{
  "abstract": "Empowering patients with a broad spectrum of chronic liver disease (CLD) using formulaic advice to adopt physical activity (PA) in the context of multimorbidity and chronic inactivity is a major challenge. A community-based physical activity programme (CBPAP) where experiences are shared alongside common goal setting may support adoption of PA. 1 Adults (>18y) with CLD in inner-city Nottingham were identified from records at Nottingham University Hospitals NHS Trust between March-June 2024 to participate in a CBPAP supported by local government. Patients selected at random were offered enrolment to a free structured CBPAP alongside standard care. Consenting patients were referred to a community provider (RideWise) who led structured walks catering for all abilities. Patients walked for 1.5-hours at a pace set by the group. Sessions ran fortnightly between May-September 2024, consisting of 10 walks in rotating community settings. Patients joined as many sessions as able.142 patients were randomly selected and contacted by telephone; 62 (44%; 34♀, x̄62y, 15% ethnic minorities) expressed interest and were invited to an information session led by a clinician. Aetiology included Metabolic dysfunction associated steatotic liver disease (MASLD) 30 (48%), Alcohol-related liver disease (ALD) 9 (15%), Primary biliary cholangitis (PBC) 7 (11%), Metabolic dysfunction and alcohol-related liver disease (MetALD) 5 (8%), Autoimmune hepatitis (AIH) 2 (3%), Viral hepatitis 2 (3%), Drug-induced liver injury (DILI) 1 (2%), Hereditary haemochromatosis (HH) 1 (2%) and other 5 (8%). Severity of CLD included Cirrhosis 22 (36%), Hepatocellular carcinoma (HCC) 1 (2%), Transplant 1 (2%). 28 (60%; 12♀, x̄61y) attended an information session, 15 (54%; 8♀, x̄60y) registered for the CBPAP and 10 (67%; 5♀, x̄58y) engaged with the CBPAP provider. Of these, 6 (60%; 3♀, x̄65y, 2 ethnic minorities) attended ≥1 PA session; aetiology included MASLD 3, AIH 1, HCC 1, HH 1. Of these, 5 (90%) attended 3 (30%) PA sessions with 4 (67%; 1♀, MASLD 1, AIH 1, HH 1, HCC 1) attending 7 (70%) PA sessions. 3 (30%) patients attended 9 (90%) PA sessions. No patient completed a full programme.In a varied cohort of CLD patients, enrolment to a free structured CBPAP alongside standard care demonstrated high (90%) attrition among those expressing initial interest. Despite this, we observed patients who attended 40% of the CBPAP achieved a high re-attendance, completing 70% of the CBPAP. Factors preventing attendance following initial interest in PA should be explored further to reduce attrition and develop a sustainable CBPAP in CLD.Reference Bock C, Jarczok MN, Litaker D. Community-based efforts to promote physical activity: a systematic review of interventions considering mode of delivery, study quality and population subgroups. J Sci Med Sport 2014 May;17(3):276–82. doi: 10.1016/j.jsams.2013.04.009. Epub 2013 May 19. PMID: 23693030.",
  "authors": [
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK",
        "National Institutes of Health Research, Nottingham Biomedical Research Centre and Nottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK"
      ],
      "name": "Abhishek Sheth"
    },
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK"
      ],
      "name": "Sarah Montague"
    },
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK"
      ],
      "name": "Vicki Sugden"
    },
    {
      "affiliations": [
        "RideWise, Green Travel Charity, Nottingham, UK"
      ],
      "name": "Murat Basaran"
    },
    {
      "affiliations": [
        "Transport Strategy, Growth and City Development, Nottingham City Council, Nottingham, UK"
      ],
      "name": "Jennie Maybury"
    },
    {
      "affiliations": [
        "Nottingham Community and Voluntary Service, Nottingham, UK"
      ],
      "name": "Kate Lisle"
    },
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK"
      ],
      "name": "Peter Eddowes"
    },
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK"
      ],
      "name": "Emilie Wilkes"
    },
    {
      "affiliations": [
        "Nottingham University Hospitals NHS Trust, Nottingham, UK",
        "National Institutes of Health Research, Nottingham Biomedical Research Centre and Nottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK"
      ],
      "name": "Guruprasad P Aithal"
    }
  ],
  "title": "P141 Engagement with structured physical activity alongside standard care in patients with chronic liver disease demonstrated high attrition though high re-attendance was observed in patients who participated",
  "uid": "5c73491e-1242-5bbd-aaef-9a43c2b8d5f8"
}