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Prehabilitation and Inflammation.

Tobias Kammerer1, Inês Mahú2, Robert Schier3

  • 1Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.

Annals of Nutrition & Metabolism
|April 23, 2025
PubMed
Summary
This summary is machine-generated.

Prehabilitation, including exercise and nutrition, improves immune function and skeletal muscles by targeting molecular pathways like hypoxia-inducible factors and ceramides. This enhances patient recovery and reduces complications.

Keywords:
InflammationPrehabilitationSepsisSurgical trauma

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Area of Science:

  • Perioperative medicine
  • Immunology
  • Molecular biology

Background:

  • Surgical trauma induces inflammation, increasing risks of immune complications like sepsis.
  • Patient's pre-existing health status significantly influences post-surgical immune response.
  • Multimodal prehabilitation, combining exercise and nutrition, is gaining attention to boost immune function.

Purpose of the Study:

  • To identify molecular and cellular targets for evaluating prehabilitation's biological effects.
  • To highlight potential biomarkers for assessing the success of prehabilitation interventions.
  • To explore novel pathways and cellular targets relevant to immune function post-surgery.

Main Methods:

  • Review of current literature on prehabilitation strategies.
  • Focus on molecular pathways modulated by exercise and nutrition.
  • Identification of cellular targets impacting immune function.

Main Results:

  • Prehabilitation remodels skeletal muscle and enhances immune cell function.
  • Key molecular pathways include hypoxia-inducible factors and ceramide regulation.
  • Cellular targets are crucial for sustained postoperative immune benefits.

Conclusions:

  • Understanding prehabilitation's molecular mechanisms is vital for assessing intervention success.
  • Hypoxia-inducible factors and ceramides are promising biomarkers for inflammation and health.
  • Further research is needed to uncover all key biological pathways modulated by prehabilitation.