For the functional capacity and medical care parameters , preoperative combined aerobic , resistance , and inspiratory muscle training was shown to be effective if comprising one to four weeks , performing 1 - 3 sessions per week , with moderate intensity ( 50 % for endurance capacity ) .
Preoperative physical exercise protocol s prior to cancer surgery increased in popularity over recent years ; however , the beneficial effect of such protocol s is not well established , with conflicting results reported .
We conducted a systematic review and meta- analysis of r and omized controlled trials ( RCTs ) to assess the effects of different modalities or combinations of preoperative exercise interventions and /or prehabilitation multicomponent training in patients with non-small-cell lung cancer ( NSCLC ) after surgery on the outcomes related to functional capacity , mental wellness and medical care .
Impact of physical activity on fatigue and quality of life in people with advanced lung cancer: a randomized controlled trial
Background Physical activity ( PA )  improves fatigue and quality of life ( QOL ) in cancer survivors . Our aim was to assess whether a 2-month PA intervention  improves fatigue and QOL for people with advanced lung cancer . Methods Participants with advanced lung cancer , Eastern Cooperative Oncology Group performance status ( PS ) ≤2 , > 6 months life expectancy , and ability to complete six-min walk test , were stratified ( disease stage , PS 0 - 1 versus 2 , centre ) and r and omized ( 1:1 ) in an open-label study to usual care ( UC ) ( nutrition and PA education material s ) or experimental intervention ( EX ) : UC plus 2-month supervised weekly PA and behaviour change sessions . Assessment s occurred at baseline , 2 , 4 , and 6 months . The primary endpoint was fatigue [ Functional Assessment of Cancer Therapy-Fatigue ( FACT-F ) question naire ] at 2 months . The study was design ed to detect a difference in mean FACT-F subscale score of 6 . Analysis was intention-to-treat using linear mixed models . Results We recruited 112 patients : 56 ( 50.4 % ) were r and omized to EX , 55(49.5 % ) to UC ; 1 ineligible . Male 55 % ; median age 64 years ( 34 - 80 ) ; 106 ( 96 % ) non-small cell lung cancer ; 106 ( 95.5 % ) stage IV . At 2 , 4 and 6 months , 90 , 73 and 62 participants were assessed , respectively , with no difference in attrition between groups . There were no significant differences in fatigue between the groups at 2 , 4 or 6 months : mean scores at 2 months EX 37.5 , UC 36.4 ( difference 1.2 , 95 % CI - 3.5 , 5.8 , P = 0.62 ) . There were no significant differences in QOL , symptoms , physical or functional status , or survival . Conclusions Adherence to the intervention was good but the intervention group did not increase their PA enough compared to the control group , and no difference was seen in fatigue or QOL . Trial Registration Australian New Zeal and Clinical Trials Registry No. ACTRN12609000971235
For the functional capacity and medical care parameters , preoperative combined aerobic , resistance , and inspiratory muscle training was shown to be effective if comprising one to four weeks , performing 1 - 3 sessions per week , with moderate intensity ( 50 % for endurance capacity ) .
Preoperative physical exercise protocol s prior to cancer surgery increased in popularity over recent years ; however , the beneficial effect of such protocol s is not well established , with conflicting results reported .
We conducted a systematic review and meta- analysis of r and omized controlled trials ( RCTs ) to assess the effects of different modalities or combinations of preoperative exercise interventions and /or prehabilitation multicomponent training in patients with non-small-cell lung cancer ( NSCLC ) after surgery on the outcomes related to functional capacity , mental wellness and medical care .