Individualized exercise prescription in non-alcoholic steatohepatitis: a case report.

The effect of an individualized exercise programme on a non-alcoholic steatohepatitis case is presented. Before entering the programme the patient was treated with conventional recommendations on diet plus aerobic exercise during fourteen years, without major improvements of his analytical parameters.Two years after including him in a tailored exercise programme, aimed to fulfil the recommendations of the American College of Sports Medicine, his blood markers of liver dysfunction and cardiometabolic risk tended to improve. Consequently, our data support the idea that in non-alcoholic steatohepatitis the exercise-based therapeutic interventions should be individualized taking into account the cardio-respiratory and muscular fitness of the patient, rather than using generic behavioural recommendations.

Prescripción individualizada de ejercicio en un caso de esteatohepatitis no alcohólica / Ultrasound-guided percutaneous drainage and sclerotherapy in a patient with isolated autosomal dominant polycystic liver disease

Se presenta un caso de esteatohepatitis no alcohólica de dieciséis años de evolución, tratado durante catorce años con recomendaciones dietéticas y de práctica de actividad física regular y que, en los dos últimos años, fue incluido en un programa de ejercicio controlado, monitorizado y supervisado, acorde a las recomendaciones del American College of Sports Medicine. Tras la inclusión del paciente en este programa se observó un cambio en la tendencia de diferentes parámetros analíticos de función hepática y riesgo cardiometabólico, que pasaron de mostrar una tendencia al alza, a estabilizarse o tender a disminuir. A raíz de estas observaciones se sugiere que la mera recomendación de realización autónoma de ejercicio regularmente, sin evaluación de la condición física del sujeto, así como sin unas adecuadas planificación y periodización del mismo, puede resultar una medida ineficaz en el tratamiento de esta enfermedad

The effect of an individualized exercise programme on a non-alcoholic steatohepatitis case is presented. Before entering the programme the patient was treated with conventional recommendations on diet plus aerobic exercise during fourteen years, without major improvements of his analytical parameters. Two years after including him in a tailored exercise programme, aimed to fulfil the recommendations of the American College of Sports Medicine, his blood markers of liver dysfunction and cardiometabolic risk tended to improve. Consequently, our data support the idea that in non-alcoholic steatohepatitis the exercise-based therapeutic interventions should be individualized taking into account the cardio-respiratory and muscular fitness of the patient, rather than using generic behavioural recommendations