Personalized exercise intervention in HPN patients - A feasibility study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
- Graungaard et al_Clinical Nutrition ESPEN_2021_Vol 45_420-425
Forlagets udgivne version, 265 KB, PDF-dokument
Background: Physical health status may be predictive of readmissions, psychological health and mortality in patients with short bowel syndrome. Aims: This study aimed to investigate the feasibility and effect of an individualized exercise intervention and secondary, oral nutrition intake counseling on Timed-Up-and-Go (TUG) and 30 s Chair Stand Test (CST) as well as body-composition and EuroQol (EQ)-5D-5L, in patients with chronic intestinal failure (IF) type III receiving HPN and/or fluid therapy.
Methods: A 12-week individualized exercise intervention consisting on three weekly home based sessions, and nutrition counselling focusing on protein intake and reducing high stoma output, was performed. Weekly follow-up by phone was done on motivation to exercise.
Results: The study invited 71 patients, 44 accepted the invitation (62%), 37(52%) were included, and 31 (84%) completed the intervention. The exercise intervention was well tolerated. TUG improved from 8.9(SD 5.5) to 7.7(SD 3.8) (p = 0.033). CST improved by four repetitions (<0.001∗). A statistical, however not clinically relevant improvement was seen in muscle mass. No improvement was seen in (EQ)-5D-5L total, but insignificantly (p = 0.055) for physical function only. Protein intake improved by 10.6 g/day (p = 0.008).
Conclusions: A 12 weeks individualized exercise intervention showed very feasible and beneficial in HPN patients. Physical function improved statistically and clinically, and oral protein intake improved. QoL overall did not improve, however COVID-19 was an uninvited partner throughout the study period, which may have influenced general QoL. As only 62% accepted the invitation to participate, home based exercise intervention may not apply to all patients.
|Tidsskrift||Clinical Nutrition ESPEN|
|Status||Udgivet - 2021|
CURIS 2021 NEXS 272
The authors wish to thank patients for their willing participation in this study. Furthermore we wish to thank Marianne K?hler for assisting with knowledge and measures, and Sabina Mikkelsen for contributing to the physical intervention.
© 2021 The Authors