Key result
A community-based pre-operative exercise program achieved 75% compliance and significantly improved lower body strength, reducing 10-repetition sit-to-stand time by a mean of 2.5 seconds.
Why the study?
Although hospital-based preoperative exercise training improves health-related fitness and quality of life, the compliance, adherence, and effectiveness of a pragmatic community-based programme were unknown.
Does a community-based pre-operative exercise programme improve fitness and HRQoL in surgical oncological patients?
Does a community-based pre-operative exercise programme improve fitness and HRQoL in surgical oncological patients?
Mean Difference: 2.5 (95% CI 1.2–3.7)
Absolute Event Rate: 14% vs 16.5%
p-value: p=0.001
A community-based pre-operative exercise program is feasible and improves strength and quality of life in patients awaiting oncological surgery.
Supports feasibility of community pre-op exercise in oncologic surgery; leaves open impact on outcomes pending RCTs.
Background Pre-operative exercise training improves HR components of fitness and HRQoL following hospital-based programmes. Objective To assess compliance and adherence of a pragmatic community-based preoperative exercise programme and its effect on health-related (HR) components of fitness and health-related quality of life (HRQoL). Methods Thirty-two surgical oncological participants (15 prostate cancer and 17 colorectal cancer (CRC)) were recruited and assessed to measure HR components of fitness (strength and functional exercise capacity) and HRQoL. An exercise programme was prescribed in the time available prior to surgery with repeat assessments pre-operatively. Results Twenty-four participants (14 prostate cancer and 10 CRC) completed the full study (75% compliance). Exercise training was delivered over a median interquartile range (IQR) of 4 (3-4) weeks and 2 (1–3) weeks for the prostate cancer and CRC participants, with > 80% adherence. From baseline to post-exercise intervention, there were significant improvements in lower body strength in the prostate cancer group (p= 0.045), the CRC group (p= 0.001), and in both groups overall (p= .001). Additionally, there were statistically significant improvements in HRQoL: global health status for CRC group (p= 0.025) and for both groups overall (p= 0.023); emotional health subscale for the prostate cancer group (p= 0.048) and for both groups overall (p= 0.027); nausea/vomiting/pain subscale for the CRC group (p= 0.005) and for both groups overall (p= 0.030); and for health scale status for the prostate cancer group (p= 0.019) and for both groups overall (p= 0.006). Conclusion This community-based pre-operative exercise programme showed acceptable compliance and adherence rates, and significantly increased upper and lower body strength and HRQoL. Pre-operative exercise training should be considered as early as possible in the surgical-oncology pathway and respected within patient scheduling.
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Loughney et al. (2019) studied Prostate and colorectal cancer (n=32). Community-based pre-operative exercise programme vs. Baseline (pre-intervention) was evaluated on Lower body strength (10-repetition sit-to-stand test time in seconds) (MD 2.5, 95% CI 1.2-3.7, p=0.001). A community-based pre-operative exercise program achieved 75% compliance and significantly improved lower body strength, reducing 10-repetition sit-to-stand time by a mean of 2.5 seconds.
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