Guenther F. Wiesinger, Michael Quittan, Karin Zimmermann, Martin Nuhr, Martina Wichlas, Martin Bodingbauer, Reza Asari, Gabriela Berlakovich, Richard Crevenna, Veronika Fialka-Moser, Markus Peck-Radosavljevic
DOI: 10.1080/165019701753236446

Twenty-six men on a liver transplant waiting list (12 had alcoholic cirrhosis, 8 suffered from posthepatitic cirrhosis, and 6 from cirrhosis of other etiologies) were eligible for this observation. Nineteen subjects underwent exercise testing to determine oxygen uptake at anaerobic threshold. In all patients dynamometry was performed to determine isokinetic muscle strength of knee extensor muscles, and handgrip. Quality of life was evaluated in all patients with the MOS SF-36 questionnaire. Child-Pugh A patients showed 54 - 8%, Child-Pugh B patients 36 - 2%, and Child-Pugh C patients 31 - 4% of VO 2-max predicted at the anaerobic threshold (Kruskal-Wallis ANOVA, p < 0. 05). Isokinetic muscle strength of the quadriceps femoris (left/right) was 149 - 20/134 - 14 Nm in Child-Pugh A, 108 - 16/114 - 19 Nm in Child-Pugh B, and 89 - 10/81 - 11 Nm in ChildPugh C patients (Kruskal-Wallis ANOVA, p < 0. 05). MOS-SF36 revealed a Child-Pugh class dependent reduced functional status (Kruskal-Wallis ANOVA, p < 0. 05). No significant differences in target parameters were found when analysed according to the etiology of cirrhosis. Patients on the liver transplant waiting list do have a stage dependent reduction in physical health. These data are the basis for longitudinal studies measuring the effects of preoperative rehabilitation programs in these patients.