scholarly journals Feasibility and Efficiency of the BEFORE (Better Exercise and Food, Better Recovery) Prehabilitation Program

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3493
Author(s):  
Thaís T. T. Tweed ◽  
Misha A. T. Sier ◽  
Ad A. Van Bodegraven ◽  
Noémi C. Van Nie ◽  
Walther M. W. H. Sipers ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Training Program ◽  
Primary Outcome ◽  
Preventive Intervention ◽  
Compliance Rate ◽  
Nutritional Intervention ◽  
Supervised Training ◽  
Exercise Training Program ◽  
Colorectal Cancer Patients ◽  
Protein Rich

Prehabilitation has been postulated as an effective preventive intervention to reduce postoperative complications, particularly for elderly patients with a relatively high risk of complications. To date, it remains to be determined whether prehabilitation increases physical capacity and reduces postoperative complications. The aim of this study was to assess the feasibility of a 4-week multimodal prehabilitation program consisting of a personalized, supervised training program and nutritional intervention with daily fresh protein-rich food for colorectal cancer patients aged over 64 years prior to surgery. The primary outcome was the feasibility of this prehabilitation program defined as ≥80% compliance with the exercise training program and nutritional intervention. The secondary outcomes were the organizational feasibility and acceptability of the prehabilitation program. A compliance rate of ≥80% to both the exercise and nutritional intervention was accomplished by 6 patients (66.7%). Attendance of ≥80% at all 12 training sessions was achieved by 7 patients (77.8%); all patients (100%) attended ≥80% of the available training sessions. Overall, compliance with the training was 91.7%. Six patients (66.7%) accomplished compliance of ≥80% with the nutritional program. The median protein intake was 1.2 (g/kg/d). No adverse events occurred. This multimodal prehabilitation program was feasible for the majority of patients.

The talk test"s responsiveness to an 8-week exercise-training program in cardiovascular disease patients

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
EM Martins ◽  
LS Silveira ◽  
GS Ribeiro ◽  
AM Vieira ◽  
ABAO Roque ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Exercise Training ◽  
Training Program ◽  
Ventilatory Threshold ◽  
Rehabilitation Program ◽  
Wilcoxon Test ◽  
Heart Rate Variability Analysis ◽  
Funding Sources ◽  
Exercise Training Program ◽  
6Mwt Distance

Abstract Funding Acknowledgements Type of funding sources: None. Background Talk test (TT) is an alternative and accessible tool for prescribing and monitoring aerobic training intensity. Although the TT is reliable and valid for cardiorespiratory assessment, its responsiveness to exercise training remains unexplored. Purpose To evaluate the responsiveness of TT in cardiovascular disease (CVD) patients who underwent an exercise training program. Methods Twenty-one CVD patients (61.7 ± 8.4 years) performed an exercise-training program on phase II of cardiac rehabilitation (45-min 3-times a week). The six-minute walk test (6MWT) and TT were done to assess functional capacity at baseline and after 8 weeks. In the individualized TT the treadmill’s speed and/or grade were increased every 2-min, with speed changes based on a reference equation for the 6MWT distance (6MWD). The subjects were asked to read a 38 words standard paragraph at the last 30s of each stage and to answer if they could talk comfortably. Answer options were i) YES (TT+), ii) UNCERTAIN (TT±), or iii) NO (TT-). The first ventilatory threshold (VT1) was identified by two reviewers using the heart rate variability analysis. A paired t-test was applied to analyze the TT duration and 6MWD. The VT1 and TT workload were analyzed by the Wilcoxon test. Spearman correlation was adopted to compare the TT± and VT1 stages. Results Improvement in the VT1 (2.9 ± 1.2 vs 4.4 ± 1.4 min; p < 0.001), duration (12.1 ± 4.4 vs 14.9 ± 5.2 min; p < 0.001), workload at TT- (67.8 ± 48.4 vs 104.5 ± 65.9 w; p < 0.001), and in the 6MWD (471.5 ± 100.3 vs 533.7 ± 92.9 m; p < 0.001) were observed. There was strong correlation between TT± and VT1 in pre (r = 0.613; p < 0.05) and post-rehabilitation (r = 0.678; p < 0.05). Conclusion Talk test performed on a treadmill showed responsiveness after eight weeks of exercise training, being sensitive to the physiological changes provided by the rehabilitation program in CVD patients.

NASHFit: A randomized controlled trial of an exercise training program to reduce clotting risk in patients with NASH

Hepatology ◽  
2021 ◽  
Author(s):  
Jonathan G. Stine ◽  
Ian R. Schreibman ◽  
Alison J. Faust ◽  
Jessica Dahmus ◽  
Benjamin Stern ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Exercise Training ◽  
Training Program ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Exercise Training Program

Impact of an exercise training program on cardiac neuronal function in heart failure patients on optimal medical therapy

2017 ◽  
Vol 25 (4) ◽  
pp. 1164-1171
Author(s):  
Torstein Valborgland ◽  
Kjetil Isaksen ◽  
Peter Scott Munk ◽  
Zbigniew Piotr Grabowski ◽  
Alf Inge Larsen
Keyword(s):  
Heart Failure ◽  
Exercise Training ◽  
Training Program ◽  
Medical Therapy ◽  
Optimal Medical Therapy ◽  
Neuronal Function ◽  
Heart Failure Patients ◽  
Exercise Training Program

Postoperative treatment compliance rate and complications with two different protocols after pterygium excision and conjunctival autografting

2020 ◽  
pp. 112067212091733
Author(s):  
Noelia Sabater-Cruz ◽  
Marina Dotti-Boada ◽  
José Rios ◽  
Maria Teresa Carrion ◽  
Lillian Chamorro ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Ocular Hypertension ◽  
Intraoperative Complications ◽  
Compliance Rate ◽  
Treatment Compliance ◽  
Postoperative Treatment ◽  
First Year ◽  
Topical Steroids ◽  
Pterygium Excision ◽  
Conjunctival Autografting

Aim: To evaluate compliance rate to pterygium postoperative treatment with two different protocols. Methods: Review of clinical data of patients submitted to pterygium excision and conjunctival autografting in a single centre (and a single surgeon) in Barcelona between March 2014 and December 2017. Initial postoperative protocol (protocol 1) consisted of 4 months of topical steroids in a tapering fashion. Protocol 2 consisted of topical steroids tapered over 5 weeks. Compliance rate, complications and clinical outcomes were evaluated, and statistical comparisons were made. Results: 120 surgeries were performed in 99 patients. Protocol 1 was applied in 63 cases and the next 57 followed protocol 2. Compliance with protocol 1 (57.6%) was lower than with protocol 2 (84.9%) (p = 0.002). Intraoperative complications (graft tear, corneal thinning, corneal perforation and bleeding) were found in 10 cases of protocol 1 and three cases of protocol 2, p = 0.08. Postoperative complications (graft dislocation, graft haematoma, ocular hypertension and recurrence) were found in 31 cases of protocol 1 (46.2%) and eight cases of protocol 2 (14%), p = 0.001. Six weeks after surgery, ocular hypertension was detected in eight cases corresponding to protocol 1 (13.6%) and two cases of protocol 2 (3.8%), p = 0.099. Recurrence rate during first year was higher in protocol 1 (26.3%) compared to protocol 2 (7.6%), p = 0.011. No cases of visual acuity worsening or infection were registered. Conclusion: Protocol 2 has shown to have higher compliance rate than protocol 1 and less postoperative complications, proving to be a safe and effective postoperative treatment after pterygium surgery.

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