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The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: randomized controlled trial

Authors
 Ki-Yong Ahn  ;  Hyuk Hur  ;  Dong-Hyun Kim  ;  Jihee Min  ;  Duck Hyoun Jeong  ;  Sang Hui Chu  ;  Ji Won Lee  ;  Jennifer A. Ligibel  ;  Jeffrey A. Meyerhardt  ;  Lee W. Jones  ;  Justin Y. Jeon  ;  Nam Kyu Kim 
Citation
 International Journal of Colorectal Disease, Vol.28 : 643-651, 2013 
Journal Title
 International Journal of Colorectal Disease 
ISSN
 0179-1958 
Issue Date
2013
Abstract
PURPOSE: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients METHODS: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. RESULTS: A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036). CONCLUSIONS: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86703
DOI
10.1007/s00384-013-1665-1
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
Yonsei Authors
김남규(Kim, Nam Kyu) ; 이지원(Lee, Ji Won) ; 정덕현(Jeong, Duck Hyoun) ; 추상희(Choo, Sang Hui) ; 허혁(Hur, Hyuk)
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Full Text
http://link.springer.com/article/10.1007%2Fs00384-013-1665-1
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