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KMID : 0359420200380020085
Korean Journal of Sports Medicine
2020 Volume.38 No. 2 p.85 ~ p.94
Feasibility and Acceptability of Prehabilitation before Surgery for Endometrial Cancer
Lee Sang-Hwa

Lee Na-Ra
Kim Jae-Weon
Lee Maria
Seong Seok-Ju
Song Jae-Yun
Kim Yeon-Soo
Abstract
Purpose: To investigate the safety of and adherence to a prehabilitation program among patients with endometrial cancer and to provide preliminary evidence of the program¡¯s efficacy in terms of health-related fitness (HRF) and patient-reported outcomes.

Methods: Nineteen patients with endometrial cancer were recruited in a 2-week trial for a one-on-one supervised exercise program. All patients participated in an individual exercise program?the Challenge, Overcome, Resolve, and Enhance (CORE) program?which consisted of 60 minutes of moderate-to-vigorous intensity resistance, core stability, and aerobic exercise, supervised five times within 2 weeks before surgery.

Results: Seventeen (89.5%) of the 19 participants completed the CORE program, and no adverse events occurred. All participants accomplished the daily mean step counts and sustained the prescribed target heart rate (reserve 50%?60%) during the CORE program sessions. Participants who completed the exercise program exhibited significantly improved HRF (cardiorespiratory fitness, 30-second chair stand, hand grip strength, curl-ups, sit and reach, single-leg standing with closed eyes; p<0.001 for all) without changes in the body mass index (p=0.113). Their quality of life (general, p=0.001; function, p=0.001; symptom, p=0.003), symptom clusters (p=0.006), anxiety (p<0.001), and depression (p<0.001) were significantly improved.

Conclusion: The 2-week prehabilitation CORE program is safe and feasible for patients scheduled to undergo surgery for early-stage endometrial cancer and may improve their physical and psychological health status.
KEYWORD
Endometrial neoplasms, Exercise, Physical fitness, Prehabilitation, Quality of life
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