TY - JOUR
T1 - Playing sport as a central-line carrier
T2 - a survey to collect the European pediatric intestinal failure centers' view
AU - Pulvirenti, Rebecca
AU - Duci, Miriam
AU - Lambe, Cecile
AU - The European Reference Network for rare Inherited and Congenital Anomalies (ERNICA)
AU - Mutanen, Annika
AU - Arnell, Henrik
AU - Tabbers, Merit M.
AU - Fascetti Leon, Francesco
AU - Till, Holger
AU - Gaardskaer Nielsen, Rasmus
AU - Merras-Salmio, Laura
AU - Lambe, Cecile
AU - Dugelay, Emmanuelle
AU - Hugot, Jean Pierre
AU - Billioauws, Lore
AU - Guimber, Dominique
AU - Wessel, Lucas
AU - Fascetti Leon, Francesco
AU - Norsa, Lorenzo
AU - Conforti, Andrea
AU - Sánchez Galán, Alba
AU - Arnell, Henrik
AU - Wahlstedt, Christina
AU - Jonkers-Schuitema, Cora F.
AU - de Koning, Barbara
AU - Koeglmeier, Jutta
N1 - Publisher Copyright:
© 2024 The Author(s). Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.
PY - 2025/4
Y1 - 2025/4
N2 - Background: The administration of home parenteral nutrition improves quality of life for patients with intestinal failure, thus fostering their will to actively participate to social activities. Nevertheless, sports participation can be risky for patients with a central venous catheter (CVC). Despite literature thoroughly proving the positive impact of sports on motor-psychosocial development, no consistent evidence assessing its role on central-line complications is available. This study aimed to report the European centers' approach to children with intestinal failure on home parenteral nutrition and interested in playing sports, further assessing complications and how to prevent them. Materials and Methods: A questionnaire focusing on children with intestinal failure regarding physical activity was circulated to 20 centers. Questions assessed the centers' policy for CVC management, the sports-related recommendations for patients on home parenteral nutrition and complication rates. Results: Sixteen (80%) centers filled in the questionnaire. Twelve centers reported not to have a standardized formal protocol for catheter care during sports. All centers encouraged patients to perform mild/moderate exercise, whereas high-contact sports were allowed by one center only. Specific dressings were suggested to protect the vascular access device, especially for water sports. Only one sports-related complication (rupture) was reported. Conclusion: This survey emphasizes that sports should not be restricted in patients with intestinal failure and represents a blueprint for sports-related recommendations for these patients. Prospective studies assessing complication rates are advisable to ensure an improved access to sports for these patients.
AB - Background: The administration of home parenteral nutrition improves quality of life for patients with intestinal failure, thus fostering their will to actively participate to social activities. Nevertheless, sports participation can be risky for patients with a central venous catheter (CVC). Despite literature thoroughly proving the positive impact of sports on motor-psychosocial development, no consistent evidence assessing its role on central-line complications is available. This study aimed to report the European centers' approach to children with intestinal failure on home parenteral nutrition and interested in playing sports, further assessing complications and how to prevent them. Materials and Methods: A questionnaire focusing on children with intestinal failure regarding physical activity was circulated to 20 centers. Questions assessed the centers' policy for CVC management, the sports-related recommendations for patients on home parenteral nutrition and complication rates. Results: Sixteen (80%) centers filled in the questionnaire. Twelve centers reported not to have a standardized formal protocol for catheter care during sports. All centers encouraged patients to perform mild/moderate exercise, whereas high-contact sports were allowed by one center only. Specific dressings were suggested to protect the vascular access device, especially for water sports. Only one sports-related complication (rupture) was reported. Conclusion: This survey emphasizes that sports should not be restricted in patients with intestinal failure and represents a blueprint for sports-related recommendations for these patients. Prospective studies assessing complication rates are advisable to ensure an improved access to sports for these patients.
UR - http://www.scopus.com/inward/record.url?scp=85208050253&partnerID=8YFLogxK
U2 - 10.1002/ncp.11235
DO - 10.1002/ncp.11235
M3 - Article
C2 - 39482261
AN - SCOPUS:85208050253
SN - 0884-5336
VL - 40
SP - 484
EP - 491
JO - Nutrition in Clinical Practice
JF - Nutrition in Clinical Practice
IS - 2
ER -