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Título: | Home-Based Preoperative Exercise Training for Lung Cancer Patients Undergoing Surgery: A Feasibility Trial | Autor: | Machado, Pedro Pimenta, Sara Garcia, Ana Luís Nogueira, Tiago Silva, Sónia Oliveiros, Bárbara Martins, Raul A. Cruz, Joana |
Palavras-chave: | prehabilitation; exercise training; lung cancer; surgical oncology; quality of life; feasibility; physical activity | Data: | 19-Abr-2023 | Editora: | MDPI | Projeto: | UIDB/05704/2020 | Título da revista, periódico, livro ou evento: | Journal of Clinical Medicine | Volume: | 12 | Número: | 8 | Resumo: | Background: Clinical guidelines recommend prehabilitation with exercise training to optimize recovery after lung cancer surgery. However, the lack of access to facility-based exercise programs is a major barrier to routine participation. This study aimed to assess the feasibility of a home-based exercise intervention before lung cancer resection. Methods: We conducted a prospective, two-site feasibility study, including patients scheduled for lung cancer surgery. Exercise prescription involved aerobic and resistance training with telephone-based supervision. The primary endpoint was overall feasibility (recruitment rate, retention rate, intervention adherence and acceptability). Secondary endpoints included safety and effects on health-related quality of life (HRQOL) and physical performance, evaluated at baseline, after the exercise intervention and 4–5 weeks after surgery. Results: Over three months, 15 patients were eligible, and all agreed to participate (recruitment rate: 100%). A total of 14 patients completed the exercise intervention, and 12 patients were evaluated postoperatively (retention rate: 80%). The median length of the exercise intervention was 3 weeks. Patients performed an aerobic and resistance training volume higher than prescribed (median adherence rates of 104% and 111%, respectively). A total of nine adverse events occurred during the intervention (Grade 1, n = 8; Grade 2, n = 1), the most common being shoulder pain. After the exercise intervention, significant improvements were observed in the HRQOL summary score (mean difference, 2.9; 95% confidence interval [CI], from 0.9 to 4.8; p = 0.049) and the five-times sit-to-stand test score (median difference, 1.5; 95% CI, from 2.1 to 0.9; p = 0.001). After surgery, no significant effects on HRQOL and physical performance were observed. Conclusion: A short-term preoperative home-based exercise intervention is feasible before lung cancer resection and may enhance accessibility to prehabilitation. Clinical effectiveness should be investigated in future studies. | URI: | https://hdl.handle.net/10316/113488 | ISSN: | 2077-0383 | DOI: | 10.3390/jcm12082971 | Direitos: | openAccess |
Aparece nas coleções: | I&D CIBIT - Artigos em Revistas Internacionais I&D ICBR - Artigos em Revistas Internacionais FMUC Medicina - Artigos em Revistas Internacionais FCDEF - Artigos em Revistas Internacionais I&D CIDAF - Artigos em Revistas Internacionais |
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Ficheiro | Descrição | Tamanho | Formato | |
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HomeBased-Preoperative-Exercise-Training-for-Lung-Cancer-Patients-Undergoing-Surgery-A-Feasibility-TrialJournal-of-Clinical-Medicine.pdf | 3.65 MB | Adobe PDF | Ver/Abrir |
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