Repository logo
 
Publication

Home-Based Preoperative Exercise Training for Lung Cancer Patients Undergoing Surgery: A Feasibility Trial

2023-04-19Journal article Open access
Simple item page
dc.contributor.authorMachado, Pedro
dc.contributor.authorPimenta, Sara
dc.contributor.authorGarcia, Ana Luís
dc.contributor.authorNogueira, Tiago
dc.contributor.authorSilva, Sónia
dc.contributor.authorOliveiros, Bárbara
dc.contributor.authorMartins, Raul A.
dc.contributor.authorCruz, Joana
dc.date.accessioned2023-05-26T10:20:08Z
dc.date.available2023-05-26T10:20:08Z
dc.date.issued2023-04-19
dc.description.abstractBackground: Clinical guidelines recommend prehabilitation with exercise training to optimize recovery after lung cancer surgery. However, the lack of access to facility-based exercise programs is a major barrier to routine participation. This study aimed to assess the feasibility of a home-based exercise intervention before lung cancer resection. Methods: We conducted a prospective, two-site feasibility study, including patients scheduled for lung cancer surgery. Exercise prescription involved aerobic and resistance training with telephone-based supervision. The primary endpoint was overall feasibility (recruitment rate, retention rate, intervention adherence and acceptability). Secondary endpoints included safety and effects on health-related quality of life (HRQOL) and physical performance, evaluated at baseline, after the exercise intervention and 4–5 weeks after surgery. Results: Over three months, 15 patients were eligible, and all agreed to participate (recruitment rate: 100%). A total of 14 patients completed the exercise intervention, and 12 patients were evaluated postoperatively (retention rate: 80%). The median length of the exercise intervention was 3 weeks. Patients performed an aerobic and resistance training volume higher than prescribed (median adherence rates of 104% and 111%, respectively). A total of nine adverse events occurred during the intervention (Grade 1, n = 8; Grade 2, n = 1), the most common being shoulder pain. After the exercise intervention, significant improvements were observed in the HRQOL summary score (mean difference, 2.9; 95% confidence interval [CI], from 0.9 to 4.8; p = 0.049) and the five-times sit-to-stand test score (median difference, −1.5; 95% CI, from −2.1 to −0.9; p = 0.001). After surgery, no significant effects on HRQOL and physical performance were observed. Conclusion: A short-term preoperative home-based exercise intervention is feasible before lung cancer resection and may enhance accessibility to prehabilitation. Clinical effectiveness should be investigated in future studies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMachado P, Pimenta S, Garcia AL, Nogueira T, Silva S, Oliveiros B, Martins RA, Cruz J. Home-Based Preoperative Exercise Training for Lung Cancer Patients Undergoing Surgery: A Feasibility Trial. Journal of Clinical Medicine. 2023; 12(8):2971. https://doi.org/10.3390/jcm12082971pt_PT
dc.identifier.doihttps://doi.org/10.3390/jcm12082971pt_PT
dc.identifier.eissn2077-0383
dc.identifier.urihttp://hdl.handle.net/10400.8/8522
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationCenter for Innovative Care and Health Technology
dc.relation.ispartofseries8;
dc.relation.publisherversionhttps://www.mdpi.com/2077-0383/12/8/2971pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPrehabilitationpt_PT
dc.subjectExercise trainingpt_PT
dc.subjectLung cancerpt_PT
dc.subjectSurgical oncologypt_PT
dc.subjectQuality of lifept_PT
dc.subjectFeasibilitypt_PT
dc.subjectPhysical activitypt_PT
dc.titleHome-Based Preoperative Exercise Training for Lung Cancer Patients Undergoing Surgery: A Feasibility Trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.citation.startPage2971pt_PT
oaire.citation.titleJournal of Clinical Medicinept_PT
oaire.citation.volume12pt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameMachado
person.familyNameSilva
person.familyNameMartins
person.familyNameCruz
person.givenNamePedro
person.givenNameSónia
person.givenNameRaul A.
person.givenNameJoana
person.identifier1763199
person.identifier.ciencia-id111A-3F47-19CD
person.identifier.ciencia-idC311-469D-6BBC
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.orcid0000-0003-1147-2778
person.identifier.orcid0000-0002-3655-5580
person.identifier.orcid0000-0003-1194-4560
person.identifier.orcid0000-0002-4911-4469
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id55664310300
person.identifier.scopus-author-id36715922000
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7e59cca8-9db1-42b3-baa0-aff90405d499
relation.isAuthorOfPublication49fad517-c54e-4d78-81ed-b87bf8ab4d21
relation.isAuthorOfPublication8b015e6d-f515-430d-bc4b-802ccb35329f
relation.isAuthorOfPublication33428074-748a-4751-b2f7-9f24247715fd
relation.isAuthorOfPublication.latestForDiscovery7e59cca8-9db1-42b3-baa0-aff90405d499
relation.isProjectOfPublicationd421b07d-3471-4026-aa43-def80b8e142b
relation.isProjectOfPublication.latestForDiscoveryd421b07d-3471-4026-aa43-def80b8e142b

Files

Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
Machado2023_jcm-12-02971.pdf
Size:
3.56 MB
Format:
Adobe Portable Document Format
Description:
Download
Thumbnail Image
Name:
Machado2023_jcm-2272056-supplementary.pdf
Size:
567.68 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.32 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

ciTechCare - Artigos