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Adv Ther. 2018 Nov;35(11):1729-1734. doi: 10.1007/s12325-018-0797-7. Epub 2018 Oct 16.

Physical Activity in Liver Transplantation: A Patient's and Physicians' Experience.

Author information

1
Department for Visceral Surgery and Medicine, Bern University Hospital and University of Bern, Bern, Switzerland.
2
Department for Visceral Surgery and Medicine, Bern University Hospital and University of Bern, Bern, Switzerland. annalisa.berzigotti@insel.ch.

Abstract

Liver transplantation has become a highly standardized, acceptable option for selected patients with end-stage liver disease and/or hepatocellular carcinoma in the setting of cirrhosis. Both conditions are associated with loss of skeletal muscle mass (sarcopenia) and physical deconditioning. Both conditions result in a dramatic decrease in the patients' quality of life, negatively impacting on the pre- and post-transplant prognosis. In this context, awareness of the advantages of physical activity in both the pre- and post-transplant setting is key. However, the importance of regular, individualized and patient-adapted physical activity is still understudied and underestimated. This article describes a three-sided perspective on the importance of physical activity in the setting of liver transplantation, including a patient's, transplant surgeon's and hepatologist's point of view.

KEYWORDS:

Exercise; Liver cirrhosis; Liver transplantation; Malnutrition; Physical activity; Reconditioning; Sarcopenia

PMID:
30328060
PMCID:
PMC6223989
DOI:
10.1007/s12325-018-0797-7
[Indexed for MEDLINE]
Free PMC Article

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