Effects of a Physical Exercise Program on Cerebral and Hepatic Hemodynamics in Patients With Cirrhosis. (Pilot Study)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cirrhosis
- Sponsor
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
- Enrollment
- 28
- Primary Endpoint
- Improvement in neurocognitive status-1
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This study evaluates the effects of a structured exercise (The LFN-exercise protocol) program plus diet, on cerebral hemodynamics (cerebral blood flow) and hepatic hemodynamics (portal pressure), as well as on nutritional status (body composition and nutritional markers) in order to facilitate the prescription of exercise in patients with cirrhosis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Liver cirrhosis of any aetiology (liver biopsy or a combination of clinical and biochemical variables plus evidence of portal hypertension); without decompensation during the past month; serum creatinine \<1.5 mg/dL; able to attend the appointed visits and willing to participate in the study.
Exclusion Criteria
- •Presence of high-risk varices in upper endoscopy (red marks, large varices or gastric varices); concomitant cardiopulmonary diseases; decompensated Type 2 Diabetes Mellitus, insulin use or proliferative diabetic retinopathy; orthopaedic or osteomuscular limitations; any type of cancer, primary sclerosing cholangitis and Inflammatory bowel disease.
Outcomes
Primary Outcomes
Improvement in neurocognitive status-1
Time Frame: 12 weeks
improvement in neuropsychometric tests (PHES; psychometric Hepatic encephalopathy score)
Improvement in nutritional status
Time Frame: 12 weeks
improvement in blood markers of nutritional status (measured in serum/RNA expression)
Improvement in Cerebral hemodynamics
Time Frame: 12 weeks
improvement in transcranial Doppler ultrasound
Improvement in neurocognitive status-2
Time Frame: 12 weeks
improvement in neuropsychometric tests (CFF; critical flicker frequency)
Changes in hepatic hemodynamics
Time Frame: 12 weeks
Improvement in HVPG (HVPG; hepatic venous pressure gradient)
Improvement in body composition
Time Frame: 12 weeks
improvement in body composition (BIA; Bioelectrical impedance analysis)
Secondary Outcomes
- Physical activity(12 weeks)
- Physical fitness(12 weeks)
- Physical activity tolerance(12 weeks)
- Oxidative stress(12 weeks)