Effects of preventive versus “on-demand” nutritional support on paid labour productivity, physical exercise and performance status during PEG-interferon-containing treatment for hepatitis C - 01/04/16
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Summary |
Background and objective |
Deterioration of nutritional status during PEG-interferon containing therapy for chronic hepatitis C can be ameliorated by preventive nutritional support. We aimed to explore whether such support also affects paid labour productivity, physical exercise and performance status.
Methods |
In this prospective randomized controlled trial (J Hepatol 2012;57:1069–75), 53 patients with chronic hepatitis C had been allocated to “on demand” support (n=26: nutritional intervention if weight loss>5%) or preventive support (n=27: regular dietary advice plus energy- and protein-rich evening snack) during PEG-interferon-containing therapy. Paid labour productivity, physical exercise and performance status were evaluated at baseline, after 24 and (if applicable) after 48weeks of treatment.
Results |
At baseline, 46% of patients performed paid labour and 62% performed some kind of physical exercise. Furthermore, most patients were able to carry out normal activity with only minor symptoms of disease (mean Karnofsky performance score: 94). Decreases of paid labour productivity (–21% vs. –70%, P=0.003), physical exercise activity (–43% vs. –87%, P=0.005) and Karnofsky performance scores (–12% vs. –24%, P<0.001) were less in the preventive than in “on demand” group after 24weeks of treatment. Effects of preventive nutritional support were even more pronounced after 48weeks.
Conclusions |
Preventive nutritional support markedly ameliorates decreases of paid labour productivity, physical exercise and performance status during PEG-interferon-containing treatment for chronic hepatitis C.
Le texte complet de cet article est disponible en PDF.Abbreviations : CHC, PEG, SVR, RCT, HCV, KPS
Plan
☆ | This study was registered at ClinicalTrials.gov (identifier NCT00841243). |
Vol 40 - N° 2
P. 221-229 - avril 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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