Ritland S, Foss N E, Gjone E
Scand J Soc Med Suppl. 1982;29:221-6.
Patients with liver disease are often incorrectly restricted in their physical activity. Several studies have shown that physical activity is not detrimental to acute viral hepatitis but it is customary to advise rest in the initial phase of nausea, abdominal pain and fatigue. As soon as these symptoms decline the patient can take part in physical activity. As regards chronic hepatitis and cirrhosis there are divergent views. No restrictions are placed upon patients with chronic active hepatitis in remission. This is also true for the early stage of cirrhosis, while muscle atrophy in more prolonged cases will set a natural limit to the patient's performance. The effect of physical activity on patients with a porto-caval shunt has not been studied. In well trained sportsmen there is no evidence that physical activity within the limits of human performance has an unfavourable effect on liver function.
肝病患者的身体活动常常受到不当限制。多项研究表明，身体活动对急性病毒性肝炎并无损害，但在出现恶心、腹痛和疲劳的初始阶段，通常建议患者休息。一旦这些症状减轻，患者即可参与身体活动。对于慢性肝炎和肝硬化，存在不同观点。处于缓解期的慢性活动性肝炎患者无需限制身体活动。肝硬化早期亦是如此，而在病程较长的病例中，肌肉萎缩会自然限制患者的活动能力。身体活动对门腔分流患者的影响尚未得到研究。在训练有素的运动员中，没有证据表明在人体机能范围内的身体活动会对肝功能产生不利影响。
