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International Journal of Colorectal Disease

Published in:

01-06-2016 | Original Article

Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

Authors: Aron Onerup, David Bock, Mats Börjesson, Monika Fagevik Olsén, Martin Gellerstedt, Eva Haglind, Hanna Nilsson, Eva Angenete

Published in: International Journal of Colorectal Disease | Issue 6/2016

Abstract

Introduction

An increasing interest is seen in the role of preoperative physical activity (PA) in enhancing postoperative recovery. The short-term effect of preoperative PA on recovery after colorectal cancer is unknown. The aim of this study was to evaluate the association of the preoperative level of PA with postoperative recovery after surgery due to colorectal cancer disease.

Methods

This is a prospective observational cohort study, with 115 patients scheduled to undergo elective colorectal surgery. The self-reported level of preoperative PA was compared to measures of recovery.

Results

Regular self-reported preoperative PA was associated with a higher chance of feeling highly physically recovered 3 weeks after surgery (relative chance 3.3, p = 0.038), compared to physical inactivity. No statistically significant associations were seen with length of hospital stay, self-assessed mental recovery, re-admittances or with re-operations.

Discussion

In clinical practice, evaluating the patients’ level of PA is feasible and may potentially be used as a prognostic tool for patients undergoing colorectal cancer surgery. Given the study design, the results from this study cannot prove causality.

Conclusion

The present study found that the preoperative level of PA was associated with a faster self-assessed physical recovery after colorectal cancer surgery. PA did not show any associations with the primary outcome measure length of hospital stay or any of the other secondary outcome measures. Assessment of PA level preoperatively could be used for prognostic reasons. If systematic preoperative/postoperative physical training will enhance recovery, this remains to be studied in a randomized controlled study.

Highlights

We examined preoperative physical activity and the recovery after colorectal cancer surgery.
Physically active individuals had faster self-assessed physical recovery.
Assessment of preoperative physical activity may provide prognostic clinical information.

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Title: Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients
Authors: Aron Onerup
David Bock
Mats Börjesson
Monika Fagevik Olsén
Martin Gellerstedt
Eva Haglind
Hanna Nilsson
Eva Angenete
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 6/2016
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-016-2551-4

At a glance: The STEP trials

Springer Medicine

Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

Abstract

Introduction

Methods

Results

Discussion

Conclusion

Highlights

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Discussion

Conclusion

Highlights

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