Prehabilitation with wearables versus standard of care before major abdominal cancer surgery: a randomised controlled pilot study (trial registration: NCT04047524).
Exercise
Fitness trackers
Pre-operative
Prehabilitation
Smartwatches
Wearables
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
20
09
2020
accepted:
09
02
2021
pubmed:
17
3
2021
medline:
4
3
2022
entrez:
16
3
2021
Statut:
ppublish
Résumé
Prehabilitation aims to improve post-operative outcomes by enhancing pre-operative fitness but is labour-intensive. This pilot study aimed to assess the efficacy of a tri-modal prehabilitation programme delivered by smartwatches for improving functional fitness prior to major abdominal cancer surgery. A single-centre, randomised controlled pilot study, in which 22 patients were randomised to: (a) a prehabilitation group (n = 11), comprising of home-based exercise, nutritional, and dietary advice delivered using a wrist-worn smartwatch connected to a smartphone application; or (b) a control group (n = 11) receiving usual care, with patients given a smartwatch as a placebo. Eligible participants had over two weeks until planned surgery. The primary outcome was pre-operative physical activity including 6-min walk test (6MWT) distance, with secondary outcomes including change in body weight and hospital anxiety and depression score (HADS). Recruitment was 67% of eligible patients, with groups matched for baseline characteristics. The prehabilitation group engaged in more daily minutes of moderate [25.1 min (95% CI 9.79-40.44) vs 13.1 min (95% CI 5.97-20.31), p = 0.063] and vigorous physical activity [36.1 min (95% CI 21.24-50.90) vs 17.5 min (95% CI 5.18-29.73), p = 0.022] compared to controls. They also had significantly greater improvements in 6MWT distance compared to controls [+ 85.6 m (95% CI, + 18.06 to + 153.21) vs + 13.23 m (95% CI - 6.78 to 33.23), p = 0.014]. HADS scores remained unchanged from baseline in both groups. Prehabilitation in the colorectal cancer care setting can be delivered using smartwatches and mobile applications. Furthermore, this study provides early indicative evidence that such technologies can improve functional capacity prior to surgery TRIAL REGISTRATION: NCT04047524.
Sections du résumé
BACKGROUND
Prehabilitation aims to improve post-operative outcomes by enhancing pre-operative fitness but is labour-intensive. This pilot study aimed to assess the efficacy of a tri-modal prehabilitation programme delivered by smartwatches for improving functional fitness prior to major abdominal cancer surgery.
METHODS
A single-centre, randomised controlled pilot study, in which 22 patients were randomised to: (a) a prehabilitation group (n = 11), comprising of home-based exercise, nutritional, and dietary advice delivered using a wrist-worn smartwatch connected to a smartphone application; or (b) a control group (n = 11) receiving usual care, with patients given a smartwatch as a placebo. Eligible participants had over two weeks until planned surgery. The primary outcome was pre-operative physical activity including 6-min walk test (6MWT) distance, with secondary outcomes including change in body weight and hospital anxiety and depression score (HADS).
RESULTS
Recruitment was 67% of eligible patients, with groups matched for baseline characteristics. The prehabilitation group engaged in more daily minutes of moderate [25.1 min (95% CI 9.79-40.44) vs 13.1 min (95% CI 5.97-20.31), p = 0.063] and vigorous physical activity [36.1 min (95% CI 21.24-50.90) vs 17.5 min (95% CI 5.18-29.73), p = 0.022] compared to controls. They also had significantly greater improvements in 6MWT distance compared to controls [+ 85.6 m (95% CI, + 18.06 to + 153.21) vs + 13.23 m (95% CI - 6.78 to 33.23), p = 0.014]. HADS scores remained unchanged from baseline in both groups.
CONCLUSION
Prehabilitation in the colorectal cancer care setting can be delivered using smartwatches and mobile applications. Furthermore, this study provides early indicative evidence that such technologies can improve functional capacity prior to surgery TRIAL REGISTRATION: NCT04047524.
Identifiants
pubmed: 33723969
doi: 10.1007/s00464-021-08365-6
pii: 10.1007/s00464-021-08365-6
pmc: PMC8758615
doi:
Banques de données
ClinicalTrials.gov
['NCT04047524']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1008-1017Informations de copyright
© 2021. The Author(s).
Références
Tohoku J Exp Med. 2009 Feb;217(2):109-15
pubmed: 19212103
Gastroenterology. 2018 Aug;155(2):391-410.e4
pubmed: 29750973
J Sports Med Phys Fitness. 2018 Apr;58(4):534-548
pubmed: 28488834
Am J Respir Crit Care Med. 1997 Apr;155(4):1278-82
pubmed: 9105067
Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7
pubmed: 12091180
HPB (Oxford). 2018 Nov;20(11):1051-1061
pubmed: 29887259
Surg Endosc. 2013 Apr;27(4):1072-82
pubmed: 23052535
Anaesthesia. 2019 Jan;74 Suppl 1:27-35
pubmed: 30604414
Int J Behav Nutr Phys Act. 2015 Dec 18;12:159
pubmed: 26684758
COPD. 2005 Mar;2(1):125-9
pubmed: 17136972
Psychooncology. 2014 Feb;23(2):121-30
pubmed: 24105788
Ann Surg. 2019 Sep;270(3):493-501
pubmed: 31318793
Psychooncology. 2018 Feb;27(2):524-531
pubmed: 28665541
JAMA. 2018 Apr 24;319(16):1665-1676
pubmed: 29710165
J Med Internet Res. 2013 Dec 23;15(12):e287
pubmed: 24366061
Nutr Clin Pract. 2019 Apr;34(2):297-303
pubmed: 29603374
Int J Environ Res Public Health. 2019 Jan 31;16(3):
pubmed: 30709020
BMJ Open Sport Exerc Med. 2017 Sep 13;3(1):e000254
pubmed: 29018543
Ann Med Exp Biol Fenn. 1957;35(3):307-15
pubmed: 13470504
Anesthesiology. 2014 Nov;121(5):937-47
pubmed: 25076007
Br J Surg. 2010 Aug;97(8):1187-97
pubmed: 20602503
J Psychosom Res. 2002 Feb;52(2):69-77
pubmed: 11832252
J Am Geriatr Soc. 2006 May;54(5):743-9
pubmed: 16696738
Psychooncology. 2018 Aug;27(8):2023-2030
pubmed: 29766596
Int J Surg. 2017 Mar;39:156-162
pubmed: 28161527
Eur J Surg Oncol. 2018 Jul;44(7):919-926
pubmed: 29754828
Eur J Surg Oncol. 2021 Mar;47(3 Pt A):524-532
pubmed: 32439265
Am J Phys Med Rehabil. 2019 May;98(5):399-406
pubmed: 30550454