingsExercise interventions including aerobic and resistance training have benefits on markers of sarcopenia, cardiorespiratory fitness and quality of life, and are safe, even in the decompensated stage.SummaryPoor physical fitness in cirrhosis is multifactorial. The goal of exercise interventions in cirrhosis is to improve outcomes by increasing muscle mass and function, preventing further skeletal muscle breakdown, and improving cardiovascular fitness. Exercise programs combining aerobic and resistance training at a moderate intensity and for at least 8 to 12  weeks, in both site-based and home-based settings, have benefits on sarcopenia and aerobic capacity, as well as on quality of life. Efforts need to be made to improve the adherence to exercise interventions, especially home-based programs, in order to maximize their benefits.
Source: Current Treatment Options in Gastroenterology - Category: Gastroenterology Source Type: research