Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer

Chen, Brian P.; Awasthi, Rashami; Sweet, Shane N; Minnella, Enrico Maria; Bergdahl, Andreas; Mina, Daniel Santa; Carli, Francesco; Scheede‐Bergdahl, Celena

doi:10.1007/s00520-016-3379-8

Cited by 122 publications

(75 citation statements)

References 41 publications

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“…The American Cancer Society has published a broad exercise guideline that recommends at least 150 min of moderate or 75 min of vigorous intensity (or combination of) exercise per week and includes 2−3 sessions of resistance training, involving major muscle groups [21]. For example, a certified kinesiologist assessed and trained each participant to perform home-based training, consisting of aerobic, resistance and flexibility exercise up to 50 min three times per week [22,23]. For aerobic exercise, cycling, walking, or swimming is used based on the physical capacity of each patient, assessed using the 6-min walking test distance.…”

Section: Preoperative Exercise Trainingmentioning

confidence: 99%

“…For example, a registered dietician estimates macronutrient and energy intake from each patient's food record, and discusses dietary goals with each patient. Patients can be provided protein supplementation to reach a daily intake of up to 1.2 g of protein/kg of body weight, as per the European Society of Parenteral and Enteral Nutrition guidelines for surgical patients [22][23][24]. Protein supplement is recommended to be ingested within 1 h post exercise (anabolic window).…”

Section: Nutritional Prehabilitationmentioning

confidence: 99%

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The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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Section: Preoperative Exercise Trainingmentioning

confidence: 99%

Section: Nutritional Prehabilitationmentioning

confidence: 99%

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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“…By participating in prehabilitation, it is possible for patients to increase their physical activity levels within the relatively short timeframe to meet current guideline recommendations [28]. This is an important achievement, as the 'dose' of exercise determines the degree of physical improvements that are obtainable, thus most effectively preparing the patient for the stress of surgery [29].…”

Section: Discussionmentioning

confidence: 99%

Promoting a culture of prehabilitation for the surgical cancer patient

2017

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Background: Traditional rehabilitative approaches to perioperative cancer care have focused on the postoperative period to facilitate the return to presurgical baseline conditions. However, there is some realization that the preoperative period can be a very effective time for intervention as the patients are more amenable to target their physiological condition to prepare to overcome the metabolic cost of the surgical stress. Methods: We undertook a narrative review of the current literature on surgical prehabilitation and discussed the current evidence of preoperative interventions before cancer surgery in order to increase physiological reserve before surgery and accelerate postoperative recovery. Results: Published data indicate the positive impact of prehabilitation on postoperative functional capacity and return to daily activities. However, the current evidence on the impact on short-and long-term clinical outcome is limited, and more research needs to be conducted. Conclusion: Preliminary findings indicate that a group of interventions such as exercise, nutrition and anxiety reduction in the preoperative period can complement the enhanced recovery program and facilitate the return to baseline activities of daily living. It is not clear at this stage whether the preoperative increase in functional capacity mitigates the burden of postoperative morbidities and subsequent cancer therapies. Therefore, more research is warranted.

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“…Positive effects of a 4-week rehabilitation aimed at increasing physical activity and improving the walking efficiency of patients prepared for oncological surgery were also noted in the studies of Chen et al The questionnaire which was used to measure physical activity was Community Health Model for Seniors (CHAMPS), and a 6-minute walk test (6MWT) was used to assess the ability to walk. Based on the conducted analyzes, it was found that in the result of the intervention patients significantly increased the number and time devoted to physical exercises, which require moderate and intense physical effort, and also achieved significant improvement in walking performance [19].…”

Section: Discussionmentioning

confidence: 99%

Impact of the comprehensive outpatient rehabilitation on reducing intensification of depressive symptoms in people over 60 years of age

Czarkowska

Saran

Mazur

et al. 2018

Polish Journal of Public Health

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Introduction. As a result of involution processes and diseases, changes occur in the human body, as a result of which, psychophysical fitness declines with age. Comprehensive rehabilitation is the way of improving and maintaining health condition, including, among others, the appropriate level of physical activity and the quality of affective functioning. This type of program was carried out as part of the Outpatient Healthcare Home (DDOM) at the Witold Chodźko Institute of Rural Health in Lublin.Aim. The objective of the present study was to assess the impact of comprehensive ambulatory rehabilitation, including tailored endurance training preceded by an ergospirometry test, on indicators demonstrating the level of involvement in daily physical activities and the severity of depressive symptoms of patients over 60 years of age receiving health services at DDOM.Material and methods. The study involved 60 seniors participating in the rehabilitation cycle implemented as part of the services provided to patients at DDOM of the Witold Chodźko Institute of Rural Health in Lublin. The tests were carried out in the test-retest model on the first and last day of the kinesiotherapy cycle. The tests were performed with use of International Physical Activity Questionnaire IPAQ and Geriatric Depression Scale GDS. The patient rehabilitation program included adapted systemic kinesiotherapy (endurance training with a load determined according to individual exercise capacity, as determined on the basis of the ergospirometry test) and local kinesiotherapy and physical therapy adapted to the needs resulting from the condition of the musculoskeletal system.Results. After the completion of the rehabilitation cycle we compared the tests carried out before it, and the patients received higher scores in the scales of IPAQ questionnaire for measuring weekly, intensive and mode-rate physical activity and time required for walking and were less likely to spend their time sitting or lying down. There were also lower scores of the respondents in GDS scale used to assess the severity of depressive symptoms.Conclusions. As a result of the rehabilitation program applied, DDOM patients simultaneously obtained the desired changes in the level of involvement in physical activity and minimization of the intensity of depressive symptoms.

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Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer

Cited by 122 publications

References 41 publications

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

Promoting a culture of prehabilitation for the surgical cancer patient

Impact of the comprehensive outpatient rehabilitation on reducing intensification of depressive symptoms in people over 60 years of age

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