Health Condition 1: K740- Hepatic fibrosis Health Condition 2: K768- Other specified diseases of liver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children 9 - 18 years age with chronic liver disease & frailty score > 5
Exclusion criteria
Exclusion criteria: 1. Lansky play performance scale 2. Unable to do exercise under supervision on at least 2 occasions 3. Children on higher corticosteroid dose ( >0.1mg/kg/day) in last 12 weeks 4. Any degree of musculoskeletal involvement (myopathy/limb deformity/paraplegia) 5. Children with any cardiac disease 6. Children with neurological Wilson 7. Uncontrolled portal hypertension (persistent high-risk varices) Recurrent variceal bleed >= 2 8. Any degree of hemodynamic instability 9. Current hepatic encephalopathy (any grade) 10. Grade 3 ascites 11. Hepatic hydrothorax 12. Any degree of oxygen dependence 13. Severe or Very severe Hepatopulmonary syndrome (room air PaO2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of Frailty in children with liver disease and Improvement in Frailty after 12 weeks of exercise therapy in children with CLD and Frailty.Timepoint: 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Decrease in myostatin levels after 12 weeks of exercise regimenTimepoint: 12 weeks;Decrease in the occurrence of significant events including HE, UGI bleed, SBP, AKI, new onset or increase in ascites, hospital stay and mortality.Timepoint: 3 months;Increase in skeletal muscle mass in Body composition analysis after 12 weeks of exercise regimenTimepoint: 12 weeks | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences