Feasibility and Acceptability of Prehabilitation before Surgery for Endometrial Cancer
- Authors
- Lee, Sang Hwa; Lee, Na Ra; Kim, Jae Weon; Lee, Maria; Seong, Seok Ju; Song, Jae Yun; Kim, Yeon Soo
- Issue Date
- Jun-2020
- Publisher
- 대한스포츠의학회
- Keywords
- Endometrial neoplasms; Exercise; Physical fitness; Prehabilitation; Quality of life
- Citation
- 대한스포츠의학회지, v.38, no.2, pp 85 - 94
- Pages
- 10
- Indexed
- KCI
- Journal Title
- 대한스포츠의학회지
- Volume
- 38
- Number
- 2
- Start Page
- 85
- End Page
- 94
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28315
- DOI
- 10.5763/kjsm.2020.38.2.85
- ISSN
- 1226-3729
2288-6028
- Abstract
- Purpose
To investigate the safety of and adherence to a prehabilitation program among patients with endometrial cancer and to provide preliminary evidence of the program’s efficacy in terms of health-related fitness (HRF) and patient-reported outcomes.
Methods
Nineteen patients with endometrial cancer were recruited in a 2-week trial for a one-on-one supervised exercise program. All patients participated in an individual exercise program—the Challenge, Overcome, Resolve, and Enhance (CORE) program—which consisted of 60 minutes of moderate-to-vigorous intensity resistance, core stability, and aerobic exercise, supervised five times within 2 weeks before surgery.
Results
Seventeen (89.5%) of the 19 participants completed the CORE program, and no adverse events occurred. All participants accomplished the daily mean step counts and sustained the prescribed target heart rate (reserve 50%–60%) during the CORE program sessions. Participants who completed the exercise program exhibited significantly improved HRF (cardiorespiratory fitness, 30-second chair stand, hand grip strength, curl-ups, sit and reach, single-leg standing with closed eyes; p<0.001 for all) without changes in the body mass index (p=0.113). Their quality of life (general, p=0.001; function, p=0.001; symptom, p=0.003), symptom clusters (p=0.006), anxiety (p<0.001), and depression (p<0.001) were significantly improved.
Conclusion
The 2-week prehabilitation CORE program is safe and feasible for patients scheduled to undergo surgery for early-stage endometrial cancer and may improve their physical and psychological health status.
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- Appears in
Collections - 2. Clinical Science > Department of Obstetrics and Gynecology > 1. Journal Articles
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