Key result
A 3-week low-volume high-intensity interval training program increased exercise capacity by 2.4 ml/min/kg compared to baseline in patients scheduled for major abdominal surgery.
Why the study?
Prehabilitation may improve postoperative clinical outcomes, but the effects of preoperative high-intensity interval training on cardiorespiratory fitness and functional ability required evaluation.
Does a pre-operative high-intensity interval training (HIIT) program improve cardiorespiratory fitness and functional ability in patients scheduled for major abdominal surgery?
Does a pre-operative high-intensity interval training (HIIT) program improve cardiorespiratory fitness and functional ability in patients scheduled for major abdominal surgery?
A short, low-volume HIIT program before major abdominal surgery significantly improves cardiorespiratory fitness but not walking capacity.
Answers are grounded in this paper and cite their sources.
Pre-op HIIT may enhance fitness in abdominal surgery candidates; leaves open effects on function and outcomes.
Background Prehabilitation may improve postoperative clinical outcomes among patients undergoing major abdominal surgery. This study evaluated the potential effects of a high-intensity interval training (HIIT) program performed before major abdominal surgery on patients’ cardiorespiratory fitness and functional ability (secondary outcomes of pilot trial NCT02953119). Methods Patients were included before surgery to engage in a low-volume HIIT program with 3 sessions per week for 3 weeks. Cardiopulmonary exercise and 6-min walk (6MWT) testing were performed pre- and post-prehabilitation. Results Fourteen patients completed an average of 8.6 ± 2.2 (mean ± SD) sessions during a period of 27.9 ± 6.1 days. After the program, V̇ V ˙ O2 peak (+ 2.4 ml min−1 kg−1, 95% CI 0.8–3.9, p = 0.006), maximal aerobic power (+ 16.8 W, 95% CI 8.2–25.3, p = 0.001), V̇ V ˙ O2 at anaerobic threshold (+ 1.2 ml min−1 kg−1, 95%CI 0.4–2.1, p = 0.009) and power at anaerobic threshold (+ 12.4 W, 95%CI 4.8–20, p = 0.004) were improved. These changes were not accompanied by improved functional capacity (6MWT: + 2.6 m, 95% CI (− 19.6) to 24.8, p = 0.800). Conclusion A short low-volume HIIT program increases cardiorespiratory fitness but not walking capacity in patients scheduled for major abdominal surgery. These results need to be confirmed by larger studies.
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Michel et al. (2022) studied Scheduled for major abdominal surgery (n=14). High-intensity interval training (HIIT) vs. Baseline (pre-intervention) was evaluated on Peak oxygen consumption (VO2peak) (MD 2.4, 95% CI 0.8-3.9, p=0.006). A 3-week low-volume high-intensity interval training program increased exercise capacity by 2.4 ml/min/kg compared to baseline in patients scheduled for major abdominal surgery.
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