Cirrhosis
Conditions
Brief summary
Cirrhosis is associated with a reduction in muscle mass and exercise capacity. This has an impact or morbidity and mortality. Regular aerobic exercise training is a proven effective therapy to improve exercise capacity in healthy and clinical populations. the effect of this training has not yet been evaluated in cirrhosis. The safety of this intervention also requires further study. Using a randomized controlled design, the investigators aim to conduct a pilot study evaluating the safety and efficacy of eight weeks of aerobic exercise training on aerobic capacity.
Interventions
Aerobic exercise for 8 weeks (3 times per week, 30-60 minutes each session)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 and ≤70 years * Cirrhosis * Child Pugh class A or B * If required, primary or secondary variceal prophylaxis in place
Exclusion criteria
* Post-liver transplantation * Hepatocellular carcinoma * Active non-Hepatocellular carcinoma malignancy * Significant cardiac disease - ejection fraction \<60% or known coronary artery disease * Oxygen saturation at rest \<95% * Known myopathy * Hemoglobin (\<100 g/L) * Chronic renal failure on dialysis * Physical impairment making it impossible to ride an exercise bike or treadmill * Orthopedic abnormality preventing exercise training * HIV infection * Patient unwilling to consent to study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in peak exercise pulmonary oxygen uptake (peak VO2) | Baseline (day 1) and Study End (8 weeks) |
Secondary
| Measure | Time frame |
|---|---|
| Change in muscle mass as measured by thigh ultrasound | Baseline (day 1) and study end (8 weeks) |
| Change in Quality of Life - Chronic Liver Disease Questionnaire | Baseline (day 1) and Study End (8 weeks) |
Countries
Canada