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Am J Phys Med Rehabil. 2018 Dec 13. doi: 10.1097/PHM.0000000000001108. [Epub ahead of print]

Fit4SurgeryTV at-home prehabilitation for frail elderly planned for colorectal cancer surgery: a pilot study.

Author information

1
Department of surgery, Academic Medical Center, Amsterdam, The Netherlands.
2
Department of surgery, Gelre Hospitals, Apeldoorn, The Netherlands.
3
Department of medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
4
Department of surgery, OLVG Hospitals, Amsterdam, The Netherlands.
5
Department of surgery, Meander Medical Center, Amersfoort, The Netherlands.
6
Department of geriatric medicine, Gelre Hospitals, Apeldoorn, The Netherlands.

Abstract

OBJECTIVE:

The preoperative phase is a potential window of opportunity. Although frail elderly patients are known to be more prone to postoperative complications, they are often not considered capable of accomplishing a full prehabilitation program. The aim of this study was to assess the feasibility of Fit4SurgeryTV, an at-home prehabilitation program specifically designed for frail elderly with colorectal cancer (CRC).

DESIGN:

The Fit4SurgeryTV program consisted of a daily elderly-adapted computer-supported strength training workout and two protein-rich meals. Frail patients ≥70 years with CRC were included. The program was considered feasible if 80% of the patients would be able to complete 70% of the program.

RESULTS:

Fourteen patients (median age 79, 5 males) participated. At baseline, 86% patients were physically impaired and 64% were at risk for malnourishment. Median duration of the program was 26 days. The program was feasible as patients followed the exercises for 6/7 (86%) days and prepared the recipes 5/7 (71%) days per week. Patients specifically appreciated at-home exercises.

CONCLUSION:

This study showed that at-home prehabilitation in frail elderly with CRC is feasible. As a result, patients might be fitter for surgery and might recover faster. The perioperative period could serve as a pivotal time point in reverting complications of immobility.

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