In:
Digestive Surgery, S. Karger AG, Vol. 33, No. 5 ( 2016), p. 439-447
Abstract:
〈 b 〉 〈 i 〉 Background/Aims: 〈 /i 〉 〈 /b 〉 This study examines the feasibility of a preoperative exercise program to improve the physical fitness of a patient before gastrointestinal surgery. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 An outpatient exercise program was developed to increase preoperative aerobic capacity, peripheral muscle endurance and respiratory muscle function in patients with pancreatic, liver, intestinal, gastric or esophageal cancer. During a consult at the outpatient clinic, patients were invited to participate in the exercise program when their surgery was not scheduled within 2 weeks. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 The 115 participants followed on average 5.7 (3.5) training sessions. Adherence to the exercise program was high: 82% of the planned training sessions were attended, and no adverse events occurred. Mixed model analyses showed a significant increase of maximal inspiratory muscle strength (84.1-104.7 cm H 〈 sub 〉 2 〈 /sub 〉 O; p = 0.00) and inspiratory muscle endurance (35.0-39.5 cm H 〈 sub 〉 2 〈 /sub 〉 O; p = 0.00). No significant changes were found in aerobic capacity and peripheral muscle strength. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 This exercise program in patients awaiting oncological surgery is feasible in terms of participation and adherence. Inspiratory muscle function improved significantly as a result of inspiratory muscle training. The exercise program however failed to result in improved aerobic capacity and peripheral muscle strength, probably due to the limited number of training sessions as a result of the restricted time interval between screening and surgery.
Type of Medium:
Online Resource
ISSN:
0253-4886
,
1421-9883
Language:
English
Publisher:
S. Karger AG
Publication Date:
2016
detail.hit.zdb_id:
1468560-7
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