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Preoperative Exercise Habits are Associated with Post-gastrectomy Complications

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Abstract

Background

Sarcopenia is reportedly associated with postoperative complications of gastrectomy, which would presumably be affected by exercise habits aimed at maintaining muscle quantity and quality. However, the potential benefits of exercise habits have yet to be clarified.

Methods

We included 178 patients undergoing gastrectomy in this study. Postoperative complications above grade 2 according to the Clavien–Dindo classification were regarded as clinically significant. Patients were classified according to exercise quantity employing the International Physical Activity Questionnaire Short Form and relationships between exercise habits and complications were investigated.

Results

On univariate analysis, low exercise habits (p = 0.008) and total gastrectomy (p = 0.004) were significantly associated with morbidity after gastrectomy. Although severe comorbidity (p = 0.095) and combined resection (p = 0.064) tended to be associated with complications, multivariate analysis demonstrated only low levels of exercise (Odds ratio = 2.42, p = 0.014) and total gastrectomy (Odds ratio = 3.67, p = 0.028) to be independently associated with postoperative complications. Anastomotic leakage (p = 0.028) and systemic complications (p = 0.006), especially pneumonia, were significantly more frequent in the low exercise group.

Conclusions

Preoperative exercise habits independently affected short-term postoperative outcomes. Our results raise the possibility that exercise intervention would reduce the morbidity experienced by gastrectomy patients.

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Funding

This study was supported by Management Expenses Grants and Donations to the University of Tokyo and RIZAP GROUP, Inc.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Tetsuro Toriumi, Hiroharu Yamashita, Koichiro Kawasaki, Yasuhiro Okumura, Kotaro Wakamatsu, Koichi Yagi, Susumu Aikou, Sachiyo Nomura & Yasuyuki Seto

  2. Department of Bariatric and Metabolic Care, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Susumu Aikou

Authors
  1. Tetsuro Toriumi
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  2. Hiroharu Yamashita
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  3. Koichiro Kawasaki
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  4. Yasuhiro Okumura
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  5. Kotaro Wakamatsu
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  6. Koichi Yagi
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  7. Susumu Aikou
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  8. Sachiyo Nomura
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  9. Yasuyuki Seto
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Corresponding author

Correspondence to Tetsuro Toriumi.

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Conflict of interest

Susumu Aikou has received grants from RIZAP GROUP, Inc. The other authors have no potential conflicts of interest to disclose.

Ethical approval

This study was approved by the Ethics Committee of the University of Tokyo (No. 3962).

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Owing to the anonymous nature of the data, the requirement for informed consent was waived.

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Toriumi, T., Yamashita, H., Kawasaki, K. et al. Preoperative Exercise Habits are Associated with Post-gastrectomy Complications. World J Surg 44, 2736–2742 (2020). https://doi.org/10.1007/s00268-020-05493-3

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  • DOI: https://doi.org/10.1007/s00268-020-05493-3

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