Featured Research

from universities, journals, and other organizations

Exercise training as 'prehabilitation' before surgery

Date:
November 14, 2013
Source:
European Association of Urology
Summary:
Cardiopulmonary Exercise Testing (CPET) assessment and exercise training in an elderly population is safe and well tolerated, according to the results of a new feasibility study, conducted in the UK.

Cardiopulmonary Exercise Testing (CPET) assessment and exercise training in an elderly population is safe and well tolerated, according to the results of a new feasibility study, conducted in the UK.

CPET is a non-invasive measurement of the cardiovascular and respiratory system during exercise to assess exercise capacity and cardiopulmonary fitness. According to the researchers, the role of exercise training or 'prehabilitation' for optimising preoperative physiological function to counter catabolic effects of surgery has received little attention in cancer patients. This is especially important for bladder cancer patients, where radical cystectomy (RC), the mainstay of treatment for muscle invasive bladder cancer, is associated with significant morbidity.

"Promising evidence from systematic reviews suggests that exercise training can improve cardiopulmonary fitness in the short time available for surgery and reduce risk of postoperative complications, " the authors emphasized in the abstract published for the European Multidisciplinary Meeting for Urological Cancers, taking place in Marceille, France, on 15-17 November 2013.

"Although it has been established that preoperative fitness using CPET is a good indicator for postoperative recovery, there is very little evidence to indicate whether fitness can be improved in a short time period prior to surgery in an elderly population," commented the lead author of the study Dr. Srijit Banerjee of Norfolk and Norwich University Hospital's Department of Urology in Norwich, UK.

The authors conducted a randomised controlled feasibility study to examine whether a short preoperative course of supervised exercise sessions is tolerated and whether it can lead to an improvement in cardiopulmonary fitness.

30 patients undergoing radical cystectomy were randomised to either control or intervention arm after initial CPET assessment. Patients in the intervention arm were offered twice weekly supervised exercise sessions preoperatively for 4 weeks, whilst the control arm had standard care. This was followed by further CPET assessment in both groups at the end of 4 weeks.

"Our feasibility study looking at the role of preoperative exercise based upon individual levels of baseline fitness appears to be well tolerated and safe in a primarily elderly population awaiting cystectomy," commented Dr. Banerjee on the findings. "Even in a short time period there appears to be an improvement in the fitness level in this population."

"Based on these results we are already in the process of examining whether the improvement in fitness level translates into a better postoperative outcome with reduced hospital stay. A further larger scale multicenter randomized controlled trial is planned.


Story Source:

The above story is based on materials provided by European Association of Urology. Note: Materials may be edited for content and length.


Cite This Page:

European Association of Urology. "Exercise training as 'prehabilitation' before surgery." ScienceDaily. ScienceDaily, 14 November 2013. <www.sciencedaily.com/releases/2013/11/131114193241.htm>.
European Association of Urology. (2013, November 14). Exercise training as 'prehabilitation' before surgery. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2013/11/131114193241.htm
European Association of Urology. "Exercise training as 'prehabilitation' before surgery." ScienceDaily. www.sciencedaily.com/releases/2013/11/131114193241.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins