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 .
Cancer Type Does Not Affect Exercise-Mediated Improvements in Cardiorespiratory Function and Fatigue
Purpose . Despite mounting evidence indicating that exercise training has a positive effect on cancer recovery , the influence of cancer type on the response to exercise training remains uncharacterized . Therefore , the adaptations to exercise training were compared between groups composed of 7 different forms of cancer . Methods . A total of 319 cancer survivors completed fatigue inventories and participated in assessment s of cardiorespiratory function , which encompassed aerobic capacity ( VO2peak ) , pulmonary function ( forced vital capacity [ FVC ] and forced expiratory volume in 1 second [ FEV1 ] ) , and resting blood pressure and heart rate . Participants were divided into 7 groups based on cancer type , including breast cancer ( BC , n = 170 ) , prostate cancer and other male urogenital neoplasia ( PC , n = 38 ) , hematological malignancies ( HM , n = 34 ) , colorectal cancer ( CC , n = 25 ) , gynecological cancers ( GC , n = 20 ) , gl and ular and epithelial neoplasms ( GEN , n = 20 ) , and lung cancer ( LC , n = 12 ) . All participants completed an individualized , multimodal exercise intervention consisting of cardiorespiratory , flexibility , balance , and muscular strength training 3 days per week for 3 months . Following the intervention , all subjects were reassessed . Generalized Estimating Equations with exchangeable working correlation structure was used to model each response ; the group by time interaction effect represented the effect of cancer type on exercise-associated improvements . Results . No significant ( P > .05 ) group by time interaction effects were observed between different types of cancer for any parameter . Pre- to postexercise contrasts revealed significant improvements in VO2peak in BC , PC , HM , and GEN at the Bonferroni adjusted significance level ( .00714 ) . Heart rate was significantly lowered in the BC and CC groups . Mean fatigue indices decreased by at least 17 % in all groups , but these changes were only significant in the BC , HM , CC , and GC groups . Systolic blood pressure decreased significantly in BC and GC , and diastolic blood pressure decreased significantly only in the BC group while pulmonary function remained unchanged in all cancer types . Conclusion . Although trends toward improved cardiorespiratory and fatigue parameters only reached significance in some groups , there were no significant differences between cancer types . This suggests that cardiorespiratory and fatigue improvements following rehabilitative exercise are not dependent on cancer type . Further research investigating alternative physiological parameters are needed to confirm the relationship between cancer type and exercise-mediated rehabilitation
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 .