Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy

Purpose: Exercise intervention after surgery has been found to improve physical fitness and quality of life (QOL). The purpose of this study was to investigate the feasibility and effects of a postoperative recovery exercise program developed specifically for gastric cancer patients (PREP-GC) underg...

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Veröffentlicht in:Journal of gastric cancer 2018, Vol.18 (2), p.118-133
Hauptverfasser: Cho, In, Son, Younsun, Song, Sejong, Bae, Yoon Jung, Kim, Youn Nam, Kim, Hyoung-Il, Lee, Dae Taek, Hyung, Woo Jin
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container_end_page 133
container_issue 2
container_start_page 118
container_title Journal of gastric cancer
container_volume 18
creator Cho, In
Son, Younsun
Song, Sejong
Bae, Yoon Jung
Kim, Youn Nam
Kim, Hyoung-Il
Lee, Dae Taek
Hyung, Woo Jin
description Purpose: Exercise intervention after surgery has been found to improve physical fitness and quality of life (QOL). The purpose of this study was to investigate the feasibility and effects of a postoperative recovery exercise program developed specifically for gastric cancer patients (PREP-GC) undergoing minimally invasive gastrectomy. Materials and Methods: Twenty-four patients treated surgically for early gastric cancer were enrolled in the PREP-GC. The exercise program comprised sessions of In-hospital Exercise (1 week), Home Exercise (1 week), and Fitness Improvement Exercise (8 weeks). Adherence and compliance to PREP-GC were evaluated. In addition, body composition, physical fitness, and QOL were assessed during the preoperative period, after the postoperative recovery (2 weeks after surgery), and upon completing the PREP-GC (10 weeks after surgery). Results: Of the 24 enrolled patients, 20 completed the study without any adverse events related to the PREP-GC. Adherence and compliance rates to the Fitness Improvement Exercise were 79.4% and 99.4%, respectively. Upon completing the PREP-GC, patients also exhibited restored cardiopulmonary function and muscular strength, with improved muscular endurance and flexibility (P
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The purpose of this study was to investigate the feasibility and effects of a postoperative recovery exercise program developed specifically for gastric cancer patients (PREP-GC) undergoing minimally invasive gastrectomy. Materials and Methods: Twenty-four patients treated surgically for early gastric cancer were enrolled in the PREP-GC. The exercise program comprised sessions of In-hospital Exercise (1 week), Home Exercise (1 week), and Fitness Improvement Exercise (8 weeks). Adherence and compliance to PREP-GC were evaluated. In addition, body composition, physical fitness, and QOL were assessed during the preoperative period, after the postoperative recovery (2 weeks after surgery), and upon completing the PREP-GC (10 weeks after surgery). Results: Of the 24 enrolled patients, 20 completed the study without any adverse events related to the PREP-GC. Adherence and compliance rates to the Fitness Improvement Exercise were 79.4% and 99.4%, respectively. Upon completing the PREP-GC, patients also exhibited restored cardiopulmonary function and muscular strength, with improved muscular endurance and flexibility (P&lt;0.05). Compared to those in the preoperative period, no differences were found in symptom scale scores measured using the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30) and Quality of Life Questionnaire-Stomach Cancer-Specific Module (QLQ-STO22); however, higher scores for global health status and emotional functioning were observed after completing the PREP-GC (P&lt;0.05). Conclusions: In gastric cancer patients undergoing minimally invasive gastrectomy, PREP-GC was found to be feasible and safe, with high adherence and compliance. Although randomized studies evaluating the benefits of exercise intervention during postoperative recovery are needed, surgeons should encourage patients to participate in systematic exercise intervention programs in the early postoperative period (Registered at the ClinicalTrials.gov, NCT01751880).</description><identifier>ISSN: 2093-582X</identifier><identifier>EISSN: 2093-5641</identifier><language>kor</language><ispartof>Journal of gastric cancer, 2018, Vol.18 (2), p.118-133</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,4010</link.rule.ids></links><search><creatorcontrib>Cho, In</creatorcontrib><creatorcontrib>Son, Younsun</creatorcontrib><creatorcontrib>Song, Sejong</creatorcontrib><creatorcontrib>Bae, Yoon Jung</creatorcontrib><creatorcontrib>Kim, Youn Nam</creatorcontrib><creatorcontrib>Kim, Hyoung-Il</creatorcontrib><creatorcontrib>Lee, Dae Taek</creatorcontrib><creatorcontrib>Hyung, Woo Jin</creatorcontrib><title>Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy</title><title>Journal of gastric cancer</title><addtitle>Journal of gastric cancer : jgc</addtitle><description>Purpose: Exercise intervention after surgery has been found to improve physical fitness and quality of life (QOL). The purpose of this study was to investigate the feasibility and effects of a postoperative recovery exercise program developed specifically for gastric cancer patients (PREP-GC) undergoing minimally invasive gastrectomy. Materials and Methods: Twenty-four patients treated surgically for early gastric cancer were enrolled in the PREP-GC. The exercise program comprised sessions of In-hospital Exercise (1 week), Home Exercise (1 week), and Fitness Improvement Exercise (8 weeks). Adherence and compliance to PREP-GC were evaluated. In addition, body composition, physical fitness, and QOL were assessed during the preoperative period, after the postoperative recovery (2 weeks after surgery), and upon completing the PREP-GC (10 weeks after surgery). Results: Of the 24 enrolled patients, 20 completed the study without any adverse events related to the PREP-GC. Adherence and compliance rates to the Fitness Improvement Exercise were 79.4% and 99.4%, respectively. Upon completing the PREP-GC, patients also exhibited restored cardiopulmonary function and muscular strength, with improved muscular endurance and flexibility (P&lt;0.05). Compared to those in the preoperative period, no differences were found in symptom scale scores measured using the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30) and Quality of Life Questionnaire-Stomach Cancer-Specific Module (QLQ-STO22); however, higher scores for global health status and emotional functioning were observed after completing the PREP-GC (P&lt;0.05). Conclusions: In gastric cancer patients undergoing minimally invasive gastrectomy, PREP-GC was found to be feasible and safe, with high adherence and compliance. Although randomized studies evaluating the benefits of exercise intervention during postoperative recovery are needed, surgeons should encourage patients to participate in systematic exercise intervention programs in the early postoperative period (Registered at the ClinicalTrials.gov, NCT01751880).</description><issn>2093-582X</issn><issn>2093-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNqNTstKAzEUHUTBYvsPdyPoYiCTdsp0KeO0PpCGquCuxMzNcDWTlCQMzjf5k4aie8_mnMV5nWQTzlbzvFwuitM_XfG382wWwgdLKJdFwfgk-16jDPROhuII0rbQaI0qBnAaJAgXojugl5EGhB0qN6AfoflCryggCO86L3u4xQFNMrbwfEBFmpQ0ZgTtPGxkiJ4U1NIq9CBSFdrUfyV2jcg39TW82hZ958h28ESW-mP03g7pVxo95tMj14_T7ExLE3D2yxfZ5bp5qe_yTwqR9rYNZv9w87jlrKg4KxesWJUV4_P_-n4AV5RgNw</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Cho, In</creator><creator>Son, Younsun</creator><creator>Song, Sejong</creator><creator>Bae, Yoon Jung</creator><creator>Kim, Youn Nam</creator><creator>Kim, Hyoung-Il</creator><creator>Lee, Dae Taek</creator><creator>Hyung, Woo Jin</creator><scope>JDI</scope></search><sort><creationdate>2018</creationdate><title>Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy</title><author>Cho, In ; Son, Younsun ; Song, Sejong ; Bae, Yoon Jung ; Kim, Youn Nam ; Kim, Hyoung-Il ; Lee, Dae Taek ; Hyung, Woo Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kisti_ndsl_JAKO2018205401958023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, In</creatorcontrib><creatorcontrib>Son, Younsun</creatorcontrib><creatorcontrib>Song, Sejong</creatorcontrib><creatorcontrib>Bae, Yoon Jung</creatorcontrib><creatorcontrib>Kim, Youn Nam</creatorcontrib><creatorcontrib>Kim, Hyoung-Il</creatorcontrib><creatorcontrib>Lee, Dae Taek</creatorcontrib><creatorcontrib>Hyung, Woo Jin</creatorcontrib><collection>KoreaScience</collection><jtitle>Journal of gastric cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, In</au><au>Son, Younsun</au><au>Song, Sejong</au><au>Bae, Yoon Jung</au><au>Kim, Youn Nam</au><au>Kim, Hyoung-Il</au><au>Lee, Dae Taek</au><au>Hyung, Woo Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy</atitle><jtitle>Journal of gastric cancer</jtitle><addtitle>Journal of gastric cancer : jgc</addtitle><date>2018</date><risdate>2018</risdate><volume>18</volume><issue>2</issue><spage>118</spage><epage>133</epage><pages>118-133</pages><issn>2093-582X</issn><eissn>2093-5641</eissn><abstract>Purpose: Exercise intervention after surgery has been found to improve physical fitness and quality of life (QOL). The purpose of this study was to investigate the feasibility and effects of a postoperative recovery exercise program developed specifically for gastric cancer patients (PREP-GC) undergoing minimally invasive gastrectomy. Materials and Methods: Twenty-four patients treated surgically for early gastric cancer were enrolled in the PREP-GC. The exercise program comprised sessions of In-hospital Exercise (1 week), Home Exercise (1 week), and Fitness Improvement Exercise (8 weeks). Adherence and compliance to PREP-GC were evaluated. In addition, body composition, physical fitness, and QOL were assessed during the preoperative period, after the postoperative recovery (2 weeks after surgery), and upon completing the PREP-GC (10 weeks after surgery). Results: Of the 24 enrolled patients, 20 completed the study without any adverse events related to the PREP-GC. Adherence and compliance rates to the Fitness Improvement Exercise were 79.4% and 99.4%, respectively. Upon completing the PREP-GC, patients also exhibited restored cardiopulmonary function and muscular strength, with improved muscular endurance and flexibility (P&lt;0.05). Compared to those in the preoperative period, no differences were found in symptom scale scores measured using the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30) and Quality of Life Questionnaire-Stomach Cancer-Specific Module (QLQ-STO22); however, higher scores for global health status and emotional functioning were observed after completing the PREP-GC (P&lt;0.05). Conclusions: In gastric cancer patients undergoing minimally invasive gastrectomy, PREP-GC was found to be feasible and safe, with high adherence and compliance. Although randomized studies evaluating the benefits of exercise intervention during postoperative recovery are needed, surgeons should encourage patients to participate in systematic exercise intervention programs in the early postoperative period (Registered at the ClinicalTrials.gov, NCT01751880).</abstract><oa>free_for_read</oa></addata></record>
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title Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy
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