Suárez-Alcázar María-Pilar, Folch Ayora Ana, Muriach María, Recacha-Ponce Paula, Garcia-Roca M-Elena, Coret-Franco Alba, Pastor-Mora Juan Carlos, Salas-Medina Pablo, Collado-Boira Eladio J
Nursing Department, University of Jaime I, Av. Vicente Sos Baynat s/n, 12071 Castellón de la Plana, Castellón, Spain.
Medicine Department, University of Jaime I, Av. Vicente Sos Baynat s/n, 12071 Castellón de la Plana, Castellón, Spain.
Healthcare (Basel). 2025 May 7;13(9):1083. doi: 10.3390/healthcare13091083.
: This study aimed to analyze the effect of a multimodal prehabilitation program for colorectal cancer patients in body composition, physical and cardiorespiratory fitness as well as its ability to reduce postoperative complications. : A longitudinal observational study evaluated the efficacy of a prehabilitation intervention based on four components: (a) health education and self-care, (b) nutritional counseling, (c) psychological support, and (d) supervised physical exercise. Body composition was determined through bioelectrical impedance analysis; physical fitness variables such as strength was measured by a handgrip dynamometer for upper limbs, and a squat-jump test, countermovement jump test using a contact platform, and a chair-stand test for lower limbs. Flexibility was assessed with the sit-and-reach test. Cardiorespiratory fitness was assessed with the 6 min walking test (6MWT). Moreover, we measured lifestyles related to the amount of physical exercise by accelerometry. : The final cohort included 30 patients. Patients completed an average of 9.90 ± 5.26 exercise sessions. Statistically significant changes with varying effect sizes were observed in the following outcomes: SJ values in cm and W for both sexes ( = 0.021/d = 0.14 and = 0.043/d = 0.10, respectively), SJ in W for women ( = 0.023/d = 0.21), all chair-stand test values ( = 0.021/d = 0.65 for men, = 0.004/d = 2.08 for women, and = 0.000/d = 0.84 for both sexes), and sit-and-reach for both sexes ( = 0.005/d = 0.12) and for men ( = 0.044/d = 0.08). All 6MWT values had statistically significant changes ( = 0.001/0.46). Women reduced the weekly minutes spent in sedentary behavior ( = 0.037/d = 0.65) and increased the minutes spent performing light physical activity ( = 0.037/d = 0.63). With regard to surgical outcomes, there was a tendency towards a decrease in postoperative complications and hospitalization days, as well as minutes in postoperative REA ( = 0.009/d = 0.69) in relation to the control group. : Participation in a multimodal prehabilitation program improves several aspects of physical condition and lifestyles related to the amount of physical exercise and reduces both days of hospitalization and several complications post-surgery.
本研究旨在分析多模式术前康复计划对结直肠癌患者身体成分、身体和心肺功能的影响，以及其降低术后并发症的能力。一项纵向观察性研究评估了基于四个组成部分的术前康复干预的疗效：（a）健康教育和自我护理，（b）营养咨询，（c）心理支持，以及（d）监督下的体育锻炼。通过生物电阻抗分析确定身体成分；使用上肢握力计测量力量等身体素质变量，使用接触平台进行深蹲跳测试、反向运动跳测试以及下肢的椅子站立测试。通过坐立前屈测试评估柔韧性。通过6分钟步行测试（6MWT）评估心肺功能。此外，我们通过加速度计测量与体育锻炼量相关的生活方式。最终队列包括30名患者。患者平均完成了9.90±5.26次锻炼课程。在以下结果中观察到具有不同效应大小的统计学显著变化：男女的SJ值（单位：厘米）和体重（分别为p = 0.021/d = 0.14和p = 0.043/d = 0.10），女性的SJ体重值（p = 0.023/d = 0.21），所有椅子站立测试值（男性为p = 0.021/d = 0.65，女性为p = 0.004/d = 2.08，男女混合为p = 0.000/d = 0.84），以及男女的坐立前屈值（p = 0.005/d = 0.12）和男性的坐立前屈值（p = 0.044/d = 0.08）。所有6MWT值均有统计学显著变化（p = 0.001/效应大小 = 0.46）。女性减少了每周久坐行为的分钟数（p = 0.037/d = 0.65），并增加了进行轻度体育活动的分钟数（p = 0.037/d = 0.63）。关于手术结果，与对照组相比，术后并发症、住院天数以及术后康复活动时间有减少的趋势（p = 0.009/d = 0.69）。参与多模式术前康复计划可改善身体状况和与体育锻炼量相关的生活方式的多个方面，并减少住院天数和术后的多种并发症。
