PMID- 15585997
OWN - NLM
STAT- MEDLINE
DCOM- 20050421
LR  - 20220316
IS  - 1363-1950 (Print)
IS  - 1363-1950 (Linking)
VI  - 8
IP  - 1
DP  - 2005 Jan
TI  - Optimizing functional exercise capacity in the elderly surgical population.
PG  - 23-32
AB  - PURPOSE OF REVIEW: There are several studies on the effect of exercise post 
      surgery (rehabilitation), but few studies have looked at augmenting functional 
      capacity prior to surgical admission (prehabilitation). A programme of 
      prehabilitation is proposed in order to enhance functional exercise capacity in 
      elderly patients with the intent to minimize the postoperative morbidity and 
      accelerate postsurgical recovery. RECENT FINDINGS: Few studies have looked at 
      exercise prehabilitation to improve functional capacity prior to surgical 
      admission. Prehabilitation prior to orthopaedic surgery does not seem to improve 
      quality of life or recovery. However, prehabilitation prior to abdominal or 
      cardiac surgery, based on 275 elderly patients, results in fewer postoperative 
      complications, shorter postoperative length of stay, improved quality of life, 
      and reduced declines in functional disability compared to sedentary controls. 
      SUMMARY: A concentrated 3-month progressive exercise prehabilitation programme 
      consisting of aerobic training at 45-65% of maximal heart rate reserve (%HRR) 
      along with periodic high-intensity interval training ( approximately 90% HRR) 
      four times per week, 30-50 minutes per session, is recommended for improving 
      cardiovascular functioning. A strength training programme of about 10 different 
      exercises focused on large, multi-jointed muscle groups should also be 
      implemented twice per week at a mean training intensity of 80% of one-repetition 
      maximum. Finally, a minimum of 140 g ( approximately 560 kcal) of carbohydrate 
      (CHO) should be taken 3 h before training to increase liver and muscle glycogen 
      stores and a minimum of about 200 kcal of mixed protein-CHO should be ingested 
      within 30 min following training to enhance muscle hypertrophy.
FAU - Carli, Franco
AU  - Carli F
AD  - Department of Anesthesia, McGill University, Montreal, Quebec, Canada. 
      franco.carli@mcgill.ca
FAU - Zavorsky, Gerald S
AU  - Zavorsky GS
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Curr Opin Clin Nutr Metab Care
JT  - Current opinion in clinical nutrition and metabolic care
JID - 9804399
SB  - IM
MH  - Activities of Daily Living
MH  - Adaptation, Physiological
MH  - Aged
MH  - Aged, 80 and over
MH  - Exercise/*physiology
MH  - Exercise Therapy/*methods
MH  - Humans
MH  - Length of Stay
MH  - *Postoperative Period
MH  - Preoperative Care/*methods
MH  - Quality of Life
RF  - 87
EDAT- 2004/12/09 09:00
MHDA- 2005/04/22 09:00
CRDT- 2004/12/09 09:00
PHST- 2004/12/09 09:00 [pubmed]
PHST- 2005/04/22 09:00 [medline]
PHST- 2004/12/09 09:00 [entrez]
AID - 00075197-200501000-00005 [pii]
AID - 10.1097/00075197-200501000-00005 [doi]
PST - ppublish
SO  - Curr Opin Clin Nutr Metab Care. 2005 Jan;8(1):23-32. doi: 
      10.1097/00075197-200501000-00005.