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术前身体活动对食管癌术后结局的影响。

Effect of preoperative physical activity on postoperative outcomes in esophageal cancer.

作者信息

Matsumura Kazuyuki, Takami Akiyoshi, Tajima Shigeki, Sasaki Yuka, Kato Naoya, Makino Misato

机构信息

Department of Rehabilitation, Teine Keijinkai Hospital, Japan.

Hirosaki University Graduate School of Health Sciences: 66-1 Hon-cho, Hirosaki-shi, Aomori 036-8564, Japan.

出版信息

J Phys Ther Sci. 2024 Sep;36(9):557-563. doi: 10.1589/jpts.36.557. Epub 2024 Sep 5.

Abstract

[Purpose] This study aimed to examine the characteristics of preoperative physical activity and its impact on the postoperative period in patients who underwent surgery for esophageal cancer. [Participants and Methods] The participants were 30 patients who were diagnosed with esophageal cancer, underwent surgery, and fulfilled their conditions. Preoperative physical activity was measured using the step count, and metabolic equivalents as the amount of physical activity. We examined the relationships between preoperative step count and METs, patient demographics, treatment-related factors, preoperative physical function, and activities of daily living. Moreover, we examined the relationships of preoperative step count and METs with postoperative mobilization, physical activity, physical function, and activities of daily living. [Results] Preoperative step count was related to age, Glasgow prognostic score, and preoperative functional independence and associated with step count on postoperative days 7-13, METs on postoperative days 7-9, 6-min walking distance, and functional independence measures at discharge. [Conclusion] Improving the nutritional status and increasing preoperative physical activity by walking for esophageal cancer may help improve physical activity after postoperative day 7, exercise tolerance, and activities of daily after discharge.

摘要

[目的] 本研究旨在探讨接受食管癌手术患者术前身体活动的特征及其对术后阶段的影响。[参与者与方法] 参与者为30例被诊断为食管癌、接受了手术且符合条件的患者。术前身体活动通过步数计数和代谢当量作为身体活动量来测量。我们研究了术前步数计数与代谢当量、患者人口统计学特征、治疗相关因素、术前身体功能以及日常生活活动之间的关系。此外,我们还研究了术前步数计数与代谢当量与术后活动、身体活动、身体功能以及日常生活活动之间的关系。[结果] 术前步数计数与年龄、格拉斯哥预后评分以及术前功能独立性相关,并与术后第7 - 13天的步数计数、术后第7 - 9天的代谢当量、6分钟步行距离以及出院时的功能独立性测量相关。[结论] 改善食管癌患者的营养状况并通过步行增加术前身体活动,可能有助于改善术后第7天之后的身体活动、运动耐量以及出院后的日常生活活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cddb/11374171/4585c1340eb9/jpts-36-557-g001.jpg

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