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Feasibility and Acceptability of Prehabilitation before Surgery for Endometrial Cancer

대한스포츠의학회지 2020년 38권 2호 p.85 ~ 94
이상화 ( Lee Sang-Hwa ) - Seoul National University College of Education Department of Physical Education

이나라 ( Lee Na-Ra ) - CHA University CHA Gangnam Medical Center Department of Obstetrics and Gynecology
김재원 ( Kim Jae-Weon ) - Seoul National University College of Medicine Seoul National University Hospital Department of Obstetrics and Gynecology
이마리아 ( Lee Maria ) - Seoul National University College of Medicine Seoul National University Hospital Department of Obstetrics and Gynecology
성석주 ( Seong Seok-Ju ) - CHA University CHA Gangnam Medical Center Department of Obstetrics and Gynecology
송재윤 ( Song Jae-Yun ) - Korea University College of Medicine Korea University Anam Hospital Department of Obstetrics and Gynecology
김연수 ( Kim Yeon-Soo ) - Seoul National University College of Education Department of Physical Education

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.

키워드

Endometrial neoplasms; Exercise; Physical fitness; Prehabilitation; Quality of life
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