PMID- 34165374
OWN - NLM
STAT- MEDLINE
DCOM- 20220930
LR  - 20221004
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 19
DP  - 2022 Sep
TI  - Preoperative physical activity predicts postoperative functional recovery in 
      gastrointestinal cancer patients.
PG  - 5557-5562
LID - 10.1080/09638288.2021.1939447 [doi]
AB  - PURPOSE: The present study aimed to investigate the association between 
      preoperative physical activity (PA) and postoperative functional recovery in 
      gastrointestinal cancer patients. MATERIALS AND METHODS: In this prospective 
      study, we included 101 patients who underwent colorectal or gastric cancer 
      surgery. Primary outcome was 6-minute walk distance (6MWD) decline ratio 
      ((postoperative 6MWD value - preoperative 6MWD value)/preoperative 6MWD value x 
      100 (%)), which was determined as postoperative functional recovery. Patients 
      were divided into two groups according to the median of 6MWD decline ratio: above 
      the median (non-decline group) and below the median (decline group). The 
      International Physical Activity Questionnaire (IPAQ-SV) (the usual seven-day 
      short version) was used to assess preoperative PA and sedentary time. 
      Multivariate logistic regression analysis was performed to identify predictive 
      factors of postoperative functional recovery. RESULTS: Preoperative PA (odds 
      ratio (OR): 3.812; 95% confidence interval (CI): 1.326-10.956; p = 0.01), 6MWD 
      (OR: 1.006; 95% CI: 1.002-1.011; p < 0.01), C-reactive protein (OR: 4.138; 95% 
      CI: 1.383-12.377; p = 0.01), and combined resection (OR: 3.425; 95% CI: 
      1.101-10.649; p = 0.03) were associated with postoperative functional recovery. 
      CONCLUSIONS: Preoperative PA is a predictor of postoperative functional recovery 
      in patients who undergoing gastrointestinal cancer surgery.Implications for 
      rehabilitationThe association between preoperative physical activity (PA) and 
      postoperative functional recovery has been unclear in gastrointestinal cancer 
      patients.We indicated that preoperative PA predicts postoperative functional 
      recovery.Patients who low preoperative PA need to be monitored carefully in the 
      postoperative course.Patients with low preoperative PA may need enhanced 
      postoperative rehabilitation to reduce postoperative functional decline.
FAU - Yanagisawa, Takuya
AU  - Yanagisawa T
AUID- ORCID: 0000-0002-4186-3908
AD  - Department of Rehabilitation, Kamiiida Daiichi General Hospital, Nagoya, Japan.
AD  - Program in Physical and Occupational Therapy, Nagoya University Graduate School 
      of Medicine, Nagoya, Japan.
FAU - Tatematsu, Noriatsu
AU  - Tatematsu N
AD  - Department of Integrated Health Sciences, Nagoya University Graduate School of 
      Medicine, Nagoya, Japan.
FAU - Horiuchi, Mioko
AU  - Horiuchi M
AD  - Department of Rehabilitation, Kamiiida Daiichi General Hospital, Nagoya, Japan.
FAU - Migitaka, Saki
AU  - Migitaka S
AD  - Department of Rehabilitation, Kamiiida Daiichi General Hospital, Nagoya, Japan.
FAU - Yasuda, Shotaro
AU  - Yasuda S
AD  - Department of Rehabilitation, Kamiiida Daiichi General Hospital, Nagoya, Japan.
FAU - Itatsu, Keita
AU  - Itatsu K
AD  - Department of Surgery, Kamiiida Daiichi General Hospital, Nagoya, Japan.
FAU - Kubota, Tomoyuki
AU  - Kubota T
AD  - Department of Breast Surgery, Kamiiida Daiichi General Hospital, Nagoya, Japan.
FAU - Sugiura, Hideshi
AU  - Sugiura H
AD  - Department of Integrated Health Sciences, Nagoya University Graduate School of 
      Medicine, Nagoya, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210624
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
RN  - 9007-41-4 (C-Reactive Protein)
SB  - IM
MH  - *C-Reactive Protein
MH  - Exercise
MH  - *Gastrointestinal Neoplasms/surgery
MH  - Humans
MH  - Postoperative Complications
MH  - Prospective Studies
MH  - Walk Test
OTO - NOTNLM
OT  - Physical activity
OT  - colorectal cancer
OT  - gastric cancer
OT  - older patient
OT  - postoperative functional recovery
EDAT- 2021/06/25 06:00
MHDA- 2022/10/01 06:00
CRDT- 2021/06/24 12:16
PHST- 2021/06/25 06:00 [pubmed]
PHST- 2022/10/01 06:00 [medline]
PHST- 2021/06/24 12:16 [entrez]
AID - 10.1080/09638288.2021.1939447 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Sep;44(19):5557-5562. doi: 10.1080/09638288.2021.1939447. 
      Epub 2021 Jun 24.