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Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.

Author(s): Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C

Support Care Cancer. 2017 01;25(1):33-40 Authors: Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C

Article GUID: 27539131
Adaptation of mitochondrial expression and ATP production in dedifferentiating vascular smooth muscle cells.

Author(s): Scheede-Bergdahl C, Bergdahl A

Can J Physiol Pharmacol. 2017 Dec;95(12):1473-1479 Authors: Scheede-Bergdahl C, Bergdahl A

Article GUID: 28846852
Evaluation of supervised multimodal prehabilitation programme in cancer patients undergoing colorectal resection: a randomized control trial.

Author(s): Bousquet-Dion G, Awasthi R, Loiselle SÈ, Minnella EM, Agnihotram RV, Bergdahl A, Carli F, Scheede-Bergdahl C

Acta Oncol. 2018 Jun;57(6):849-859 Authors: Bousquet-Dion G, Awasthi R, Loiselle SÈ, Minnella EM, Agnihotram RV, Bergdahl A, Carli F, Scheede-Bergdahl C

Article GUID: 29327644
Maximizing patient adherence to prehabilitation: what do the patients say?

Author(s): Ferreira V, Agnihotram RV, Bergdahl A, van Rooijen SJ, Awasthi R, Carli F, Scheede-Bergdahl C

Support Care Cancer. 2018 Aug;26(8):2717-2723 Authors: Ferreira V, Agnihotram RV, Bergdahl A, van Rooijen SJ, Awasthi R, Carli F, Scheede-Bergdahl C

Article GUID: 29478189
Cardiac mitochondrial respiration following a low-carbohydrate, high-fat diet in apolipoprotein E-deficient mice.

Author(s): Rocha C, Koury OH, Scheede-Bergdahl C, Bergdahl A

J Physiol Biochem. 2019 Feb;75(1):65-72 Authors: Rocha C, Koury OH, Scheede-Bergdahl C, Bergdahl A

Article GUID: 30362048
Title:Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.
Authors:Chen BP,  Awasthi R,  Sweet SN,  Minnella EM,  Bergdahl A,  Santa Mina D,  Carli F,  Scheede-Bergdahl C
Link:https://www.ncbi.nlm.nih.gov/pubmed/27539131?dopt=Abstract
Category:Support Care Cancer
PMID:27539131
Dept Affiliation: HKAP
1 Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada.
2 McGill Research Centre for Physical Activity & Health, McGill University, Montreal, QC, Canada.
3 Department of Exercise Science, Concordia University, Montreal, QC, Canada.
4 Department of Anesthesia, McGill University, Montreal, QC, Canada.
5 Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada.
6 Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
7 Department of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. celena.scheede@mcgill.ca.
8 McGill Research Centre for Physical Activity & Health, McGill University, Montreal, QC, Canada. celena.scheede@mcgill.ca.
9 Department of Anesthesia, McGill University, Montreal, QC, Canada. celena.scheede@mcgill.ca.

Description:

Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.

Support Care Cancer. 2017 01;25(1):33-40

Authors: Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C

Abstract

PURPOSE: High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery.

METHODS: Patients were assigned to either a prehabilitation (PREHAB; n = 57) or matched time control group (CTRL; n = 59). Over the 4-week period prior to surgery, patients in PREHAB participated in a trimodal prehabilitation program. Patients in CTRL received the same program but only postoperatively. The Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire was used to measure physical activity levels, while the 6-min walk test (6MWT) was used for assessment of functional walking capacity. Measurements were collected at baseline and at the time of surgery.

RESULTS: Over the preoperative period, patients in PREHAB significantly increased the amount of moderate- and vigorous-intensity physical activities that they performed. PREHAB patients also demonstrated a greater improvement in 6MWT compared to CTRL. At the time of surgery, a greater proportion of patients in PREHAB met current physical activity guidelines, as compared to CTRL.

CONCLUSIONS: These findings highlight the positive effects of a trimodal prehabilitation program on patients' physical activity levels and functional walking capacity and demonstrate that modifying exercise behaviors and improving physical function within the 4-week preoperative period are an achievable goal.

PMID: 27539131 [PubMed - indexed for MEDLINE]