Physical Function, Physical Activity, and Quality of Life After Liver Transplantation.

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Michael A DunnJennifer C Lai

Abstract

Robust physical activity after liver transplantation is an important determinant of longterm health, similar in its importance to the value of pretransplant activity for withstanding the immediate stress of transplantation. Although transplantation normally enables rapid recovery of liver synthetic and metabolic functions, the recovery of physical capacity and performance to normal levels is delayed and often incomplete. Anatomic measurements of sarcopenia and the physical performance indicators of frailty both tend to improve slowly, and they may, in fact, decrease further in the posttransplant period, especially when the common extrahepatic drivers of muscle loss, such as the elements of the metabolic syndrome, persist or intensify after transplantation. Posttransplant exercise improves fitness, which is a conclusion based on 2 observational studies and 3 randomized trials that assessed endpoints of strength testing, energy expenditure in metabolic equivalents, and peak or maximal oxygen uptake. Importantly, 1 controlled trial found that exercise also improved quality of life (QOL) measured by the Short Form 36 survey, consistent with multiple reports of the value of social support and engagement in sports activity for improv...Continue Reading

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Citations

May 28, 2020·Life·Hiroki NishikawaHiroko Iijima
May 28, 2020·Journal of Clinical Medicine·Hiroki NishikawaHiroko Iijima
Aug 9, 2020·Life·Hiroki NishikawaHiroko Iijima
Mar 13, 2021·European Journal of Translational Myology·Andrea GonzalezClaudio Cabello-Verrugio
Nov 8, 2020·Best Practice & Research. Clinical Gastroenterology·Fredrik Åberg
Apr 1, 2021·Seminars in Liver Disease·Michael A DunnJohn M Jakicic
Apr 29, 2021·Arquivos De Gastroenterologia·Isabel Roldo NogueiraMarco Aurélio Raeder da Costa
May 7, 2021·Langenbeck's Archives of Surgery·Christian FazekasPeter Schemmer
May 28, 2021·World Journal of Gastroenterology : WJG·Lukas HartlLukas W Unger

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