Tags

Type your tag names separated by a space and hit enter

Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.
Support Care Cancer 2017; 25(1):33-40SC

Abstract

PURPOSE

High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery.

METHODS

Patients were assigned to either a prehabilitation (PREHAB; n = 57) or matched time control group (CTRL; n = 59). Over the 4-week period prior to surgery, patients in PREHAB participated in a trimodal prehabilitation program. Patients in CTRL received the same program but only postoperatively. The Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire was used to measure physical activity levels, while the 6-min walk test (6MWT) was used for assessment of functional walking capacity. Measurements were collected at baseline and at the time of surgery.

RESULTS

Over the preoperative period, patients in PREHAB significantly increased the amount of moderate- and vigorous-intensity physical activities that they performed. PREHAB patients also demonstrated a greater improvement in 6MWT compared to CTRL. At the time of surgery, a greater proportion of patients in PREHAB met current physical activity guidelines, as compared to CTRL.

CONCLUSIONS

These findings highlight the positive effects of a trimodal prehabilitation program on patients' physical activity levels and functional walking capacity and demonstrate that modifying exercise behaviors and improving physical function within the 4-week preoperative period are an achievable goal.

Authors+Show Affiliations

Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. McGill Research Centre for Physical Activity & Health, McGill University, Montreal, QC, Canada.Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. Department of Exercise Science, Concordia University, Montreal, QC, Canada.Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. McGill Research Centre for Physical Activity & Health, McGill University, Montreal, QC, Canada.Department of Anesthesia, McGill University, Montreal, QC, Canada.Department of Exercise Science, Concordia University, Montreal, QC, Canada.Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada. Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.Department of Anesthesia, McGill University, Montreal, QC, Canada.Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. celena.scheede@mcgill.ca. McGill Research Centre for Physical Activity & Health, McGill University, Montreal, QC, Canada. celena.scheede@mcgill.ca. Department of Anesthesia, McGill University, Montreal, QC, Canada. celena.scheede@mcgill.ca.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27539131

Citation

Chen, Brian P., et al. "Four-week Prehabilitation Program Is Sufficient to Modify Exercise Behaviors and Improve Preoperative Functional Walking Capacity in Patients With Colorectal Cancer." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 25, no. 1, 2017, pp. 33-40.
Chen BP, Awasthi R, Sweet SN, et al. Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer. Support Care Cancer. 2017;25(1):33-40.
Chen, B. P., Awasthi, R., Sweet, S. N., Minnella, E. M., Bergdahl, A., Santa Mina, D., ... Scheede-Bergdahl, C. (2017). Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 25(1), pp. 33-40.
Chen BP, et al. Four-week Prehabilitation Program Is Sufficient to Modify Exercise Behaviors and Improve Preoperative Functional Walking Capacity in Patients With Colorectal Cancer. Support Care Cancer. 2017;25(1):33-40. PubMed PMID: 27539131.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer. AU - Chen,Brian P, AU - Awasthi,Rashami, AU - Sweet,Shane N, AU - Minnella,Enrico M, AU - Bergdahl,Andreas, AU - Santa Mina,Daniel, AU - Carli,Francesco, AU - Scheede-Bergdahl,Celena, Y1 - 2016/08/18/ PY - 2016/03/01/received PY - 2016/08/08/accepted PY - 2016/8/20/pubmed PY - 2017/10/31/medline PY - 2016/8/20/entrez KW - Cancer KW - Exercise KW - Functional capacity KW - Oncology KW - Prehabilitation KW - Rehabilitation SP - 33 EP - 40 JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer VL - 25 IS - 1 N2 - PURPOSE: High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery. METHODS: Patients were assigned to either a prehabilitation (PREHAB; n = 57) or matched time control group (CTRL; n = 59). Over the 4-week period prior to surgery, patients in PREHAB participated in a trimodal prehabilitation program. Patients in CTRL received the same program but only postoperatively. The Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire was used to measure physical activity levels, while the 6-min walk test (6MWT) was used for assessment of functional walking capacity. Measurements were collected at baseline and at the time of surgery. RESULTS: Over the preoperative period, patients in PREHAB significantly increased the amount of moderate- and vigorous-intensity physical activities that they performed. PREHAB patients also demonstrated a greater improvement in 6MWT compared to CTRL. At the time of surgery, a greater proportion of patients in PREHAB met current physical activity guidelines, as compared to CTRL. CONCLUSIONS: These findings highlight the positive effects of a trimodal prehabilitation program on patients' physical activity levels and functional walking capacity and demonstrate that modifying exercise behaviors and improving physical function within the 4-week preoperative period are an achievable goal. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/27539131/Four_week_prehabilitation_program_is_sufficient_to_modify_exercise_behaviors_and_improve_preoperative_functional_walking_capacity_in_patients_with_colorectal_cancer_ L2 - https://dx.doi.org/10.1007/s00520-016-3379-8 DB - PRIME DP - Unbound Medicine ER -