Li Hab
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Chronic liver disease poses a major health care concern in India particularly in today’s times when we see an upsurge in alcohol and lifestyle related liver diseases. Though the medical advancements and intervention therapies have been able to prolong survival in these patients, nevertheless the rampant complication of malnutrition is universal affecting almost 30-90% of patients with chronic liver disease (CLD). Malnutrition in CLD encompasses both overnutrition i.e. obesity and undernutrition. As per the body habitus, the spectrum of malnutrition ranges from overnutrition i.e. obesity on one end to undernutrition i.e. underweight on the other. Between these two extremes, lies the specific problems of poor muscle mass called ‘sarcopenia’ and a compromised muscle strength and performance called ‘frailty’. Both sarcopenia and frailty are very common concerns in liver disease which compromise the overall quality of life. The muscles of these patients are an important metabolic partner to the liver. Muscles serve as a repository for glucose which is used for quick energy production, muscles also double up as protein depot for producing energy under conditions of stress. Moreover the muscles also help in detoxifying the harmful chemical –ammonia, produced in the body. In all, the muscles are a vital supplement organ to the failing liver. Frailty and sarcopenia are closely related conditions that share common pathophysiology which have been associated with adverse clinical outcomes in CLD and transplantation. These patients frequently experience symptoms like weakness, lethargy, loss of appetite, depression and lack of confidence. Very often they also lack the understanding of nutritional requirements, leading to improper dietary habits which further aggravate sarcopenia and frailty. Appropriate nutrition and apt physical exercise help in prevention of muscle loss and even promoting muscle growth.
Liver transplantation is the ultimate therapy for patients with CLD, but ironically it is not available for most of the patients in India. ILBS a quaternary care super specialty institute under the Government of the National Capital Territory (NCT) of Delhi, has taken the initiative to be the pioneer in establishing the Li-Hab centre – a facility focused towards tackling the problem of malnutrition including sarcopenia, physical frailty and obesity. LiHab comprises of an integrated team of nutritionists, physiotherapists and clinicians which offers the facility of a structured and systematized physical and nutritional assessment prior to the administration of an individualized physical activity and exercise regimen under close supervision. The Li-Hab program for each patient concentrates on assessing frailty and building up muscle strength and performance through monitored resistance training, and specific exercises as per the physical capacity and limitations of the patients. All this aiming towards an improved functional capacity, reduced fatigue, improved body posture and balance, along with improved self esteem, independence of daily living and overall quality of life in the patients. Six physiotherapists, one clinician and two nutritionists have dedicatedly attended more than 2000 patients over the last six years at the LiHab.
The packages offered by Li-Hab are as follows:
1. Li-Hab Induction- Price 1000/-
- Body composition analysis
- Exercise Sessions/Training
- Assessment of Physical fitness
- One set of Level 1 exercise training
- Home based exercise instructions
- Nutritional assessment and counselling (single session)
2. Basic package- 2,200/- to be availed in 4 weeks of registration
- Body composition analysis
- Exercise Sessions/Training
- Assessment of Physical fitness
- Training Regimen (8 Sessions)
- Muscle strengthening- 2 sessions
- Endurance building- 4 sessions
- Mobility exercises- 2 sessions
- Home based exercise instructions
- Nutritional counseling (two sessions)
3. Intermediate package-4,200/- to be availed in 4 weeks of registration
- Body composition analysis
- Exercise Sessions/Training
- Assessment of Physical fitness
- Training Regimen (16 Sessions)
- Muscle strengthening- 4 sessions
- Endurance building- 8 sessions
- Mobility exercises- 4 sessions
- Home based exercise instructions
- Nutritional counseling (two sessions)
4. Advanced package-5,400/- to be availed in 8 weeks of registration
- Body composition analysis
- Exercise Sessions/Training
- Assessment of Physical fitness
- Training Regimen (24 Sessions)
- Muscle strengthening- 8 sessions
- Endurance building- 16 sessions
- Mobility exercises- 8 sessions
- Home based exercise instructions
- Nutritional counseling (two sessions)
Note: Extra charges for Body composition analysis (Repeat), ECG, ECHO, and PFT and other required investigations as per physicians’ discretion
Location:- Room no. 2800, Upper Ground Floor Phase-2, Ext.no. 22800
