肝硬化和门脉高压患者的运动是否有益和安全？

StephenW

Is Exercise Beneficial and Safe in Patients with Cirrhosis and Portal Hypertension?

    Authors
    Authors and affiliations

    Elliot B. TapperRoberto Martinez-Macias Andres Duarte-Rojo Email author

    Elliot B. Tapper
        1
    Roberto Martinez-Macias
        2
    Andres Duarte-Rojo
        2 Email author

    1.Division of Gastroenterology and HepatologyUniversity of MichiganAnn ArborUSA
    2.Division of Gastroenterology and HepatologyUniversity of Arkansas for Medical SciencesLittle RockUSA

Portal Hypertension (J Gonzalez-Abraldes and E Tsochatzis, Section Editors)
First Online: 02 June 2018

    16 Downloads

Part of the following topical collections:

    Topical Collection on Portal Hypertension

Abstract
Purpose of Review

In spite of the many health benefits attributed to exercise, reports summarizing the literature in patients with cirrhosis are scarce. We aimed to provide a comprehensive review focusing on potential safety considerations in cirrhosis.
Recent Findings

Diminished exercise capacity in patients with cirrhosis worsens their prognosis before and after liver transplantation. Exercise poses unique challenges in this population, raising questions of safety—worsening portal hypertension and malnutrition—and efficacy. In this review, we show that the balance of evidence supports supervised exercise programs with demonstrable benefits with respect to portal pressure, functional capacity, and muscle mass indexes. There are also benefits regarding their emotional function and perceived general health. Key to interpreting the benefits and risk profile of exercise is the impact of non-selective beta-blockage.
Summary

Patients with cirrhosis, with or without portal hypertension, should receive an exercise prescription as part of their standard of care. However, some standard safety recommendations should be universally followed.
Keywords
Hepatic venous portal gradient Cardiopulmonary endurance Aerobic fitness Frailty Sarcopenia Preparticipation

StephenW

肝硬化和门脉高压患者的运动是否有益和安全？

    作者
    作者和附属机构

    Elliot B. TapperRoberto Martinez-Macias Andres Duarte-Rojo电子邮件作者

    Elliot B. Tapper
        1
    罗伯托马丁内斯 - 马西亚斯
        2
    Andres Duarte-Rojo
        2电邮作者

    1.密歇根大学消化内科和肝病学分院.Ann ArborUSA
    2.阿肯色大学医学院消化内科和肝病学分院

门静脉高压症（J Gonzalez-Abraldes和E Tsochatzis，科编辑）
首次在线：2018年6月2日

    16下载

以下主题集合的一部分：

    门脉高压症的专题收集

抽象
审查目的

尽管运动有许多健康益处，但总结肝硬化患者文献的报道很少。我们的目的是提供全面的综述，重点关注肝硬化的潜在安全性考虑因素。
最近的调查结果

肝硬化患者运动能力下降会加重肝移植前后的预后。运动对这一人群构成了独特的挑战，引发了安全性恶化的门静脉高压和营养不良以及疗效的问题。在这篇综述中，我们证明了证据平衡支持有监督的锻炼计划，在门静脉压力，功能能力和肌肉质量指数方面具有明显的益处。他们的情绪功能和感知的一般健康也有好处。解释运动的益处和风险特征的关键是非选择性β阻滞的影响。
概要

肝硬化患者，无论是否患有门静脉高压症，都应该接受运动处方作为其护理标准的一部分。但是，应普遍遵循一些标准的安全建议。
关键词
肝静脉门静脉梯度心肺耐力有氧健身Frailty肌肉减少症预先参加