Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients
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An increasing interest is seen in the role of preoperative physical activity (PA) in enhancing postoperative recovery. The short-term effect of preoperative PA on recovery after colorectal cancer is unknown. The aim of this study was to evaluate the association of the preoperative level of PA with postoperative recovery after surgery due to colorectal cancer disease.
This is a prospective observational cohort study, with 115 patients scheduled to undergo elective colorectal surgery. The self-reported level of preoperative PA was compared to measures of recovery.
Regular self-reported preoperative PA was associated with a higher chance of feeling highly physically recovered 3 weeks after surgery (relative chance 3.3, p = 0.038), compared to physical inactivity. No statistically significant associations were seen with length of hospital stay, self-assessed mental recovery, re-admittances or with re-operations.
In clinical practice, evaluating the patients’ level of PA is feasible and may potentially be used as a prognostic tool for patients undergoing colorectal cancer surgery. Given the study design, the results from this study cannot prove causality.
The present study found that the preoperative level of PA was associated with a faster self-assessed physical recovery after colorectal cancer surgery. PA did not show any associations with the primary outcome measure length of hospital stay or any of the other secondary outcome measures. Assessment of PA level preoperatively could be used for prognostic reasons. If systematic preoperative/postoperative physical training will enhance recovery, this remains to be studied in a randomized controlled study.
We examined preoperative physical activity and the recovery after colorectal cancer surgery.
Physically active individuals had faster self-assessed physical recovery.
Assessment of preoperative physical activity may provide prognostic clinical information.
KeywordsPhysical activity Preoperative Recovery Surgery Colorectal cancer
Compliance with ethical standards
The study was approved by the Regional Ethical Board in Göteborg, Dnr 180–12. The protocol was registered at clinicaltrials.gov, NCT01707121.
Conflict of interest statement
No conflicts of interest reported. The study was funded through grants from the ALF agreement at Sahlgrenska University Hospital, the Swedish Cancer Society, VGRFOU grants in Västra Götaland Region, Tornspiran and Mary von Sydow’s Foundation.
- 7.Socialstyrelsen. http://www.socialstyrelsen.se/riktlinjer/forsakringsmedicinsktbeslutsstod/coloncancer-ickespridd. Accessed 2015/05/18 2015.
- 8.Socialstyrelsen. Försäkringsmedicinskt beslutsstöd rektalcancer, ickespridd..http://www.socialstyrelsen.se/riktlinjer/forsakringsmedicinsktbeslutsstod/rektalcancer-ickespridd. 2015. Accessed 2015/05/18 2015.
- 13.Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–41. doi: 10.1200/JCO.2006.06.0863 CrossRefPubMedGoogle Scholar
- 19.Skoogh J, Ylitalo N, Larsson Omerov P, Hauksdottir A, Nyberg U, Wilderang U et al (2010) ‘A no means no’—measuring depression using a single-item question versus Hospital Anxiety and Depression Scale (HADS-D). Ann oncol : official journal of the European Society for Medical Oncology/ESMO 21(9):1905–9. doi: 10.1093/annonc/mdq058 CrossRefGoogle Scholar
- 20.Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 158(16):1789–95CrossRefPubMedGoogle Scholar
- 32.Likert R (1932) A technique for the measurement of attitudes. Arch Psychol 22(140):55Google Scholar
- 34.Onerup A, Angeras U, Bock D, Borjesson M, Fagevik Olsen M, Gellerstedt M et al (2015) The preoperative level of physical activity is associated to the postoperative recovery after elective cholecystectomy—a cohort study. Int J Surg 19:35–41. doi: 10.1016/j.ijsu.2015.05.023 CrossRefPubMedGoogle Scholar
- 36.Ekman I, Swedberg K, Taft C, Lindseth A, Norberg A, Brink E et al (2011) Person-centered care—ready for prime time. Eur j cardiovasc nurs : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 10(4):248–51. doi: 10.1016/j.ejcnurse.2011.06.008 CrossRefGoogle Scholar