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Article

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

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Department of Surgery, Zuyderland Medical Center, Dr. H van der Hoffplein 1, 6162BG Sittard-Geleen, The Netherlands
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Department of Gastroenterology, Zuyderland Medical Center, Dr. H van der Hoffplein 1, 6162BG Sittard-Geleen, The Netherlands
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Department of Geriatric Medicine, Zuyderland Medical Center, Dr. H van der Hoffplein 1, 6162BG Sittard-Geleen, The Netherlands
*
Author to whom correspondence should be addressed.
Academic Editor: Misha D. P. Luyer
Nutrients 2021, 13(10), 3493; https://doi.org/10.3390/nu13103493
Received: 17 August 2021 / Revised: 26 September 2021 / Accepted: 29 September 2021 / Published: 2 October 2021
(This article belongs to the Special Issue Perioperative Nutritional Status and Optimization for Patients)
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. View Full-Text
Keywords: prehabilitation; colorectal surgery; multimodal; functional capacity; enhanced recovery after surgery; complications; colorectal cancer; feasibility prehabilitation; colorectal surgery; multimodal; functional capacity; enhanced recovery after surgery; complications; colorectal cancer; feasibility
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MDPI and ACS Style

Tweed, T.T.T.; Sier, M.A.T.; Van Bodegraven, A.A.; Van Nie, N.C.; Sipers, W.M.W.H.; Boerma, E.-J.G.; Stoot, J.H.M.B. Feasibility and Efficiency of the BEFORE (Better Exercise and Food, Better Recovery) Prehabilitation Program. Nutrients 2021, 13, 3493. https://doi.org/10.3390/nu13103493

AMA Style

Tweed TTT, Sier MAT, Van Bodegraven AA, Van Nie NC, Sipers WMWH, Boerma E-JG, Stoot JHMB. Feasibility and Efficiency of the BEFORE (Better Exercise and Food, Better Recovery) Prehabilitation Program. Nutrients. 2021; 13(10):3493. https://doi.org/10.3390/nu13103493

Chicago/Turabian Style

Tweed, Thaís T. T., Misha A. T. Sier, Ad A. Van Bodegraven, Noémi C. Van Nie, Walther M. W. H. Sipers, Evert-Jan G. Boerma, and Jan H. M. B. Stoot. 2021. "Feasibility and Efficiency of the BEFORE (Better Exercise and Food, Better Recovery) Prehabilitation Program" Nutrients 13, no. 10: 3493. https://doi.org/10.3390/nu13103493

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