Navigation Links
Exercise training is effective as 'prehabilitation' before surgery in an elderly population
Date:11/14/2013

Arnhem, The Netherlands 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."


'/>"/>

Contact: Evgenia Starkova
e.starkova@uroweb.org
31-263-890-680
European Association of Urology
Source:Eurekalert

Related medicine news :

1. Study: Women not getting enough exercise; at risk of developing metabolic syndrome
2. Exercise and attitude may be thermostat for hot flashes
3. Women Less Apt Than Men to Get Recommended Daily Exercise
4. Exercise improves quality of life during breast cancer treatment
5. Swallowing exercises linked with short-term improvement among patients with head and neck cancer
6. Swallowing exercises can help patients with head and neck cancer
7. Exercise May Help Patients With High Blood Pressure Live Longer
8. Exercise helps smokers to quit smoking, to remain smoke-free and to reduce the risk of death
9. A comparison of 2 home exercises to treat vertigo
10. Guidelines say diet, exercise, weight control improve odds after cancer diagnosis
11. Exercise Twice a Day Vital for Your Dogs Health, Expert Says
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... ... Every winter, someone is killed, injured or loses a home in an ... part of the Allegheny Health Network, has partnered with Etna Volunteer Fire Department, and ... campaign. , “Space Heaters Need Space” aims to bring awareness to the ...
(Date:2/12/2016)... ... 12, 2016 , ... The Jones Agency, a family owned insurance company with ... a cooperative charity drive with the Tarrant Area Food Bank in the hopes of ... families in need, the Tarrant County Food Bank offers hope and security to the ...
(Date:2/12/2016)... Pittsburgh, PA (PRWEB) , ... February 12, 2016 ... ... serving families of the Pittsburgh metro area, celebrates the beginning of the latest ... help children develop social skills through art. Donations to this worthy cause are ...
(Date:2/12/2016)... Lakeland, FL (PRWEB) , ... February 12, 2016 , ... ... Coast Dental hygienist Suzan Sweeney, RDH, and dental assistant Terrell Moore shortly before 7 ... They joined dozens of dental professionals, donating their time and skills to help hundreds ...
(Date:2/12/2016)... ... February 12, 2016 , ... Nearly every health website ... health. These articles generally list between five and 15 foods that should be ... every one of these lists and believes that nutritious eye healthy foods are ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... Hypermarcas S.A. ("Hypermarcas") today announced that ... "Tender Offer") to purchase any and all of ... its 6.500% Senior Notes due 2021 (CUSIP Nos. ... "Notes"). In connection with the Tender Offer, Hypermarcas ... "Consents") of the holders of the Notes (the ...
(Date:2/12/2016)... 2016 (Kanadische ... http://www.sedar.com ) und der Website ... --> http://www.sedar.com ) und ... abrufbar.    --> Telesta ... Konzernabschluss des zweiten Quartals und die ...
(Date:2/12/2016)... Hermann Health System has teamed up with Houston Rockets, ... one-of-a-kind experience to pediatric patients at Children,s Memorial ... video and Google Cardboard, Howard was able to visit ... patients and their families an unexpected, and energetically received, ... video . Memorial Hermann IRONMAN Sports Medicine ...
Breaking Medicine Technology: