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Surgical Prehabilitation: Nutrition and Exercise
John Whittle1, Paul E Wischmeyer2, Michael P W Grocott3
1Anesthesiology, Duke University School of Medicine, Duke University Health System, 5th Floor HAFS, DUMC 3094, 2301 Erwin Road, Durham, NC 27710, USA; Perioperative Medicine, University College London, Gower Street, London, WC1E 6BT, UK.
Optimizing physical fitness and nutritional status before major surgery can reduce patient complications. Prehabilitation and nutritional support are key strategies to improve surgical outcomes and patient recovery.
Area of Science:
- Perioperative Medicine
- Surgical Outcomes Research
- Geriatric Surgery
Background:
- Major surgery is associated with significant in-hospital morbidity and mortality.
- Preoperative optimization is a focus for mitigating surgical risk.
- Physical fitness and nutritional status are critical, modifiable risk factors.
Purpose of the Study:
- To highlight the importance of physical fitness and nutritional status in surgical patients.
- To review the role of exercise-based prehabilitation in improving aerobic fitness.
- To assess the impact of prehabilitation and nutritional status on perioperative outcomes.
Main Methods:
- Review of current literature on preoperative optimization strategies.
- Analysis of the relationship between frailty, sarcopenia, and physical fitness.
- Evaluation of exercise prehabilitation and nutritional interventions.
Main Results:
- Exercise prehabilitation shows promise for improving aerobic fitness.
- The impact of prehabilitation on key clinical perioperative outcomes requires further determination.
- Preoperative nutritional status significantly influences perioperative outcomes.
Conclusions:
- Addressing physical fitness and nutritional status is crucial for reducing surgical complications.
- Prehabilitation and nutritional support are vital components of preoperative optimization.
- Further research is needed to fully elucidate the benefits of prehabilitation on clinical outcomes.
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