Loughney Lisa, Cahill Ronan, O'Malley Kiaran, McCaffrey Noel, Furlong Brona
1MedEx Wellness, School of Health and Human Performance, Dublin City University, Glasnevin, Dublin, Ireland.
2Department of Colorectal Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Perioper Med (Lond). 2019 Dec 2;8:17. doi: 10.1186/s13741-019-0126-y. eCollection 2019.
Pre-operative exercise training improves HR components of fitness and HRQoL following hospital-based programmes.
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).
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.
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 ( = 0.045), the CRC group ( = 0.001), and in both groups overall ( = .001). Additionally, there were statistically significant improvements in HRQoL: global health status for CRC group ( = 0.025) and for both groups overall ( = 0.023); emotional health subscale for the prostate cancer group ( = 0.048) and for both groups overall ( = 0.027); nausea/vomiting/pain subscale for the CRC group ( = 0.005) and for both groups overall ( = 0.030); and for health scale status for the prostate cancer group ( = 0.019) and for both groups overall ( = 0.006).
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.
基于医院的术前运动训练计划可改善健康的心率相关组成部分和健康相关生活质量。
评估一项基于社区的实用术前运动计划的依从性和坚持性及其对健康相关的身体适应性组成部分和健康相关生活质量（HRQoL）的影响。
招募了32名外科肿瘤患者（15名前列腺癌患者和17名结直肠癌（CRC）患者），并对其进行评估以测量健康的心率相关组成部分（力量和功能性运动能力）和健康相关生活质量。在手术前的可用时间内制定了一项运动计划，并在术前进行了重复评估。
24名参与者（14名前列腺癌患者和10名结直肠癌患者）完成了完整的研究（依从率为75%）。前列腺癌患者和结直肠癌患者的运动训练时间中位数四分位间距（IQR）分别为4（3 - 4）周和2（1 - 3）周，坚持率> 80%。从基线到运动干预后，前列腺癌组（P = 0.045）、结直肠癌组（P = 0.001）以及两组总体（P = 0.001）的下肢力量均有显著改善。此外，健康相关生活质量也有统计学上的显著改善：结直肠癌组的总体健康状况（P = 0.025）以及两组总体（P = 0.023）；前列腺癌组的情绪健康子量表（P = 0.048）以及两组总体（P = 0.027）；结直肠癌组的恶心/呕吐/疼痛子量表（P = 0.005）以及两组总体（P = 0.030）；前列腺癌组的健康量表状态（P = 0.019）以及两组总体（P = 0.006）。
这项基于社区的术前运动计划显示出可接受的依从性和坚持率，并显著提高了上下肢力量和健康相关生活质量。术前运动训练应在外科肿瘤治疗路径中尽早考虑，并在患者日程安排中得到重视。
