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The impact of preoperative regular exercise on mental health in patients undergoing Type II incision surgery
1Sports Academy, Pingxiang University, Pingxiang, 337055, China.
Objective:
This study aimed to investigate the effect of preoperative regular exercise on postoperative mental health in patients undergoing Type II incision surgery. Explore the correlations between preoperative exercise and postoperative mental health in this patient group.
Methods:
A total of 480 patients who underwent Type II incision surgery at a tertiary Grade A hospital in Pingxiang from July 2024 to June 2025 were enrolled. Preoperative physical activity was assessed via the International Physical Activity Questionnaire (IPAQ) short form, and patients were divided into an exercise group (EH, n = 133) and a nonexercise group (NEH, n = 347) on the basis of the "sports population" criteria in China. Mental health was evaluated via the Hospital Anxiety and Depression Scale (HADS) and the 12-Item Short-Form Health Survey (SF-12) on the 14th postoperative day.
Results:
Compared with the NEH group, the EH group had significantly lower postoperative HADS-Anxiety (HADS-A) scores (5.3 ± 2.0 vs. 8.5 ± 3.3) and higher SF-12 Mental Component Summary (MCS, 49.1 ± 7.5 vs. 42.1 ± 8.3) and Physical Component Summary (PCS, 47.3 ± 7.1 vs. 42.8 ± 7.6). Correlation analysis revealed that preoperative regular exercise in the EH group was negatively associated with postoperative anxiety (r = -0.55) and positively associated with the SF-12 PCS (r = 0.72) and MCS (r = 0.60). No significant correlations were observed in the NEH group for anxiety or depression.
Conclusion:
Preoperative regular exercise significantly alleviates postoperative anxiety and improves both physical and mental function in patients undergoing Type II incision surgery, with these effects remaining significant after adjusting for confounders. However, its effect on improving postoperative depression is not significant. Additionally, preoperative exercise is closely associated with better postoperative psychological status in the EH group, while the NEH group shows no significant correlations between preoperative activity and postoperative anxiety/depression, and weaker correlations with physical/mental function-suggesting that establishing preoperative exercise habits may be a key factor in promoting postoperative psychological recovery.
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